SFY 2019 - 2020 MC MLR Report Summary
HARP line of business
- Report also available in Portable Document Format (PDF)
| SFY 2019 - 2020 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. | 93.39% | $119,553,062 | $131,774,259 | $0 | Partially Credible | 60,596 | |
| Capital District Physicians Health Plan, Inc (CDPHP) | 97.78% | $76,546,246 | $80,794,496 | $0 | Partially Credible | 44,937 | |
| Excellus Health Plan, Inc | 94.27% | $180,651,326 | $195,585,934 | $0 | Partially Credible | 112,517 | |
| New York Quality Healthcare Corporation (Fidelis Care) | 88.54% | $896,593,578 | $1,012,654,863 | $4,658,212 | Fully Credible | 491,216 | |
| Health Insurance Plan of Greater New York (Emblem) | 95.80% | $131,400,173 | $141,099,761 | $0 | Partially Credible | 60,276 | |
| Healthfirst PHSP, Inc. | 96.27% | $860,137,898 | $903,856,428 | $0 | Partially Credible | 338,690 | |
| HealthPlus HP, LLC | 91.72% | $169,036,017 | $188,914,747 | $0 | Partially Credible | 83,247 | |
| Independent Health Association, Inc | 93.11% | $55,407,438 | $62,018,775 | $0 | Partially Credible | 29,123 | |
| MVP Health Plan, Inc. | 101.07% | $171,143,544 | $173,323,248 | $0 | Partially Credible | 78,619 | |
| MetroPlus Health Plan, Inc | 94.26% | $353,012,292 | $381,442,006 | $0 | Partially Credible | 151,585 | |
| Molina Healthcare of New York, Inc. | 92.97% | $29,293,882 | $33,173,283 | $0 | Partially Credible | 19,318 | |
| United Healthcare of New York, Inc. | 89.50% | $203,272,664 | $232,077,152 | $0 | Partially Credible | 114,000 | |
| YourCare Health Plan, Inc. | 100.69% | $48,289,734 | $49,912,480 | $0 | Partially Credible | 25,203 | |
| Total | $3,294,337,855 | $3,586,627,432 | $4,658,212 | 1,609,327 | |||
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
