Risk Bearing Organizations' Financial Reporting Results
The chart lists the RBO (provider identification number, name, region, county and reporting period) and whether the RBO has 'met' or 'not met' the four grading criteria (maintained positive working capital at all times; maintained positive TNE at all times; calculated and documented IBNR; and reimbursed, contested or denied at least 95 percent of its claims within 45 working days). In addition, the Relative Working Capital and TNE ratios are calculated (by the Department) for each RBO.
Financial Surveys Received for the following periods:
The RBOs that serve less than 10,000 covered lives under all risk arrangements as of December 31 of the preceding calendar year are required to file disclosure statements indicating if they have met or not met the Grading Criteria (listed above). Based on the information submitted, the Department can require the RBO to file Quarterly Survey Reports for additional information about the RBOs financial status.
The chart below contains the self-reported information from the disclosure statements ('Compliance Statements') received for RBOs with less than 10,000 lives. It summarizes whether the RBO has 'met' or 'not met' the Grading Criteria and if the RBO was provided written notice to file Quarterly Survey Reports to the Department.
Compliance Statements Received for the following periods:
The chart lists RBOs that have not filed either a Compliance Statement or a Quarterly Survey.
List of Non-Filing RBOs for the following periods:
Map and County Breakdown
View the seven regions for financial and comparative purposes:
Summary of Comparative Aggregated Data
The information below allows consumers to assess summarized information on a statewide and region basis.
Summary of Comparative Aggregated Data for the following periods: