2021 CareOregon Advantage (H5859) Star Rating Details |
CareOregon Advantage Plus (HMO-POS D-SNP) (H5859-001-0)
Benefit Details
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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 |
| 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 |