RD689 (Published 2020) - Combining Minimum Loss Ratios (MLRs) and Underwriting Gain Limits for the Medallion 4.0 and Commonwealth Coordinated Care (CCC) Plus Programs – November 15, 2020

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RD689 - Combining Minimum Loss Ratios (MLRs) and Underwriting Gain Limits for the Medallion 4.0 and Commonwealth Coordinated Care (CCC) Plus Programs – November 15, 2020

Published: 2020
Author: Department of Medical Assistance Services
Enabling Authority: Appropriation Act - Item 313 E.7. (Regular Session, 2020)

Report

Executive Summary:

Report on the analysis of the costs and benefits of amending the Commonwealth Coordinated Care Plus and Medallion 4.0 contracts to combine any applicable medical loss ratios and underwriting gain provisions to ensure uniformity in the applicability of those provisions.