Major Rating Factors:
Weak profitability index (2.5 on a scale of 0 to 10) due to a decline in earnings during 2023. Average return on equity over the last five years has been poor at -32.6%. Good overall results on stability tests (5.1) based on consistent premium and capital growth in the last five years but a decline in the number of member physicians during 2023 and rapid enrollment growth during the past five years. Rating is significantly influenced by the acceptable financial results of American Health Advantage Of Missouri LLC. Excellent capitalization (7.1) based on excellent current risk-adjusted capital (severe loss scenario) reflecting significant improvement over results in 2020.
Other Rating Factors:
Excellent quality investment portfolio (8.0) containing small junk bond exposure. Excellent liquidity (7.4) with ample operational cash flow and liquid investments.
Principal Lines of Business:
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Licensed in:
MO
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
American Health Advantage Of Missouri LLC
Investment Rating
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Company Address
201 Jordan Road
Franklin, TN 37067
Franklin, TN 37067
Phone Number
(615) 905-5206
NAIC Number
15757
Website
Largest Affiliates