QHP Results

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Marketplace QHP® Annual Results.

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

Measure / Data Element

2019*

2020*

2020 Goal

Access to Care

67.59%

64.6%

77.42%

Access to Information

48.89%

50.1%

51.38%

Annual Flu Vaccine (Adults 18-64)

28.74%

43.4%

52.38%

Coordination of Care

78.30%

75.8%

85.02%

Customer Service

65.53%

68.5%

73.23%

Medical Assistances with Smoking and Tobacco Use Cessation

33.99%

35.3%

58.89%

Rating of Health Plan

71.16%

73.7%

72.30%

Rating of All Health Care

75.75%

77.8%

79.71%

Rating of Personal Doctor

83.47%

83.3%

88.44%

Rating of Specialist Seen Most Often

84.90%

82.0%

86.30%

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

 

*Please note that 2019 rates are adjusted by the Centers for Medicare and Medicaid Services. 2020 rates are adjusted by Molina’s survey vendor. Please use caution when comparing data across years.

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