UPMC Health Options Inc
Major Rating Factors:
Fair overall results on stability tests (3.4 on a scale of 0 to 10) based on a decline in the number of member physicians during 2022. Potentially strong support from affiliation with UPMC. Good quality investment portfolio (5.4) containing junk bond exposure equal to 96.2% of capital. Good liquidity (6.3) with sufficient resources (cash flows and marketable investments) to handle a spike in claims.
Other Rating Factors:
Excellent capitalization (6.9) based on good current risk-adjusted capital (severe loss scenario) reflecting improvement over results in 2021. Weak profitability index (1.2) with operating losses during 2021. Return on equity has been low, averaging 0.3% over the last five years.
Principal Lines of Business:
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Licensed in:
PA
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
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Company Address
U.S. Steel Building
Pittsburgh, PA 15219
Pittsburgh, PA 15219
Phone Number
(412) 434-1200
NAIC Number
15345
Website
Largest Affiliates