HEDIS® Results

Medicare HEDIS® Annual Rates.

Molina’s scores for the past two years are below. You can see how Molina performs compared to our target goal.

Measure / Data Element

2019

2020

2020 Goal

Adult BMI Assessment (ABA)

93.19%

98.33%

96.00%

Breast Cancer Screening (BCS)

69.82%

70.00%

76.00%

Care for Older Adults - Medication Review (COA)

78.83%

87.89%

87.00%

Care for Older Adults - Functional Status Assessment (COA)

77.37%

80.00%

85.00%

Care for Older Adults - Pain Screening (COA)

83.45%

87.89%

86.00%

Colorectal Cancer Screening (COL)

66.67%

67.15%

73.00%

Diabetes Care – Blood Sugar Controlled (CDC)

60.60%

64.03%

72.00%

Diabetes Care – Eye Exam (CDC)

73.43%

80.53%

73.00%

Diabetes Care – Kidney Disease Monitoring Nephropathy (CDC)

96.15%

98.02%

95.00%

Rheumatoid Arthritis Management (ART)

NA

NA

79.00%

Medication Reconciliation Post-Discharge (MRP)

42.86%

45.39%

71.00%

Osteoporosis Management in Women Who Had a Fracture (OMW)

NA

NA

50.00%

Plan All-Cause Readmissions (PCR)

15.20%

13.43%

≤ 7.00%

Statin Therapy for Patients with Cardiovascular Disease – Received Statin Therapy Total (SPC)

78.57%

85.45%

83.00%

 

For STAR ratings, please visit Medicare Plan Finder or CMS.gov.

This information is available in other formats, such as Braille, large print, and audio.

Every year, Medicare evaluates plans based on a 5-star rating system.

NA = Not Available Due to Small Denominator
NB = No Benefit
NR = Not Reported
NQ = Not Required
BR = Biased Rate

 
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