SFY 2019 - 2020 MC BHET Report Summary
HARP line of business
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Plan | BHET % | BHET Target Expense | BHET Experience | Remittance | MMs | |
---|---|---|---|---|---|---|
Affinity Health Plan, Inc. | 120.36% | $29,161,881 | $35,100,350 | $0 | 59,880 | |
Anthem Blue Cross and Blue Shield HP (frmly HealthPlus HP) | 111.18% | $41,267,835 | $45,882,216 | $0 | 83,257 | |
Capital District Physicians Health Plan, Inc (CDPHP) | 133.63% | $12,605,817 | $16,845,545 | $0 | 44,788 | |
Excellus Health Plan, Inc | 138.34% | $23,809,819 | $32,937,914 | $0 | 111,860 | |
Health Insurance Plan of Greater New York (Emblem) | 95.33% | $30,090,198 | $28,685,300 | $201,290 | 60,233 | |
Healthfirst PHSP, Inc. | 104.02% | $186,536,664 | $194,035,452 | $0 | 337,399 | |
Independent Health Association, Inc | 185.90% | $7,513,740 | $13,968,131 | $0 | 29,125 | |
MetroPlus Health Plan, Inc | 150.32% | $79,168,751 | $119,009,777 | $0 | 151,409 | |
Molina Healthcare of New York, Inc. | 78.10% | $5,785,634 | $4,518,353 | $1,035,856 | 19,375 | |
MVP Health Plan, Inc. | 133.32% | $36,467,360 | $48,619,264 | $0 | 78,419 | |
New York Quality Healthcare Corporation (Fidelis Care) | 115.67% | $182,137,575 | $210,676,330 | $0 | 493,120 | |
United Healthcare of New York, Inc. | 127.07% | $47,316,365 | $60,122,566 | $0 | 113,603 | |
YourCare Health Plan, Inc. | 176.71% | $5,907,999 | $10,439,955 | $0 | 25,130 | |
Total | $687,769,638 | $820,841,152 | $1,237,146 | 1,607,598 |
NOTES:
BHET Target 96%
* Upon review of additional supporting documentation provided by Health Insurance Plan of Greater New York (Emblem) for the State Fiscal Year 2019-20 period, the Department determined the health plan's BHET remittance value was attributable to a reporting error.