HEDIS® Results

Open as a new window for surveyTake a survey

HEDIS® Results

Marketplace HEDIS® Annual Rates.

 

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

Adult BMI Assessment (ABA)

77.13%

85.81%

92.21%

Annual Dental Visit (ADV)

NB

NB

46.66%

Antidepressant Medication Management (AMM) Effective Acute Phase Treatment

56.56%

61.86%

77.07%

Antidepressant Medication Management (AMM) Effective Continuation Phase Treatment

45.94%

46.74%

58.81%

Appropriate Testing for Pharyngitis (CWP)

76.39%

62.63%

92.25%

Appropriate Treatment for Upper Respiratory Infection (URI)

85.83%

65.11%

95.04%

Avoidance of Antibiotic Treatment for Acute Bronchitis / Bronchiolitis (AAB)

22.22%

28.07%

38.65%

Breast Cancer Screening (BCS)

63.17%

61.39%

73.20%

Cervical Cancer Screening (CCS)

43.31%

49.15%

65.17%

Childhood Immunization Status (CIS) Combination #3 Total

77.42%

NA

81.08%

Chlamydia Screening in Women (CHL) Total

42.63%

46.92%

55.43%

Colorectal Cancer Screening (COL)

36.98%

41.12%

63.04%

Comprehensive Diabetes Care (CDC) Eye Exam (Retinal) Performed

40.63%

45.26%

56.11%

Comprehensive Diabetes Care (CDC) HbA1c Control (<8.0%)

52.07%

54.26%

63.75%

Comprehensive Diabetes Care (CDC) Monitoring for Nephropathy

87.59%

91.97%

92.70%

Controlling High Blood Pressure (CBP)

46.72%

57.66%

69.83%

Follow-Up After Hospitalization for Mental Illness (FUH) 7-Day Rate Only

50.00%

NA

47.83%

Immunizations for Adolescents (IMA) Combination #2 Total

24.24%

24.14%

26.75%

Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Initiation of AOD Treatment Rate Total

37.74%

31.09%

38.98%

Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) Engagement of AOD Treatment Rate Total

10.57%

8.24%

14.62%

Medication Management for People with Asthma (MMA) Medication Compliance 75% Rate only

48.33%

53.21%

62.00%

Plan All-Cause Readmission (PCR)

91.29%

97.14%

≤ 63.85%

Prenatal and Postpartum Care (PPC) Timeliness of Prenatal Care

80.20%

96.05%

91.14%

Prenatal and Postpartum Care (PPC) Postpartum Care

58.42%

72.37%

82.14%

Proportion of Days Covered (PDC) RAS Antagonists

70.14%

68.95%

81.71%

Proportion of Days Covered (PDC) Diabetes All Class

56.51%

61.05%

77.54%

Proportion of Days Covered (PDC) Statins

60.84%

66.11%

78.63%

Use of Imaging Studies for Low Back Pain (LBP)

79.41%

74.05%

81.31%

Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) BMI Screening Total

54.99%

62.29%

88.68%

Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) Counseling for Nutrition Total

46.23%

56.20%

82.77%

Weight Assessment and Counseling for Nutrition and Physical Activity for Children/ Adolescents (WCC) Counseling on Physical Activity Total

41.36%

53.77%

79.47%

Well-Child Visits in the First 15 Months of Life (W15) 6 or More Visits Total

NA

NA

83.05%

Well-Child Visits in the Third, Fourth, Fifth, and Sixth Years of Life (W34)

68.49%

65.57%

84.16%

 

Molina Healthcare of New Mexico 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

 

 

 


Download the My Molina Mobile App

You can make a payment, change your doctor, view service history and request a new ID card from the palm of your hand.