Commitment to Quality
Making sure our members receive quality health care is our number one priority.
Molina Healthcare provides NCQA-accredited health care and services that focus on promoting health, wellness and improved patient outcomes. We maintain our quality care by regularly monitoring our Molina Healthcare network.
We’re committed to providing our members with the best care possible. That’s why we put a quality program in place to keep improving:
- Our services
- The quality of the care members receive
- The way we communicate with our members
Our goals are to:
- Provide services that benefit members’ health
- Work with providers to get members the care they need
- Address members’ language and cultural needs
- Reduce barriers to getting care, such as issues with transportation and/or language
- Provide members with health information and remind them about routine checkups
Quality Improvement Program
Our Quality Improvement Program is designed to improve quality of care, member safety and quality of service. We address the diverse cultural and linguistic needs of our membership and coordinate care for our members with complex health needs.
We use the following tools to collect member feedback and assess how we can improve:
Consumer Assessment of Healthcare Providers and Systems (CAHPS®)
The CAHPS® survey asks individuals and families about the health care they are receiving from Molina Healthcare. The survey informs us whether members are happy with their care and their Molina doctors and where the organization can improve.
Healthcare Effectiveness Data and Information Set (HEDIS®)
We use HEDIS® each year to measure our quality of care – both clinical and non-clinical – and services. Maintained by the National Committee for Quality Assurance (NCQA), HEDIS® also shows where health plans can improve. Our goal is to be better than 75 percent of other Medicaid health plans in the nation.
Many of our plans are accredited by NCQA, a nonprofit organization committed to improving the quality of health care. NCQA accreditation demonstrates our dedication to constant improvement.
We continue to be among the nation’s leaders in Medicaid Health Plan Accreditation. Currently, 13 of our Medicaid health plans are NCQA accredited including CA, FL, IL, MA, MI, MS, OH, SC, TX, UT, VA, WA and WI.
We also pursue Multicultural Healthcare Distinction through NCQA to highlight our focus on improving quality of care and addressing the diverse cultural and linguistic needs for our members. In addition, we voluntarily pursue Long-Term Services and Supports Distinction through NCQA to demonstrate our commitment to quality.