HEDIS® Results

Molina Dual Options Medicare-Medicaid Plan, Healthcare Effectiveness Data and Information Set (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 Goal

2023 Goal

2024 Rate

2024 Goal

Antidepressant Medication Management (AMM) Effective Continuation Phase Treatment

67.44%

70.21%

65.56%

70.53%

Breast Cancer Screening (BCS)

59.30%

71.00%

 

 

Breast Cancer Screening (BCS-E)

 

 

53.96%

78.57%

Care for Older Adults (COA) Medication Review

78.83%

93.00%

NQ

87.00%

Care for Older Adults (COA) Pain Screening

78.59%

91.00%

NQ

90.00%

Colorectal Cancer Screening (COL)

53.53%

71.00%

53.04%

77.68%

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

 

 

67.34%

77.68%

Diabetes Care Eye Exam Total (EED)

55.72%

73.00%

60.80%

81.03%

Controlling High Blood Pressure (CBP)

63.50%

74.00%

71.34%

80.65%

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

NA

60.54%

66.27%

60.38%

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

48.95%

44.70%

58.28%

45.00%

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

6.29%

7.4%%

15.49%

6.67%

Osteoporosis Management in Women who had a Fracture (OMW)

NA

55.00%

17.24%

57.09%

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

84.31%

88.09%

86.72%

88.48%

Transitions of Care (TRC) Medication Reconciliation Post-Discharge

30.90%

68.00%

42.34%

84.43%

 

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

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NA = Not Available
NQ = Not Required

 

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