SFY 2018 - 2019 MC BHET Report Summary
Medicaid line of business
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| Plan | BHET % | BHET Target Expense | BHET Experience | Remittance | MMs | |
|---|---|---|---|---|---|---|
| Affinity Health Plan, Inc. | 96.62% | $46,446,232 | $44,876,339 | $0 | 1,385,356 | |
| Anthem Blue Cross and Blue Shield HP (frmly HealthPlus HP) | 85.93% | $63,556,967 | $54,611,398 | $6,403,291 | 2,104,646 | |
| Capital District Physicians Health Plan, Inc (CDPHP) | 132.50% | $16,297,649 | $21,594,071 | $0 | 511,646 | |
| Crystal Run Health Plan, LLC | 77.62% | $564,288 | $437,998 | $103,719 | 12,263 | |
| Excellus Health Plan, Inc | 112.96% | $31,989,373 | $36,134,323 | $0 | 1,058,849 | |
| Health Insurance Plan of Greater New York (Emblem) | 94.65% | $35,696,800 | $33,786,130 | $482,798 | 976,053 | |
| Healthfirst PHSP, Inc. | 88.43% | $209,768,923 | $185,489,427 | $15,888,738 | 5,992,426 | |
| Highmark Western and Northeastern New York Inc. (frmly Healthnow) | 201.75% | $7,792,706 | $15,721,478 | $0 | 229,967 | |
| Independent Health Association, Inc | 115.34% | $11,467,064 | $13,226,017 | $0 | 360,040 | |
| MetroPlus Health Plan, Inc | 112.78% | $70,366,663 | $79,362,240 | $0 | 2,178,245 | |
| Molina Healthcare of New York, Inc.(frmly Today's Options) | 72.22% | $7,363,295 | $5,317,993 | $1,750,770 | 166,616 | |
| MVP Health Plan, Inc. | 125.50% | $46,242,828 | $58,033,708 | $0 | 952,321 | |
| New York Quality Healthcare Corporation (Fidelis Care) | 101.84% | $275,825,702 | $280,899,950 | $0 | 8,115,817 | |
| United Healthcare of New York, Inc. | 127.03% | $88,919,291 | $112,954,967 | $0 | 3,068,531 | |
| WellCare of New York, Inc. | 111.49% | $21,914,668 | $24,431,966 | $0 | 795,609 | |
| YourCare Health Plan, Inc. | 129.00% | $7,627,471 | $9,839,236 | $0 | 243,516 | |
| Total | $941,839,921 | $976,717,239 | $24,629,317 | 28,151,901 |
NOTES:
BHET Target 96%
