HEDIS® Results

Molina Dual Options TX STAR+PLUS MMP HEDIS® Annual Rates.

Molina Dual Options’ STAR+PLUS MMP scores for the past two years are below. You can see how Molina Dual Options STAR+PLUS MMP performs compared to our target goal.

Measure (H8197)

2022

2023

Goal

Antidepressant Medication Management (AMM) Effective Continuation Phase

61.32%

48.58%

70.21%

Breast Cancer Screening (BCS)

52.79%

55.04%

71.00%

Care for Older Adults (COA) Medication Review

77.13%

77.86%

93.00%

Care for Older Adults (COA) Pain Screening

77.13%

76.64%

91.00%

Colorectal Cancer Screening (COL)

50.36%

47.20%

71.00%

Diabetes Care Blood Sugar Controlled (HBD)

61.80%

63.50%

80.00%

Diabetes Care Eye Exam Total (EED)

63.50%

62.29%

73.00%

Controlling High Blood Pressure (CBP)

64.72%

66.67%

74.00%

Follow-Up After Hospitalization for Mental Illness (FUH) 30-Day Rate Total

58.54%

61.35%

60.54%

Initiation and Engagement of Substance Use Disorder Treatment (IET) Initiation of SUD Treatment Total

35.55%

47.20%

44.70%

Initiation and Engagement of Substance Use Disorder Treatment (IET) Engagement of SUD Treatment Total

3.52%

4.92%

7.4%%

Osteoporosis Management in Women Who Had a Fracture (OMW)

NA

NA

55.00%

Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio (Ages 18-64)

103.03%

106.73%

≤ 92.56%

Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio (Ages 65+)

102.99%

112.15%

≤ 95.74%

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

84.32%

82.11%

88.09%

Transitions of Care (TRC) Medication Reconciliation Post-Discharge

18.00%

22.38%

68.00%

 

Measure (H8423)

2023

Goal

Antidepressant Medication Management (AMM) Effective Continuation Phase

54.55%

70.21%

Breast Cancer Screening (BCS)

51.83%

71.00%

Care for Older Adults (COA) Medication Review

72.99%

93.00%

Care for Older Adults (COA) Pain Screening

69.34%

91.00%

Colorectal Cancer Screening (COL)

41.98%

71.00%

Diabetes Care Blood Sugar Controlled (HBD)

60.81%

80.00%

Diabetes Care Eye Exam Total (EED)

72.65%

73.00%

Controlling High Blood Pressure (CBP)

68.41%

74.00%

Follow-Up After Hospitalization for Mental Illness (FUH) 30-Day Rate Total

NA

60.54%

Initiation and Engagement of Substance Use Disorder Treatment (IET) Initiation of SUD Treatment Total

16.67%

44.70%

Initiation and Engagement of Substance Use Disorder Treatment (IET) Engagement of SUD Treatment Total

0.00%

7.4%%

Osteoporosis Management in Women Who Had a Fracture (OMW)

NA

55.00%

Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio (Ages 18-64)

50.26%

≤ 92.56%

Plan All-Cause Readmissions (PCR) Observed-to-Expected Ratio (Ages 65+)

98.75%

≤ 95.74%

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

76.27%

88.09%

Transitions of Care (TRC) Medication Reconciliation Post-Discharge

44.44%

68.00%

Molina Dual Options STAR+PLUS MMP is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.

Molina Healthcare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, ethnicity, national origin, religion, gender, sex, age, mental or physical disability, health status, receipt of healthcare, claims experience, medical history, genetic information, evidence of insurability, geographic location.

NA = Not Available Due to Small Denominator        

NB = No Benefit

NR = Not Reported

NQ = Not Required

BR = Biased Rate

 

H8197_24_4496_TXMMPHEDISRateWeb