Contract
H9678

Healthfirst Medicare Plan · 2027 Star Ratings

HEALTHFIRST INSURANCE COMPANY, INC. · Local CCP

Parent: Healthfirst, Inc.

Summary ratings

Overall
3.0
2026: 3.0±0
Part C · health plan
3.0
2026: 3.0±0
Part D · drug plan
3.0
2026: 3.0±0

2027 footprint

Members, Sep 2026
643
2027 plans
1
Open to all ($0 premium)
1 (0)
Counties
9
Special needs plans
None
Drug coverage
Yes
NY

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and VaccinesNot enough data available3.0—
HD2Managing Chronic (Long Term) Conditions3.03.0±0
HD3Member Experience with Health PlanNot enough data available2.0—
HD4Member Complaints and Changes in the Health Plan's PerformanceNot enough data available4.0—
HD5Health Plan Customer Service5.0Not enough data available—
DD1Drug Plan Customer Service5.04.0+1.0
DD2Member Complaints and Changes in the Drug Plan's Performance4.04.0±0
DD3Member Experience with the Drug PlanNot enough data available3.0—
DD4Drug Safety and Accuracy of Drug Pricing3.03.0±0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening74%3.0±0
C02Colorectal Cancer Screening57%1.0new spec
C03Annual Flu VaccinePlan too small to be measured—
C04Improving or Maintaining Physical HealthPlan too new to be measured—
C05Improving or Maintaining Mental HealthPlan too new to be measured—
C06Monitoring Physical Activity56%4.0±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 Exam76%3.0±0
C12Diabetes Care – Blood Sugar Controlled85%3.0±0
C13Kidney Health Evaluation for Patients with Diabetes60%2.0−1
C14Controlling High Blood Pressure79%3.0±0
C15Reducing the Risk of FallingNot enough data available—
C16Improving Bladder ControlNot enough data available—
C17Plan All-Cause Readmissions13%2.0—
C18Statin Therapy for Patients with Cardiovascular Disease90%4.0+2
C19Transitions of Care52%2.0−1
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions58%2.0−1
C21Getting Needed CarePlan too small to be measured—
C22Getting Appointments and Care QuicklyPlan too small to be measured—
C23Customer ServicePlan too small to be measured—
C24Rating of Health Care QualityPlan too small to be measured—
C25Rating of Health PlanPlan too small to be measured—
C26Care CoordinationPlan too small to be measured—
C27Complaints about the Health Plan0.383.0−1
C28Members Choosing to Leave the PlanNot enough data available—
C29Health Plan Quality ImprovementNot enough data available—
C30Plan Makes Timely Decisions about Appeals100%5.0—
C31Reviewing Appeals Decisions100%5.0—
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 Plan0.383.0−1
D03Members Choosing to Leave the PlanNot enough data available—
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic4.0±0
D05Rating of Drug PlanPlan too small to be measured—
D06Getting Needed Prescription DrugsPlan too small to be measured—
D07MPF Price Accuracy994.0−1
D08Medication Adherence for Diabetes Medications88%2.0±0
D09Medication Adherence for Hypertension (RAS antagonists)89%3.0±0
D10Medication Adherence for Cholesterol (Statins)86%2.0±0
D11Statin Use in Persons with Diabetes (SUPD)88%3.0+1
D12Concurrent Use of Opioids and Benzodiazepines (COB)19%2.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)4%5.0—

Other Healthfirst, Inc. contracts

  • H3359Healthfirst Medicare Plan3.5★
  • H5989Healthfirst Medicare Plan3.0★
  • H1722Healthfirst Medicare Plan2.5★