2021 Medicare Plan Star Rating Details

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 & Measures	2021	2020
Overall Star Rating [?]	3.5	3.5
Summary Rating of Prescription Drug Plan Quality [?]	3.5	4
Drug Plan Customer Service [?]	3	5
Call Center — Foreign Language Interpreter and TTY Availability [?]	3	5
Drug Plan Makes Timely Decisions about Appeals [?]	3	4
Fairness of Drug Plan’s Appeal Decisions [?]	3	5
Member Complaints and Changes in the Drug Plan’s Performance [?]	4	4
Complaints about the Drug Plan (higher score is better - means fewer complaints) [?]	5	5
Members Choosing to Leave the Plan (higher score is better - means fewer members leaving) [?]	5	5
Improvement (if any) in the Drug Plan's Performance [?]	3	3
Member Experience with the Drug Plan [?]	NtED	NtED
Members’s Rating of Drug Plan [?]	3	3
Ease of Getting Prescriptions Filled When Using the Plan [?]	SML	NtED
Drug Safety and Accuracy of Drug Pricing [?]	3	4
Medicare.gov Plan Finder Drug Price Accuracy (higher score is better) [?]	3	5
Medication Adherence for Diabetes Medications [?]	4	4
Medication Adherence for Hypertension (RAS antagonists) [?]	2	2
Medication Adherence for Cholesterol (Statins) [?]	3	3
MTM Program Completion Rate for CMR [?]	4	4
Statin Use in Persons with Diabetes [?]	3	4
Summary Rating of Health Plan Quality [?]	3.5	3.5
Staying Healthy: Screenings, Tests and Vaccines [?]	3	3
Breast Cancer Screening [?]	2	2
Colorectal Cancer Screening [?]	3	3
Annual Flu Vaccine [?]	1	1
Improving or Maintaining Physical Health [?]	3	1
Improving or Maintaining Mental Health [?]	3	2
Monitoring Physical Activity [?]	4	4
Checking to See if Members Are at a Healthy Weight [?]	5	5
Managing Chronic (Long Term) Conditions [?]	4	4
Special Needs Plan (SNP) Care Management [?]	2	2
Care for Older Adults — Medication Review [?]	4	4
Care for Older Adults — Functional Status Assessment [?]	4	4
Care for Older Adults — Pain Assessment [?]	5	5
Osteoporosis Management in Women who had a Fracture [?]	2	2
Diabetes Care — Eye Exam [?]	5	5
Diabetes Care — Kidney Disease Monitoring [?]	3	3
Diabetes Care — Blood Sugar Controlled [?]	4	4
Rheumatoid Arthritis Management [?]	4	4
Reducing the Risk of Falling [?]	5	4
Improving Bladder Control [?]	5	3
Medication Reconciliation Post-Discharge [?]	5	5
Statin Therapy for Patients with Cardiovascular Disease [?]	2	3
Member Experience with Health Plan [?]	3	3
Ease of Getting Needed Care and Seeing Specialists [?]	1	2
Getting Appointments and Care Quickly [?]	4	1
Health Plan Provides Information or Help When Members Need It [?]	SML	4
Member’s Rating of Health Care Quality [?]	3	3
Member’s Rating of Health Plan [?]	4	4
Coordination of Members’s Health Care Services [?]	2	2
Member Complaints and Changes in the Health Plan’s Performance [?]	4	5
Complaints about the Health Plan (higher score is better - means fewer complaints) [?]	5	5
Members Choosing to Leave the Plan (higher score is better - means fewer members leaving) [?]	5	5
Improvement (if any) in the Health Plan’s Performance[?]	3	4
Health Plan Customer Service [?]	3	5
Health Plan Makes Timely Decisions about Appeals [?]	3	5
Fairness of Drug Plan’s Appeal Decisions [?]	4	5
Availability of TTY Services and Foreign Language Interpretation When Prospective Members Call the Health Plan [?]	3	5