H5991 — EmblemHealth

Local CCP · Parent: EmblemHealth, Inc. · SNP

3-star 2026 overall CMS published 2026-05-14 02:06 UTC

Trending down — H5991's overall star fell from 3.5 (2025) to 3 (2026). Drop from 4 to below 4 stars eliminates Quality Bonus Payment eligibility for the affected plan year.

Year-over-year ratings

Plan year	Overall	Part C summary	Part D summary
2025	3.5	3	3.5
2026	3	3	3

2026 domain stars

CMS groups the underlying measures into five performance domains for Medicare Advantage plans. Each domain rolls up to a star rating that contributes to the overall summary.

Staying Healthy: Screenings, Tests and Vaccines: 3
Managing Chronic (Long Term) Conditions: 3
Member Experience with Health Plan: 2
Member Complaints and Changes in the Health Plan's Performance: 3
Health Plan Customer Service: Not rated

Contract metadata

Contract Number: H5991
Contract Name: HEALTH INSURANCE PLAN OF GREATER NEW YORK
Organization (marketing name): EmblemHealth
Parent Organization: EmblemHealth, Inc.
Organization Type: Local CCP
Special Needs Plan: Yes

Contract Number is the CMS-assigned identifier for a Medicare contract. A single parent organization typically operates many contracts (e.g., one per state market). The Star Ratings published here reflect the rolled-up performance for the contract as a whole.

Get the full forensic

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