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

2022*

2023^

Goal+

Access to Care

68.1%

67.6%

74.0%

Access to Information

49.3%

50.5%

54.7%

Annual Flu Vaccine (Adults 18-64)

48.3%

49.7%

57.3%

Coordination of Care

76.7%

81.3%

85.3%

Customer Service

60.0%

66.1%

73.4%

Medical Assistances with Smoking and Tobacco Use Cessation

46.2%

51.7%

60.7%

Rating of Health Plan

71.8%

73.6%

73.9%

Rating of All Health Care

78.3%

78.3%

81.3%

Rating of Personal Doctor

85.2%

87.1%

89.1%

Rating of Specialist Seen Most Often

83.7%

85.8%

86.9%

Molina Healthcare of New Mexico Overall Marketplace Quality Rating = 3 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

 

Data Sources:
*2022 Enrollee Qualified Health Plan Enrollee Experience Survey Results, Molina Healthcare of New Mexico, Inc., 19722-NM-HMO
^2023 Enrollee Qualified Health Plan Enrollee Experience Survey Results, Molina Healthcare of New Mexico, Inc., 19722-NM-HMO
+2023 Quality Rating System Proof Sheet for 19722-NM-HMO, Percentile 75th 

 

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