SFY 2019 - 2020 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. | 96.36% | $46,044,087 | $44,368,453 | $0 | 1,303,883 | |
| Anthem Blue Cross and Blue Shield HP (frmly HealthPlus HP) | 84.14% | $62,709,984 | $52,767,155 | $7,434,430 | $1,959,884 | |
| Capital District Physicians Health Plan, Inc (CDPHP) | 99.45% | $19,681,946 | $19,574,306 | $0 | 502,718 | |
| Crystal Run Health Plan, LLC | 75.59% | $225,525 | $170,479 | $46,026 | 5,838 | |
| Excellus Health Plan, Inc | 108.77% | $37,733,701 | $41,041,620 | $0 | 1,061,217 | |
| Health Insurance Plan of Greater New York (Emblem) | 52.74% | $39,097,191 | $20,620,005 | $16,913,298 | 922,061 | |
| Healthfirst PHSP, Inc. | 91.02% | $214,748,990 | $195,475,107 | $10,683,923 | 5,994,134 | |
| Highmark Western and Northeastern New York Inc. (frmly Healthnow) | 169.82% | $10,393,501 | $17,650,102 | $0 | 243,931 | |
| Independent Health Association, Inc | 108.44% | $14,444,116 | $15,663,607 | $0 | 351,756 | |
| MetroPlus Health Plan, Inc | 132.02% | $65,747,487 | $86,797,993 | $0 | 2,134,528 | |
| Molina Healthcare of New York, Inc.(frmly Today's Options) | 79.69% | $6,647,030 | $5,297,181 | $1,083,968 | 156,751 | |
| MVP Health Plan, Inc. | 137.97% | $46,647,244 | $64,360,235 | $0 | 924,384 | |
| New York Quality Healthcare Corporation (Fidelis Care) | 88.45% | $301,069,527 | $266,284,390 | $22,742,356 | 7,984,745 | |
| United Healthcare of New York, Inc. | 102.60% | $92,646,507 | $95,057,978 | $0 | 2,744,356 | |
| WellCare of New York, Inc. | 111.21% | $23,300,815 | $25,912,518 | $0 | 781,774 | |
| YourCare Health Plan, Inc. | 127.84% | $9,287,924 | $11,873,232 | $0 | 234,197 | |
| Total | $990,425,575 | $962,914,361 | $58,904,001 | 27,306,157 |
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.
