HEDIS® Results

Molina Dual Options Medicare-Medicaid Plan, HEDIS® Annual Rates.

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

Measure

2023 Rate

2023 Goal

2024 Rate

2024 Goal

Antidepressant Medication Management (AMM) Effective Continuation Phase

76.95%

70.21%

57.71%

70.53%

Breast Cancer Screening (BCS)

50.94%

71.00%

 

 

Breast Cancer Screening (BCS-E)

 

 

50.27%

78.57%

Care for Older Adults (COA) Medication Review

82.97%

93.00%

NQ

87.00%

Care for Older Adults (COA) Pain Screening

82.00%

91.00%

NQ

90.00%

Colorectal Cancer Screening (COL)

51.34%

71.00%

42.86%

77.86%

Hemoglobin A1c Control for Patients With Diabetes (HBD) HbA1c Control (<8%)

 

 

64.23%

77.68%

Diabetes Care Eye Exam Total (EED)

50.85%

73.00%

54.26%

81.03%

Controlling High Blood Pressure (CBP)

71.05%

74.00%

72.81%

80.65%

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

58.04%

60.54%

56.19%

60.38%

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

43.02%

44.70%

53.27%

45.00%

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

5.20%

7.4%

6.53%

6.67%

Osteoporosis Management in Women Who Had a Fracture (OMW)

NA

55.00%

25.00%

57.09%

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

101.33%

≤ 92.56%

96.36%

≤ 93.94%

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

134.62%

≤ 95.74%

106.67%

≤ 93.71%

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

85.64%

88.09%

82.60%

88.48%

Transitions of Care (TRC) Medication Reconciliation Post-Discharge

48.18%

68.00%

52.80%

84.43%

 

Molina Dual Options Medicare-Medicaid Plan is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees.

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NA = Not Available
NQ = Not Required

 

H8046_25_8188_ILMMPHCRates Accepted