CareStars › All contracts › H3113
H3113 · UnitedHealthcare (OXFORD HEALTH PLANS (NJ), INC.): 2027 Star Rating
H3113 (UnitedHealthcare, OXFORD HEALTH PLANS (NJ), INC.) earned 3.0 stars in the 2027 Medicare Advantage Star Ratings, down from 3.5 in 2026. Parent company: UnitedHealth Group, Inc. Plan type: Local CCP · offers special needs plans.
2027 overall CMS
3.0
Part C 3.5 · Part D 3.0
2026 overall CMS
3.5
Part C 3.5 · Part D 4.0
Change Calc
-0.5
2027 vs 2026
Members Calc
79,903
CMS county files, October 2026
Open H3113 in CareStars: bonus at stake, measures to fix, local rivalsTalk to Carelytics about H3113
What stands out for H3113
- Most of its members are in New Jersey (43,023, 8.7% of Medicare Advantage members in CMS county files there). Calc
- Of the 22 rated contracts with members in New Jersey, 13 have a higher 2027 rating and 7 have the same rating. Calc
- Largest other contract in New Jersey: H5141 · Clover Health, 5.0 stars, 128,466 members. Calc
- At 3.0 stars it is below the 4-star line that sets 2028 quality bonus payments. CMS rule
- 7 of its 41 rated measures are at 5 stars; 7 are at 1 or 2 stars. Calc
- Its Part D rating (3.0) is lower than its Part C rating (3.5). CMS
Weakest high-weight measures
Measures with weight 2 or more and the lowest stars. These move the overall rating most.
- Drug Plan Quality Improvement (D04, weight ×5): 1 star
- Plan All-Cause Readmissions (C17, weight ×3): 2 stars, score 12
- Medication Adherence for Diabetes Medications (D08, weight ×3): 2 stars, score 88
- Medication Adherence for Cholesterol (Statins) (D10, weight ×3): 2 stars, score 87
- Health Plan Quality Improvement (C29, weight ×5): 3 stars
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 70 | 3 |
| Colorectal Cancer Screening (C02) | ×1 | 72 | 3 |
| Annual Flu Vaccine (C03) | ×1 | 62 | 3 |
| Improving or Maintaining Physical Health (C04) | ×3 | 71 | 3 |
| Improving or Maintaining Mental Health (C05) | ×3 | 83 | 3 |
| Monitoring Physical Activity (C06) | ×1 | 56 | 4 |
| Special Needs Plan (SNP) Care Management (C07) | ×1 | 78 | 4 |
| Care for Older Adults - Medication Review (C08) | ×1 | 96 | 4 |
| Care for Older Adults - Functional Status Assessment (C09) | ×1 | 94 | 4 |
| Osteoporosis Management in Women who had a Fracture (C10) | ×1 | 47 | 3 |
| Diabetes Care - Eye Exam (C11) | ×1 | 78 | 3 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 88 | 3 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 66 | 3 |
| Controlling High Blood Pressure (C14) | ×3 | 82 | 3 |
| Reducing the Risk of Falling (C15) | ×1 | 72 | 5 |
| Improving Bladder Control (C16) | ×1 | 45 | 3 |
| Plan All-Cause Readmissions (C17) | ×3 | 12 | 2 |
| Statin Therapy for Patients with Cardiovascular Disease (C18) | ×1 | 88 | 3 |
| Transitions of Care (C19) | ×1 | 57 | 3 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 59 | 2 |
| Getting Needed Care (C21) | ×2 | 81 | 3 |
| Customer Service (C23) | ×2 | 90 | 3 |
| Rating of Health Plan (C25) | ×2 | 89 | 5 |
| Complaints about the Health Plan (C27) | ×2 | 0.38 | 3 |
| Members Choosing to Leave the Plan (C28) | ×2 | 20 | 3 |
| Health Plan Quality Improvement (C29) | ×5 | – | 3 |
| Plan Makes Timely Decisions about Appeals (C30) | ×2 | 99 | 4 |
| Reviewing Appeals Decisions (C31) | ×2 | 100 | 5 |
| Call Center - Foreign Language Interpreter and TTY Availability (C32) | ×2 | 100 | 5 |
| Call Center - Foreign Language Interpreter and TTY Availability (D01) | ×2 | 100 | 5 |
| Complaints about the Drug Plan (D02) | ×2 | 0.38 | 3 |
| Members Choosing to Leave the Plan (D03) | ×2 | 20 | 3 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 1 |
| Rating of Drug Plan (D05) | ×2 | 90 | 5 |
| MPF Price Accuracy (D07) | ×1 | 100 | 5 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 88 | 2 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 88 | 3 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 87 | 2 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 89 | 3 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 18 | 2 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 13 | 2 |
Where H3113 has members
New Jersey (43,023), Pennsylvania (34,504), Rhode Island (2,376)
Want to move a measure before December 31? Marples, the Carelytics care gap and member engagement platform, ranks the members whose open gaps would move a measure across the next cut point and reaches them by secure text. See how Marples works
Other UnitedHealth Group, Inc. contracts
H0169 · UnitedHealthcare · 3.5 starsH0251 · UnitedHealthcare · 3.0 starsH0294 · UnitedHealthcare · 3.0 starsH0321 · UnitedHealthcare · 3.5 starsH0332 · KelseyCare Advantage · 4.5 starsH0421 · UnitedHealthcare · 3.0 starsH0432 · UnitedHealthcare · 3.5 starsH0543 · UnitedHealthcare · 3.0 starsH0609 · UnitedHealthcare · 4.0 starsH0624 · UnitedHealthcare · 3.5 starsH0710 · UnitedHealthcare · 5.0 starsH0755 · UnitedHealthcare · 3.5 starsH0764 · UnitedHealthcare · 3.0 starsH1045 · UnitedHealthcare · 4.0 starsH1278 · UnitedHealthcare · 3.0 starsH1360 · UnitedHealthcare · 3.0 starsH1537 · UnitedHealthcare · 4.0 starsH1659 · UnitedHealthcare · 3.5 starsH1889 · UnitedHealthcare · 3.5 starsH1961 · Peoples Health · 3.5 starsH2001 · UnitedHealthcare · 4.5 starsH2226 · UnitedHealthcare · 3.5 starsH2247 · UnitedHealthcare · 3.0 starsH2272 · UnitedHealthcare · 3.5 starsH2292 · UnitedHealthcare · 5.0 starsH2385 · UnitedHealthcare · not ratedH2406 · UnitedHealthcare · 4.0 starsH2445 · UnitedHealthcare · 3.5 starsH2509 · UnitedHealthcare · 3.5 starsH2736 · UnitedHealthcare · not rated
Sources: CMS 2027 and 2026 Star Ratings data tables (CMS Part C and D performance data); CMS monthly enrollment by contract and county (October 2026). Sourced: CMS marks figures taken from CMS. Calculated marks figures Carelytics added up or compared. Built 2026-10-25.