As part of its oversight responsibility for the Family Care, Family Care Partnership, and the Program of All-Inclusive Care for the Elderly (PACE) programs, the Bureau of Rate Setting within the Department of Health Services (DHS) collects and reviews financial statements from the participating managed care organizations (MCO). This information is summarized and shared with parties, both internal and external. To help increase transparency of the Family Care program, DHS is sharing this summary financial information on its website.
There has been an evolution over the last several years in both the amount of information collected from the Family Care MCOs, as well as enhancements in how that information is reported to stakeholders. You will note this evolution in the detailed information posted for the different reporting periods. While this represents continued improvements in the information that is available, this makes comparisons across time periods more challenging.
The summary information will be posted to this website on a quarterly basis. (Quarter 1 is January 1 through March 31. Quarter 2 is January 1 through June 30. Quarter 3 is January 1 through September 30. Quarter 4 is January 1 through December 31.)
Financial information is submitted to DHS within 45 days of the end of each quarter. Information for the first three quarters of the year will typically be posted after an additional 45 day period to allow for review of the results by DHS and the Office of the Commissioner of Insurance (OCI), and to allow the MCOs an opportunity to provide responses to questions that may be raised. This means that financial information will be posted approximately 90 days after the end of each of the first three quarters. The posting of fourth quarter results is delayed until after receipt of the audited financial statements, which are due to DHS by June 1 of the next contracted fiscal period. Typically, fourth quarter results from the prior year are posted around the same time as first quarter results from the current year. If you have any questions about the financial summaries, please contact the Bureau of Rate Setting.
Quarter 1 (January 1 - March 31, 2009)
Quarter 2 (January 1 - June 30, 2009)
Quarter 3 (January 1 - September 30, 2009)
Quarter 4 (January 1 - December 31, 2009)
Quarter 4 (January 1 - December 31, 2008)