UPMC Health Plan Inc
Major Rating Factors:
Fair profitability index (3.2 on a scale of 0 to 10) with operating losses during 2021. Fair overall results on stability tests (4.1) based on inordinate decline in capital during 2022. Potentially strong support from affiliation with UPMC. Excellent overall capitalization (6.9) based on good current risk-adjusted capital (severe loss scenario) despite some fluctuation in capital levels.
Other Rating Factors:
Excellent liquidity (7.0) with ample operational cash flow and liquid investments. Weak quality investment portfolio (2.7).
Principal Lines of Business:
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Licensed in:
OH, PA, WV
Principal Enrollment Breakdown:
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Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
Provider Compensation ($000)
Capitation Pay
Fee For Service
Contractual Pay
Salary
Bonus
Other
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Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
UPMC
Investment Rating
--
Company Address
U.S. Steel Building
Pittsburgh, PA 15219
Pittsburgh, PA 15219
Phone Number
(412) 434-1200
NAIC Number
95216
Website
Largest Affiliates