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2021 Medicare Plan Star Rating Details

This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
Plan Quality and Performance Ratings

Information on quality can help you compare Medicare plans. Higher quality means better care and value. Looking at this plan’s star rating tells you how well the plan performs overall and in different categories. Medicare measures how well health and prescription drug plans perform.
Guide to Medicare Star Ratings
5 Stars: Excellent
4 Stars: Above Average
3 Stars: Average
2 Stars: Below Average
1 Star: Poor
NtED:Not enough data available
NEW:Plan too new to be measured
N/A:Not applicable
NtR:Plan not required to report measure
SML:Plan too small to be measured
NoD:No data availalble
NtO:Benefit not offered by plan

2021 CareOregon Advantage (H5859) Star Rating Details
CareOregon Advantage Plus (HMO-POS D-SNP) (H5859-001-0)
Benefit Details           
The CareOregon Advantage Plus (HMO-POS D-SNP) (H5859-001-0)
in Clackamas, OR: CMS MA Region 23 which includes: OR
Plan Monthly Premium: $36.00 Deductible: $445
Star Rating Category & Measures20212020
Overall Star Rating [?]3.53.5
Summary Rating of Prescription Drug Plan Quality [?]3.5 down from last year4
Drug Plan Customer Service [?]3 down from last year5
  • Call Center — Foreign Language Interpreter and TTY Availability [?]
down from last year5
  • Drug Plan Makes Timely Decisions about Appeals [?]
down from last year4
  • Fairness of Drug Plan’s Appeal Decisions [?]
down from last year5
Member Complaints and Changes in the Drug Plan’s Performance [?]44
  • Complaints about the Drug Plan (higher score is better - means fewer complaints) [?]
  • Members Choosing to Leave the Plan (higher score is better - means fewer members leaving) [?]
  • Improvement (if any) in the Drug Plan's Performance [?]
Member Experience with the Drug Plan [?]NtEDNtED
  • Members’s Rating of Drug Plan [?]
  • Ease of Getting Prescriptions Filled When Using the Plan [?]
Drug Safety and Accuracy of Drug Pricing [?]3 down from last year4
  • Medicare.gov Plan Finder Drug Price Accuracy (higher score is better) [?]
down from last year5
  • Medication Adherence for Diabetes Medications [?]
  • Medication Adherence for Hypertension (RAS antagonists) [?]
  • Medication Adherence for Cholesterol (Statins) [?]
  • MTM Program Completion Rate for CMR [?]
  • Statin Use in Persons with Diabetes [?]
down from last year4
Summary Rating of Health Plan Quality [?]3.53.5
Staying Healthy: Screenings, Tests and Vaccines [?]33
  • Breast Cancer Screening [?]
  • Colorectal Cancer Screening [?]
  • Annual Flu Vaccine [?]
  • Improving or Maintaining Physical Health [?]
up from last year1
  • Improving or Maintaining Mental Health [?]
up from last year2
  • Monitoring Physical Activity [?]
  • Checking to See if Members Are at a Healthy Weight [?]
Managing Chronic (Long Term) Conditions [?]44
  • Special Needs Plan (SNP) Care Management [?]
  • Care for Older Adults — Medication Review [?]
  • Care for Older Adults — Functional Status Assessment [?]
  • Care for Older Adults — Pain Assessment [?]
  • Osteoporosis Management in Women who had a Fracture [?]
  • Diabetes Care — Eye Exam [?]
  • Diabetes Care — Kidney Disease Monitoring [?]
  • Diabetes Care — Blood Sugar Controlled [?]
  • Rheumatoid Arthritis Management [?]
  • Reducing the Risk of Falling [?]
up from last year4
  • Improving Bladder Control [?]
up from last year3
  • Medication Reconciliation Post-Discharge [?]
  • Statin Therapy for Patients with Cardiovascular Disease [?]
down from last year3
Member Experience with Health Plan [?]33
  • Ease of Getting Needed Care and Seeing Specialists [?]
down from last year2
  • Getting Appointments and Care Quickly [?]
up from last year1
  • Health Plan Provides Information or Help When Members Need It [?]
  • Member’s Rating of Health Care Quality [?]
  • Member’s Rating of Health Plan [?]
  • Coordination of Members’s Health Care Services [?]
Member Complaints and Changes in the Health Plan’s Performance [?]4 down from last year5
  • Complaints about the Health Plan (higher score is better - means fewer complaints) [?]
  • Members Choosing to Leave the Plan (higher score is better - means fewer members leaving) [?]
  • Improvement (if any) in the Health Plan’s Performance[?]
down from last year4
Health Plan Customer Service [?]3 down from last year5
  • Health Plan Makes Timely Decisions about Appeals [?]
down from last year5
  • Fairness of Drug Plan’s Appeal Decisions [?]
down from last year5
  • Availability of TTY Services and Foreign Language Interpretation When Prospective Members Call the Health Plan [?]
down from last year5

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