Contract
H1722

Healthfirst Medicare Plan · 2027 Star Ratings

HEALTHFIRST HEALTH PLAN, INC. · Local CCP

Parent: Healthfirst, Inc.

Summary ratings

Overall
2.5
2026: 3.0−0.5
Part C · health plan
2.5
2026: 3.0−0.5
Part D · drug plan
2.5
2026: 3.0−0.5

2027 footprint

Members, Sep 2026
1,922
2027 plans
1
Open to all ($0 premium)
1 (0)
Counties
4
Special needs plans
None
Drug coverage
Yes
NY

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines3.03.0±0
HD2Managing Chronic (Long Term) Conditions2.03.0−1.0
HD3Member Experience with Health Plan3.03.0±0
HD4Member Complaints and Changes in the Health Plan's Performance3.04.0−1.0
HD5Health Plan Customer ServiceNot enough data availableNot enough data available—
DD1Drug Plan Customer Service5.04.0+1.0
DD2Member Complaints and Changes in the Drug Plan's Performance3.04.0−1.0
DD3Member Experience with the Drug PlanNot enough data availableNot enough data available—
DD4Drug Safety and Accuracy of Drug Pricing3.03.0±0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening71%3.0+1
C02Colorectal Cancer Screening56%1.0new spec
C03Annual Flu Vaccine66%3.0±0
C04Improving or Maintaining Physical Health76%5.0—
C05Improving or Maintaining Mental Health81%2.0—
C06Monitoring Physical Activity51%3.0±0
C07Special Needs Plan (SNP) Care ManagementPlan not required to report measure—
C08Care for Older Adults – Medication ReviewPlan not required to report measure—
C09Care for Older Adults - Functional Status AssessmentPlan not required to report measure—
C10Osteoporosis Management in Women who had a FractureNot enough data available—
C11Diabetes Care – Eye Exam69%2.0±0
C12Diabetes Care – Blood Sugar Controlled81%2.0−1
C13Kidney Health Evaluation for Patients with Diabetes49%2.0±0
C14Controlling High Blood Pressure70%1.0±0
C15Reducing the Risk of FallingNot enough data available—
C16Improving Bladder ControlNot enough data available—
C17Plan All-Cause Readmissions15%1.0−4
C18Statin Therapy for Patients with Cardiovascular Disease92%4.0+1
C19Transitions of Care60%3.0±0
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions55%2.0±0
C21Getting Needed Care834.0+2
C22Getting Appointments and Care QuicklyNot enough data available—
C23Customer Service893.0±0
C24Rating of Health Care Quality863.0+1
C25Rating of Health Plan842.0−1
C26Care CoordinationNot enough data available—
C27Complaints about the Health Plan0.343.0−1
C28Members Choosing to Leave the Plan28%3.0±0
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic3.0−1
C30Plan Makes Timely Decisions about AppealsNot enough data available—
C31Reviewing Appeals DecisionsNot enough data available—
C32Call Center – Foreign Language Interpreter and TTY Availability98%4.0−1

Part D measures · drug plan

Measure2027 result2027 starsvs 2026
D01Call Center – Foreign Language Interpreter and TTY Availability100%5.0+1
D02Complaints about the Drug Plan0.343.0−1
D03Members Choosing to Leave the Plan28%3.0±0
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic2.0−2
D05Rating of Drug Plan811.0−2
D06Getting Needed Prescription DrugsNot enough data available—
D07MPF Price Accuracy994.0−1
D08Medication Adherence for Diabetes Medications86%2.0±0
D09Medication Adherence for Hypertension (RAS antagonists)88%3.0±0
D10Medication Adherence for Cholesterol (Statins)86%2.0±0
D11Statin Use in Persons with Diabetes (SUPD)89%3.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)Not enough data available—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)2%5.0—

Other Healthfirst, Inc. contracts

  • H3359Healthfirst Medicare Plan3.5★
  • H5989Healthfirst Medicare Plan3.0★
  • H9678Healthfirst Medicare Plan3.0★