SFY 2017 - 2018 MC MLR Report Summary
HARP line of business
- Report also available in Portable Document Format (PDF)
| SFY 2017 - 2018 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. | 83.41% | $95,810,485 | $118,975,133 | $6,650,710 | Partially Credible | 49,150 | |
| Capital District Physicians Health Plan, Inc (CDPHP) | 91.51% | $48,302,984 | $55,015,025 | $0 | Partially Credible | 30,249 | |
| Excellus Health Plan, Inc | 94.09% | $118,492,055 | $129,188,440 | $0 | Partially Credible | 76,293 | |
| New York State Catholic Health Plan, Inc. (Fidelis Legacy) | 82.48% | $502,658,902 | $618,660,491 | $40,336,664 | Partially Credible | 293,496 | |
| Health Insurance Plan of Greater New York (Emblem) | 92.61% | $120,490,317 | $134,078,402 | $0 | Partially Credible | 56,223 | |
| Healthfirst PHSP, Inc. | 95.64% | $616,571,168 | $653,804,036 | $0 | Partially Credible | 255,038 | |
| HealthPlus HP, LLC | 81.97% | $123,656,663 | $155,657,461 | $10,942,720 | Partially Credible | 67,674 | |
| Independent Health Association, Inc | 99.21% | $35,989,678 | $38,039,569 | $0 | Partially Credible | 19,792 | |
| MVP Health Plan, Inc. | 92.81% | $98,435,511 | $109,450,719 | $0 | Partially Credible | 49,651 | |
| MetroPlus Health Plan, Inc | 92.22% | $258,164,622 | $285,702,366 | $0 | Partially Credible | 122,242 | |
| Molina Healthcare of New York, Inc. | 96.19% | $28,893,481 | $31,666,696 | $0 | Partially Credible | 17,316 | |
| United Healthcare of New York, Inc. | 82.97% | $112,853,374 | $140,231,631 | $8,455,967 | Partially Credible | 69,776 | |
| YourCare Health Plan, Inc. | 95.34% | $32,008,118 | $35,336,862 | $0 | Partially Credible | 18,623 | |
| Total | $2,192,327,358 | $2,505,806,830 | $66,386,061 | 1,125,523 | |||
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
