SFY 2020 - 2021 MC MLR Summary
PACE line of business (Informational Only)
- Report also available in Portable Document Format (PDF)
| SFY 2020 - 2021 MC MLR Summary | ||||||||
|---|---|---|---|---|---|---|---|---|
| PACE line of business (Informational Only) | ||||||||
| Plan | MLR AFTER Credibility Adjustment |
Medical Expense (Total Numerator) |
Premium USED FOR MLR% (Total Denominator) |
Medicaid Only Premium USED FOR REMITTANCE | Remittance | Credible | MMs | |
| Catholic Managed Long Term Care, Inc. | 95.30% | $76,402,806 | $86,562,225 | $52,556,901 | $0 | Partially Credible | 8,718 | |
| Catholic Health System PACE (Catholic Health - Life Pace (CHS Buffalo)) | 77.05% | $20,213,539 | $26,233,597 | $14,300,213 | $0 | Non-Credible | 3,220 | |
| Centerlight Healthcare Inc. | 108.54% | $293,182,288 | $279,840,974 | $188,555,425 | $0 | Partially Credible | 28,995 | |
| Complete Senior Care, Inc. | 73.95% | $7,758,759 | $10,492,023 | $5,503,283 | $0 | Non-Credible | 1,537 | |
| Fallon Health Weinberg, Inc. (frmly TAIPP) | 74.52% | $10,573,456 | $14,188,975 | $8,860,615 | $0 | Non-Credible | 1,755 | |
| Independent Living for Seniors (d/b/a ElderOne or ILS) | 88.51% | $62,961,435 | $77,182,061 | $39,939,674 | $0 | Partially Credible | 8,995 | |
| Loretto Independent Living Services, Inc. (d/b/a PACE CNY) | 98.40% | $54,774,201 | $60,414,255 | $30,966,919 | $0 | Partially Credible | 7,017 | |
| Senior Care Connection, Inc. (d/b/a Eddy Senior Care) | 83.09% | $27,299,540 | $32,855,770 | $16,872,420 | $0 | Non-Credible | 3,507 | |
| Total Senior Care, Inc. | 87.15% | $10,970,636 | $12,588,708 | $7,038,530 | $0 | Non-Credible | 1,680 | |
| Total | $564,136,659 | $600,358,588 | $364,593,980 | $0 | Total | 65,424 | ||
NOTES:
Please note that the Remittance is for this line of business for one year ONLY based on a MLR Target of 86%.
The MLR% calculation for the Medicaid/Medicare integrated lines of business includes both the Medicare and Medicaid experience.
Remittances, if applicable, are calculated by multiplying the MLR% by the Medicaid Only Premium.
No remittance for PACE line of business (informational ONLY)
