SFY 2022 - 2023 MC MLR Summary
PACE line of business (Informational Only)
| SFY 2022 - 2023 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) | 101.30% | $82,364,438 | $87,606,029 | $53,213,970 | $0 | Partially Credible | 8,145 | |
| Catholic Health System PACE (Catholic Health - Life Pace (CHS Buffalo)) | 72.09% | $19,696,959 | $27,324,222 | $15,421,912 | $0 | Non-Credible | 2,880 | |
| Centerlight Healthcare Inc. | 94.97% | $471,793,516 | $511,419,453 | $418,844,245 | $0 | Partially Credible | 57,627 | |
| Complete Senior Care, Inc. | 64.84% | $8,636,293 | $13,319,741 | $7,658,017 | $0 | Non-Credible | 1,468 | |
| Fallon Health Weinberg, Inc. (frmly TAIPP) | 72.27% | $11,154,568 | $15,435,267 | $10,094,590 | $0 | Non-Credible | 1,695 | |
| Independent Living for Seniors (d/b/a ElderOne or ILS) | 89.93% | $73,511,660 | $88,667,791 | $51,499,873 | $0 | Partially Credible | 8,785 | |
| Loretto Independent Living Services, Inc. (d/b/a PACE CNY) | 95.89% | $53,997,840 | $61,497,329 | $32,443,689 | $0 | Partially Credible | 6,179 | |
| Senior Care Connection, Inc. (d/b/a Eddy Senior Care) | 74.44% | $28,838,121 | $38,739,389 | $20,479,425 | $0 | Non-Credible | 3,860 | |
| Total Senior Care, Inc. | 62.98% | $9,522,864 | $15,120,194 | $9,093,166 | $0 | Non-Credible | 1,615 | |
| Total | $759,516,259 | $859,129,415 | $618,748,887 | $0 | 92,254 | |||
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)
