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H5991 · EmblemHealth (HEALTH INSURANCE PLAN OF GREATER NEW YORK): 2027 Star Rating
H5991 (EmblemHealth, HEALTH INSURANCE PLAN OF GREATER NEW YORK) earned 3.5 stars in the 2027 Medicare Advantage Star Ratings, up from 3.0 in 2026. Parent company: EmblemHealth, Inc. Plan type: Local CCP.
2027 overall CMS
3.5
Part C 3.5 · Part D 3.5
2026 overall CMS
3.0
Part C 3.0 · Part D 3.0
Change Calc
+0.5
2027 vs 2026
Members Calc
290
CMS county files, October 2026
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What stands out for H5991
- Most of its members are in New York (290, 0.0% of Medicare Advantage members in CMS county files there). Calc
- Of the 34 rated contracts with members in New York, 14 have a higher 2027 rating and 7 have the same rating. Calc
- Largest other contract in New York: H3359 · Healthfirst Medicare Plan, 3.5 stars, 358,371 members. Calc
- At 3.5 stars it is half a star below the 4-star line that sets 2028 quality bonus payments. CMS rule
- 3 of its 34 rated measures are at 5 stars; 5 are at 1 or 2 stars. Calc
Weakest high-weight measures
Measures with weight 2 or more and the lowest stars. These move the overall rating most.
- Plan All-Cause Readmissions (C17, weight ×3): 2 stars, score 12
- Diabetes Care - Blood Sugar Controlled (C12, weight ×3): 3 stars, score 86
- Controlling High Blood Pressure (C14, weight ×3): 3 stars, score 83
- Medication Adherence for Diabetes Medications (D08, weight ×3): 3 stars, score 89
- Medication Adherence for Cholesterol (Statins) (D10, weight ×3): 3 stars, score 88
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 75 | 3 |
| Colorectal Cancer Screening (C02) | ×1 | 70 | 3 |
| Annual Flu Vaccine (C03) | ×1 | 63 | 3 |
| Monitoring Physical Activity (C06) | ×1 | 56 | 4 |
| Diabetes Care - Eye Exam (C11) | ×1 | 71 | 2 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 86 | 3 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 63 | 3 |
| Controlling High Blood Pressure (C14) | ×3 | 83 | 3 |
| Plan All-Cause Readmissions (C17) | ×3 | 12 | 2 |
| Statin Therapy for Patients with Cardiovascular Disease (C18) | ×1 | 84 | 2 |
| Transitions of Care (C19) | ×1 | 71 | 4 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 62 | 2 |
| Getting Needed Care (C21) | ×2 | 82 | 3 |
| Customer Service (C23) | ×2 | 89 | 3 |
| Rating of Health Care Quality (C24) | ×2 | 87 | 4 |
| Rating of Health Plan (C25) | ×2 | 87 | 4 |
| Complaints about the Health Plan (C27) | ×2 | 0.26 | 4 |
| Members Choosing to Leave the Plan (C28) | ×2 | 14 | 4 |
| Health Plan Quality Improvement (C29) | ×5 | – | 5 |
| Plan Makes Timely Decisions about Appeals (C30) | ×2 | 100 | 5 |
| Reviewing Appeals Decisions (C31) | ×2 | 100 | 5 |
| Call Center - Foreign Language Interpreter and TTY Availability (C32) | ×2 | 98 | 4 |
| Call Center - Foreign Language Interpreter and TTY Availability (D01) | ×2 | 95 | 3 |
| Complaints about the Drug Plan (D02) | ×2 | 0.26 | 4 |
| Members Choosing to Leave the Plan (D03) | ×2 | 14 | 4 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 4 |
| Rating of Drug Plan (D05) | ×2 | 85 | 3 |
| MPF Price Accuracy (D07) | ×1 | 99 | 4 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 89 | 3 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 92 | 4 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 88 | 3 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 88 | 3 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 17 | 2 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 7 | 4 |
Where H5991 has members
New York (290)
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Other EmblemHealth, Inc. contracts
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.