NY Health Plans Report Medicaid Losses, Medicare Gains

Through the first six months of 2008, health plans that participate in New York State-sponsored programs—Medicaid managed care (MMC), Child Health Plus (CHP) and Family Health Plus (FHP)—reported net losses of $64 million on these three lines of business combined. Despite losses from these State program lines, plans performed well through the first half of the year, earning $59 million, due primarily to nearly $107 million in profits from Medicare Advantage. 
Plan Data: PHSPs (Prepaid Health Services Plans) reported a combined loss of $6 million, with $7 million and $10 million in losses from CHP and FHP, respectively, while earning positive income of $12 million from MMC. Commercial plans lost $58 million on these three product lines, primarily due to MMC ($42 million), with an additional loss of $17 million from FHP. Of the 23 plans that reported data for these product lines to the State—via the Medicaid Managed Care Operating Reports (MMCOR)—16 reported losses through the first half of 2008, for total losses of $64 million. HIP has taken the largest hit, losing nearly $42 million ($27 in MMC, $14 in FHP), followed by Affinity ($14 million) and HealthPlus ($8 million).

 

    

 

 

 
 

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