Managed Care Entity Percent of Revenue from Medicare and Medicaid — Latest in Year

SAS Name
MC_ENT_GOVT_PCT

The percentage of the managed care entity’s total revenue that is derived from contracts with Medicare (Parts C and D) in the state and State Medicaid agency contract(s) in the prior calendar year; most recent in the calendar year.

Comments

The value was chosen using the last-best method for values from the monthly TAF (calendar year).

Guidance to plans was to include Medicaid and Medicare in calculation of percentage of business in public programs for IRS health insurer tax exemption as required in the Affordable Care Act (ACA).

Values are 0 through 100 or Null/missing.

Source: T-MSIS Annual Managed Care Plan TAF