SFY 2020 - 2021 MC MLR Summary
HARP line of business
- Report also available in Portable Document Format (PDF)
| SFY 2020 - 2021 MC MLR Summary | |||||||
|---|---|---|---|---|---|---|---|
| HARP line of business | |||||||
| Plan | MLR AFTER Credibility Adjustment |
Medical Expense (Total Numerator) |
Premium (Total Denominator) |
Remittance | Credible | MMs | |
| Affinity Health Plan, Inc. | 92.53% | $133,035,847 | $147,820,427 | $0 | Partially Credible | 67,962 | |
| Capital District Physicians Health Plan, Inc (CDPHP) | 95.44% | $83,456,485 | $90,134,183 | $0 | Partially Credible | 50,673 | |
| Excellus Health Plan, Inc | 91.85% | $194,593,690 | $216,218,651 | $0 | Partially Credible | 125,257 | |
| New York Quality Healthcare Corporation (Fidelis Care) | 90.00% | $979,629,717 | $1,088,469,648 | $0 | Fully Credible | 565,890 | |
| Health Insurance Plan of Greater New York (Emblem) | 97.98% | $134,781,426 | $141,348,002 | $0 | Partially Credible | 62,160 | |
| Healthfirst PHSP, Inc. | 92.46% | $876,717,981 | $959,126,697 | $0 | Partially Credible | 360,014 | |
| HealthPlus HP, LLC | 92.87% | $179,910,617 | $198,311,489 | $0 | Partially Credible | 88,188 | |
| Independent Health Association, Inc | 95.14% | $57,371,590 | $62,703,440 | $0 | Partially Credible | 31,771 | |
| MVP Health Plan, Inc. | 98.19% | $174,379,183 | $181,638,623 | $0 | Partially Credible | 85,825 | |
| MetroPlus Health Plan, Inc | 91.90% | $371,754,229 | $412,002,880 | $0 | Partially Credible | 159,047 | |
| Molina Healthcare of New York, Inc. | 96.85% | $65,310,510 | $69,781,395 | $0 | Partially Credible | 40,199 | |
| United Healthcare of New York, Inc. | 91.87% | $226,552,378 | $251,734,143 | $0 | Partially Credible | 121,736 | |
| YourCare Health Plan, Inc. | 98.38% | $11,507,164 | $12,725,262 | $0 | Partially Credible | 6,492 | |
| Total | $3,489,000,817 | $3,832,014,842 | $0 | 1,765,214 | |||
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
