Risk Corridors Minimum and Maximum Medical Loss Ratio for 2021 Sample Clauses

Risk Corridors Minimum and Maximum Medical Loss Ratio for 2021. ‌ 4.6.2.1 Calculation The STATE shall calculate minimum and maximum medical loss ratios (MLR) for the MCO based upon the revenue and incurred claims, as defined in the capitation rate development reports, and reported on the quarterly financial report in section 11.5.1(16). Consistent with the development of the MLRs in 11.5.1(9), revenue will be calculated prior to enhanced hospital payments and assuming all withhold is returned to the MCO.‌‌‌‌ The minimum and maximum MLRs will be one and one-half (1.5) percentage points above or below the Target MLR outlined in the Contract Year 2021 capitation rate development report dated September 17, 2020 (“2021 Rate Development Report”) as shown below. The calculations will be performed after any applicable STATE stop loss provisions are implemented. 4.6.2.2 The amounts will be calculated on the quarterly financial report with zero (0) months of claims runout for the year subsequent to the Contract Year, and on a final basis with twelve‌
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Risk Corridors Minimum and Maximum Medical Loss Ratio for 2021 

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