SFY 2021 - 2022 MC MLR Summary
PACE line of business (Informational Only)
| SFY 2021 - 2022 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. (Archcare Senior Life) | 96.05% | $75,546,062 | $84,929,129 | $50,788,800 | $0 | Partially Credible | 8,576 | |
| Catholic Health System PACE (Catholic Health - Life Pace (CHS Buffalo)) | 85.04% | $20,968,119 | $24,658,255 | $13,181,302 | $0 | Non-Credible | 3,083 | |
| Centerlight Healthcare Inc. | 100.84% | $285,048,923 | $293,192,190 | $202,468,416 | $0 | Partially Credible | 32,322 | |
| Complete Senior Care, Inc. | 70.53% | $8,047,067 | $11,409,045 | $6,081,780 | $0 | Non-Credible | 1,498 | |
| Fallon Health Weinberg, Inc. (frmly TAIPP) | 76.91% | $10,085,860 | $13,113,232 | $7,954,748 | $0 | Non-Credible | 1,554 | |
| Independent Living for Seniors (d/b/a ElderOne or ILS) | 95.37% | $68,487,707 | $77,546,068 | $43,024,505 | $0 | Partially Credible | 8,698 | |
| Loretto Independent Living Services, Inc. (d/b/a PACE CNY) | 107.09% | $55,940,102 | $56,400,159 | $31,006,760 | $0 | Partially Credible | 6,607 | |
| Senior Care Connection, Inc. (d/b/a Eddy Senior Care) | 79.70% | $26,542,640 | $33,303,959 | $16,460,351 | $0 | Non-Credible | 3,631 | |
| Total Senior Care, Inc. | 108.28% | $13,412,382 | $12,386,562 | $6,680,730 | $0 | Non-Credible | 1,688 | |
| Total | $564,078,862 | $606,938,599 | $377,647,392 | $0 | Total | 67,657 | ||
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)
