SFY 2017 - 2018 MC MLR Report Summary
Managed Long-Term Care (MLTC) Partial line of business
- Report also available in Portable Document Format (PDF)
| SFY 2017 - 2018 MC MLR Report Summary | |||||||
|---|---|---|---|---|---|---|---|
| Managed Long-Term Care (MLTC) Partial line of business | |||||||
| Plan | MLR AFTER Credibility Adjustment |
Medical Expense (Total Numerator) |
Premium (Total Denominator) |
Remittance | Credible | MMs | |
| Aetna Better Health, Inc. | 95.88% | $248,380,912 | $259,067,326 | $0 | Fully Credible | 56,468 | |
| AgeWell New York, LLC | 91.33% | $461,071,093 | $504,854,826 | $0 | Fully Credible | 105,732 | |
| Catholic Managed Long Term Care, Inc. | 90.74% | $164,331,107 | $183,400,447 | $0 | Partially Credible | 35,658 | |
| Centers Plan for Healthy Living, LLC | 87.83% | $1,029,480,093 | $1,172,087,142 | $0 | Fully Credible | 244,635 | |
| Elderplan Inc. d/b/a Homefirst | 88.47% | $628,601,559 | $710,528,161 | $0 | Fully Credible | 149,431 | |
| Elderserve Health, Inc. | 92.74% | $614,187,019 | $662,293,969 | $0 | Fully Credible | 135,769 | |
| Niagara Advantage Health Plan, LLC (Elderwood Health Plan) | 91.02% | $8,032,564 | $9,320,598 | $0 | Partially Credible | 1,928 | |
| Erie Niagara MLTCP, Inc. (dba Kalos Health) | 94.46% | $59,123,157 | $63,855,892 | $0 | Partially Credible | 14,030 | |
| EverCare, Inc. | 101.93% | $40,132,317 | $40,233,695 | $0 | Partially Credible | 10,493 | |
| Extended MLTC, LLC | 88.20% | $118,275,312 | $135,842,279 | $0 | Partially Credible | 36,586 | |
| Fallon Health Weinberg, Inc. (frmly TAIPP) | 98.45% | $21,567,348 | $22,508,773 | $0 | Partially Credible | 7,090 | |
| New York State Catholic Health Plan, Inc. (Fidelis Legacy) | 89.81% | $1,007,184,461 | $1,121,519,863 | $0 | Fully Credible | 234,490 | |
| GuildNet, Inc. | 104.25% | $622,486,696 | $597,110,805 | $0 | Fully Credible | 119,299 | |
| Hamaspik Choice, Inc. | 89.28% | $87,320,253 | $99,386,802 | $0 | Partially Credible | 24,823 | |
| HealthPlus HP, LLC | 96.07% | $251,663,849 | $261,967,026 | $0 | Fully Credible | 55,250 | |
| iCircle Services of the Finger Lakes, Inc. - d/b/a iCircle Care | 93.21% | $89,360,166 | $97,360,792 | $0 | Partially Credible | 24,565 | |
| Independence Care System, Inc. (ICS) | 100.86% | $454,187,862 | $450,325,452 | $0 | Fully Credible | 78,628 | |
| Integra MLTC, Inc | 78.18% | $310,443,491 | $397,069,993 | $31,050,873 | Fully Credible | 91,491 | |
| MetroPlus Health Plan, Inc | 89.07% | $82,303,289 | $94,068,574 | $0 | Partially Credible | 19,943 | |
| Montefiore HMO LLC | 82.75% | $63,867,265 | $78,782,057 | $2,560,417 | Partially Credible | 16,739 | |
| Prime Health Choice, LLC | 70.15% | $8,037,113 | $12,076,785 | $1,914,170 | Partially Credible | 3,689 | |
| Senior Health Partners | 89.32% | $716,252,744 | $801,930,224 | $0 | Fully Credible | 169,008 | |
| Senior Network Health, LLC | 87.35% | $15,282,020 | $18,078,140 | $0 | Partially Credible | 6,323 | |
| Senior Whole Health of New York, Inc. | 94.59% | $559,345,183 | $591,323,857 | $0 | Fully Credible | 158,965 | |
| United Healthcare of New York, Inc. | 103.94% | $219,133,324 | $212,995,403 | $0 | Partially Credible | 40,938 | |
| Village Senior Services Corp. (VillageCare Max) | 90.64% | $395,984,166 | $436,896,920 | $0 | Fully Credible | 106,061 | |
| VNA Homecare Options, LLC (d/b/a Nascentia Health Options) | 91.62% | $317,158,518 | $346,170,657 | $0 | Fully Credible | 63,962 | |
| VNS (d/b/a VNSNY Choice) and Subsidiary | 89.53% | $711,287,362 | $794,481,093 | $0 | Fully Credible | 152,828 | |
| WellCare of New York, Inc. | 95.82% | $287,169,537 | $299,685,544 | $0 | Fully Credible | 68,518 | |
| Total | $9,591,649,780 | $10,475,223,096 | $35,525,461 | 2,233,340 | |||
NOTES:
Please note that the Remittance is for this line of business for one year ONLY based on a MLR Target of 86%.
No remittance for plan if Non-Credible
