SFY 2018 - 2019 MC MLR Report Summary
PACE line of business (Informational Only)
- Report also available in Portable Document Format (PDF)
| SFY 2018 - 2019 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. | 105.36% | $87,791,210 | $89,135,737 | Partially Credible | 9,129 | ||
| Catholic Health System PACE (Catholic Health - Life Pace (CHS Buffalo)) | 81.20% | $18,448,140 | $22,719,044 | Non-Credible | 3,013 | ||
| Centerlight Healthcare Inc. | 98.70% | $297,895,475 | $313,143,970 | Partially Credible | 33,383 | ||
| Complete Senior Care, Inc. | 112.04% | $11,217,686 | $10,012,465 | Non-Credible | 1,567 | ||
| Fallon Health Weinberg, Inc. (frmly TAIPP) | 94.76% | $9,956,969 | $10,508,147 | Non-Credible | 1,512 | ||
| Independent Living for Seniors (d/b/a ElderOne or ILS) | 93.30% | $64,179,259 | $74,243,930 | Partially Credible | 9,168 | ||
| Loretto Independent Living Services, Inc. (d/b/a PACE CNY) | 100.64% | $50,129,761 | $53,961,715 | Partially Credible | 7,006 | ||
| Senior Care Connection, Inc. (d/b/a Eddy Senior Care) | 95.70% | $20,196,592 | $21,103,443 | Non-Credible | 2,619 | ||
| Total Senior Care, Inc. | 101.29% | $9,551,461 | $9,430,215 | Non-Credible | 1,391 | ||
| Total | $569,366,553 | $604,258,666 | 68,788 | ||||
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.
