QHP Results

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QHP Results
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

2020*

2021*

2021 Goal

Access to Care

64.6%

57.3%

77.84%

Access to Information

50.1%

46.0%

53.10%

Annual Flu Vaccine (Adults 18-64)

43.4%

44.7%

58.59%

Coordination of Care

75.8%

73.1%

85.47%

Customer Service

68.5%

64.9%

73.89%

Medical Assistances with Smoking and Tobacco Use Cessation

NA

68.0%

60.85%

Rating of Health Plan

73.7%

68.0%

74.07%

Rating of All Health Care

77.8%

71.8%

81.95%

Rating of Personal Doctor

83.3%

79.2%

89.56%

Rating of Specialist Seen Most Often

NA

76.6%

87.34%

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 2021 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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