SFY 2018 - 2019 MC MLR Report Summary
HARP line of business
- Report also available in Portable Document Format (PDF)
| SFY 2018 - 2019 MC MLR Report Summary | |||||||
|---|---|---|---|---|---|---|---|
| HARP line of business | |||||||
| Plan | MLR AFTER Credibility Adjustment |
Medical Expense (Total Numerator) |
Premium (Total Denominator) |
Remittance | Credible | MMs | |
| Affinity Health Plan, Inc. | 82.96% | $110,491,359 | $137,706,046 | $8,317,445 | Partially Credible | 57,680 | |
| Capital District Physicians Health Plan, Inc (CDPHP) | 94.10% | $64,351,697 | $70,882,859 | $0 | Partially Credible | 39,139 | |
| Excellus Health Plan, Inc | 96.11% | $158,327,095 | $168,220,465 | $0 | Partially Credible | 98,474 | |
| New York Quality Healthcare Corporation (Fidelis Care) | 85.07% | $747,842,394 | $879,098,920 | $34,548,588 | Fully Credible | 421,637 | |
| Health Insurance Plan of Greater New York (Emblem) | 90.11% | $120,987,777 | $138,394,353 | $0 | Partially Credible | 59,386 | |
| Healthfirst PHSP, Inc. | 96.01% | $743,655,531 | $784,210,723 | $0 | Partially Credible | 311,696 | |
| HealthPlus HP, LLC | 86.61% | $154,158,121 | $182,938,807 | $4,372,237 | Partially Credible | 77,628 | |
| Independent Health Association, Inc | 100.10% | $50,727,544 | $52,727,599 | $0 | Partially Credible | 26,293 | |
| MVP Health Plan, Inc. | 97.11% | $142,827,395 | $150,995,052 | $0 | Partially Credible | 68,035 | |
| MetroPlus Health Plan, Inc | 93.96% | $325,308,882 | $352,789,313 | $0 | Partially Credible | 144,556 | |
| Molina Healthcare of New York, Inc. | 88.11% | $29,319,398 | $35,156,363 | $312,892 | Partially Credible | 18,977 | |
| United Healthcare of New York, Inc. | 81.15% | $168,912,299 | $213,343,164 | $16,747,438 | Partially Credible | 100,590 | |
| YourCare Health Plan, Inc. | 100.05% | $44,483,375 | $46,367,379 | $0 | Partially Credible | 23,253 | |
| Total | $2,861,392,866 | $3,212,831,043 | $64,298,600 | 1,447,344 | |||
NOTES:
Please note that the Remittance is for this line of business for one year ONLY based on a MLR Target of 89%.
No remittance for plan if Non-Credible
