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
H2533_25_8195_SCMMPHC Rates Approved