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- HEDIS® Results
Measure |
2021 |
2022 |
Goal |
Annual Dental Visit (ADV) |
1.31% |
1.85% |
37.80% |
Asthma Medication Ratio (AMR) |
79.01% |
77.50% |
86.00% |
Appropriate Testing for Pharyngitis (CWP) |
27.07% |
17.27% |
70.80% |
Appropriate Treatment for Upper Respiratory Infection (URI) |
76.60% |
91.04% |
91.50% |
Avoidance of Antibiotic Treatment for Acute Bronchitis / Bronchiolitis (AAB) |
37.24% |
38.52% |
50.20% |
Breast Cancer Screening (BCS) |
47.89% |
51.04% |
71.70% |
Cervical Cancer Screening (CCS) |
49.39% |
41.61% |
66.20% |
Childhood Immunization Status (CIS) Combination #10 Total |
NR |
39.02% |
60.20% |
Chlamydia Screening in Women (CHL) Total |
50.95% |
51.01% |
53.60% |
Colorectal Cancer Screening (COL) |
33.33% |
37.23% |
65.70% |
Comprehensive Diabetes Care (CDC) Eye Exam (Retinal) Performed |
45.50% |
44.53% |
53.30% |
Comprehensive Diabetes Care (CDC) HbA1c Control (<8.0%) |
55.72% |
52.80% |
64.30% |
Controlling High Blood Pressure (CBP) |
56.69% |
54.74% |
68.60% |
Immunizations for Adolescents (IMA) Combination #2 Total |
14.29% |
36.36% |
33.10% |
Plan All-Cause Readmission (PCR) |
52.05% |
38.16% |
≤51.70% |
Prenatal and Postpartum Care (PPC) Timeliness of Prenatal Care |
75.50% |
74.29% |
90.50% |
Prenatal and Postpartum Care (PPC) Postpartum Care |
68.87% |
72.57% |
88.80% |
Proportion of Days Covered (PDC) RAS Antagonists |
69.73% |
68.45% |
81.60% |
Proportion of Days Covered (PDC) Diabetes All Class |
67.86% |
67.50% |
80.10% |
Proportion of Days Covered (PDC) Statins |
61.46% |
60.92% |
80.80% |
Use of Imaging Studies for Low Back Pain (LBP) |
75.77% |
73.87% |
81.60% |
Child and Adolescent Well-Care Visits (WCV) Total |
28.12% |
35.62% |
59.70% |
Molina Healthcare of California Overall Marketplace Quality Rating = 2 Stars.
CMS rates qualified health plans (QHPs) offered through the Exchanges using the Quality Rating System (QRS), which is based on third-party validated clinical measure data and QHP Enrollee Survey response data. CMS calculates QRS ratings annually using a 5-star scale. QHP issuers contract with HHS-approved survey vendors that independently conduct the QHP Enrollee Survey each year. QRS ratings and QHP Enrollee Survey results may change from one year to the next. For more information, please see CMS’ Health Insurance MarketplaceSM Quality Initiatives website at: CMS.gov.
NA = Not Available Due to Small Denominator
NB = No Benefit
NR = Not Reported
NQ = Not Required
BR = Biased Rate