SFY 2017 - 2018 MC MLR Report Summary
PACE line of business (Informational Only)
- Report also available in Portable Document Format (PDF)
| SFY 2017 - 2018 MC MLR Report Summary | |||||||
|---|---|---|---|---|---|---|---|
| PACE line of business (Informational Only) | |||||||
| Plan | MLR AFTER Credibility Adjustment |
Medical Expense (Total Numerator) |
Premium USED FOR MLR% (Total Denominator) |
Credible | MMs | ||
| Catholic Managed Long Term Care, Inc. | 100.21% | $64,841,516 | $69,967,360 | Partially Credible | 7,513 | ||
| Catholic Health System PACE (Catholic Health - Life Pace (CHS Buffalo)) | 81.63% | $17,630,182 | $21,596,888 | Non-Credible | 2,828 | ||
| Centerlight Healthcare Inc. | 105.54% | $313,234,366 | $306,777,965 | Partially Credible | 36,311 | ||
| Complete Senior Care, Inc. | 96.60% | $10,204,764 | $10,564,284 | Non-Credible | 1,543 | ||
| Fallon Health Weinberg, Inc. (frmly TAIPP) | 86.40% | $7,741,641 | $8,960,194 | Non-Credible | 1,287 | ||
| Independent Living for Seniors (ILS) (d/b/a ElderOne) | 101.11% | $63,011,968 | $67,050,780 | Partially Credible | 8,516 | ||
| Loretto Independent Living Services, Inc. (d/b/a PACE CNY) | 96.97% | $44,630,416 | $50,084,969 | Partially Credible | 6,721 | ||
| Senior Care Connection, Inc. (d/b/a Eddy Senior Care) | 89.17% | $18,203,124 | $20,415,093 | Non-Credible | 2,489 | ||
| Total Senior Care, Inc. | 94.67% | $7,987,349 | $8,437,514 | Non-Credible | 1,289 | ||
| Total | $547,485,325 | $563,855,047 | 68,497 | ||||
NOTES:
Please note the MLR Target is 86% for this line of business.
The MLR% calculation for the Medicaid/Medicare integrated lines of business includes both the Medicare and Medicaid experience.
The PACE LOB is excluded from the remittance requirement, data collected is for informational purposes only.
No remittance for plan if Non-Credible
