Contract
H9827

Trinity Health Plan New York · 2027 Star Ratings

MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC. · Local CCP

Parent: Trinity Health Corporation

Summary ratings

Overall
3.0
2026: Not enough data available—
Part C · health plan
3.0
2026: Not enough data available—
Part D · drug plan
2.5
2026: 3.0−0.5

2027 footprint

Members, Sep 2026
2,535
2027 plans
3
Open to all ($0 premium)
3 (3)
Counties
8
Special needs plans
None
Drug coverage
Yes
NY

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines3.0Not enough data available—
HD2Managing Chronic (Long Term) Conditions2.0Not enough data available—
HD3Member Experience with Health Plan3.0Not enough data available—
HD4Member Complaints and Changes in the Health Plan's Performance3.0Not enough data available—
HD5Health Plan Customer Service4.0Not enough data available—
DD1Drug Plan Customer Service3.03.0±0
DD2Member Complaints and Changes in the Drug Plan's Performance3.0Not enough data available—
DD3Member Experience with the Drug Plan3.0Not enough data available—
DD4Drug Safety and Accuracy of Drug Pricing3.04.0−1.0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening73%3.0—
C02Colorectal Cancer Screening80%4.0new spec
C03Annual Flu Vaccine66%3.0—
C04Improving or Maintaining Physical HealthPlan too small to be measured—
C05Improving or Maintaining Mental HealthPlan too small to be measured—
C06Monitoring Physical Activity50%3.0—
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 Exam64%2.0—
C12Diabetes Care – Blood Sugar Controlled85%3.0—
C13Kidney Health Evaluation for Patients with Diabetes61%2.0—
C14Controlling High Blood Pressure79%3.0—
C15Reducing the Risk of Falling50%1.0—
C16Improving Bladder Control41%2.0—
C17Plan All-Cause ReadmissionsNo data available—
C18Statin Therapy for Patients with Cardiovascular DiseaseNot enough data available—
C19Transitions of Care68%3.0—
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic ConditionsNot enough data available—
C21Getting Needed Care834.0—
C22Getting Appointments and Care Quickly854.0—
C23Customer Service903.0—
C24Rating of Health Care Quality841.0—
C25Rating of Health Plan821.0—
C26Care Coordination884.0—
C27Complaints about the Health Plan0.852.0—
C28Members Choosing to Leave the Plan21%3.0—
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 Availability94%3.0−1

Part D measures · drug plan

Measure2027 result2027 starsvs 2026
D01Call Center – Foreign Language Interpreter and TTY Availability95%3.0±0
D02Complaints about the Drug Plan0.852.0—
D03Members Choosing to Leave the Plan21%3.0—
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic3.0+2
D05Rating of Drug Plan852.0—
D06Getting Needed Prescription Drugs893.0—
D07MPF Price Accuracy994.0−1
D08Medication Adherence for Diabetes Medications86%2.0−2
D09Medication Adherence for Hypertension (RAS antagonists)89%3.0−1
D10Medication Adherence for Cholesterol (Statins)87%2.0±0
D11Statin Use in Persons with Diabetes (SUPD)90%4.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)18%2.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)6%4.0—

Other Trinity Health Corporation contracts

  • H3668MediGold3.5★
  • H9179Trinity Health Plan of Michigan3.0★
  • H1846MediGold3.0★