AmeriHealth Caritas NC Inc
Major Rating Factors:
Weak profitability index (0.3 on a scale of 0 to 10) with operating losses during 2019, 2020 and 2021. Good overall results on stability tests (5.9) based on steady enrollment growth, averaging 8% over the past five years but excessive capital growth during 2022. Rating is significantly influenced by the strong financial results of Independence Health Group Inc. Excellent capitalization index (7.6) based on excellent current risk-adjusted capital (severe loss scenario). However, risk-adjusted capital has reached as low as the weak level during recent years.
Other Rating Factors:
Excellent quality investment portfolio (9.9) containing little or no exposure to mortgages, junk bonds, or unaffiliated stocks. Excellent liquidity (7.1) with ample operational cash flow and liquid investments.
Principal Lines of Business:
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Licensed in:
NC
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
Independence Health Group Inc
Investment Rating
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Company Address
200 Stevens Drive
Philadelphia, PA 19113
Philadelphia, PA 19113
Phone Number
(217) 937-8000
NAIC Number
16539
Largest Affiliates