Medicaid Quality of Care

Health Care for Adults

Star ratings and state averages were not computed for Medicaid plans since only two plans submit HEDIS data to the state. Performance measures should be compared to the national average.

REMEMBER: Differences between HMOs may be caused by differences in performance OR by differences in data collection.

Controlling High Blood Pressure The percentage of members 18 to 85 years of age who had a diagnosis of hypertension (HTN) and whose blood pressure (BP) was adequately controlled (<140/90) during the measurement year. HMO Name Rate Data Collection Method Healthy U Not Applicable Molina 69.9% Admin+Chart Review National Average: 51.4%
Use of Imaging Studies for Low Back Pain The percentage of members with acute low back pain for whom imaging studies did not occur. HMO Name Rate Data Collection Method Healthy U 76.6% Administrative Molina 79.8% Administrative National Average: 78.3%