The primary purpose of this report is to provide reference and benchmarking information for certain key financial metrics used in the day-to-day analysis of Medicaid managed care organization (MCO) financial performance. The financial metrics include the medical loss ratio, administrative loss ratio, underwriting ratio, and risk-based capital ratio. The financial results are summarized on a composite basis for all reporting MCOs. This report also explores the differences among the various types of MCOs using available segmentation attributes defined from the reported financial statements.
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Medicaid risk-based managed care: Analysis of financial results for 2014
This report summarizes the calendar year 2014 experience for selected financial metrics of the organizations reporting Medicaid experience under the Title XIX Medicaid line of business on the National Association of Insurance Commissioners annual statement.