SFY 2018 - 2019 MC MLR Report Summary

HARP line of business

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SFY 2018 - 2019 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. 82.96% $110,491,359 $137,706,046 $8,317,445 Partially Credible 57,680
Capital District Physicians Health Plan, Inc (CDPHP) 94.10% $64,351,697 $70,882,859 $0 Partially Credible 39,139
Excellus Health Plan, Inc 96.11% $158,327,095 $168,220,465 $0 Partially Credible 98,474
New York Quality Healthcare Corporation (Fidelis Care) 85.07% $747,842,394 $879,098,920 $34,548,588 Fully Credible 421,637
Health Insurance Plan of Greater New York (Emblem) 90.11% $120,987,777 $138,394,353 $0 Partially Credible 59,386
Healthfirst PHSP, Inc. 96.01% $743,655,531 $784,210,723 $0 Partially Credible 311,696
HealthPlus HP, LLC 86.61% $154,158,121 $182,938,807 $4,372,237 Partially Credible 77,628
Independent Health Association, Inc 100.10% $50,727,544 $52,727,599 $0 Partially Credible 26,293
MVP Health Plan, Inc. 97.11% $142,827,395 $150,995,052 $0 Partially Credible 68,035
MetroPlus Health Plan, Inc 93.96% $325,308,882 $352,789,313 $0 Partially Credible 144,556
Molina Healthcare of New York, Inc. 88.11% $29,319,398 $35,156,363 $312,892 Partially Credible 18,977
United Healthcare of New York, Inc. 81.15% $168,912,299 $213,343,164 $16,747,438 Partially Credible 100,590
YourCare Health Plan, Inc. 100.05% $44,483,375 $46,367,379 $0 Partially Credible 23,253
Total   $2,861,392,866 $3,212,831,043 $64,298,600   1,447,344

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