Mercy Health Plan

What it reported doing in 2023

Mercy health plan wound down operations in october 2023.before closure, mercy health plan carried out its mission through its ownership and participation in a partnership that operates health maintenance organizations for medicaid enrollees and medicaid/medicare dual eligibles with special needs. The partnership, gateway health plan, provides comprehensive managed care services to medicaid recipients under risk-based contracts and through contractual networks that include hospitals, physicians, and other health care providers. Among other things, the partnership participates in the healthchoices program in Pennsylvania, a program designed to ensure that medicaid recipients, who are mandated under the program to enroll in a participating health maintenance organization, have access to uniformly high quality primary and preventive care, while allowing the Pennsylvania department of public welfare to control the growth and cost of the program.through these activities, mercy health plan facilitated the provision of health care services to lower income individuals and others having special needs, and thereby carried out the section 501(c)(3) charitable purpose of providing relief to the poor and distressed and lessening the burdens of government.

Financial Efficiency

• Mission deployment rate: Limited
• Program expense ratio: Limited

Transparency & Controls

• Consistency checks: 85.7%; rating input score 86; 2nd percentile among comparable filings
• Major donor itemization: Limited

Sustainability

• Operating margin: Limited
• Total-asset coverage ratio: Limited
• Liabilities to assets ratio: Limited
• Officer compensation ratio: Limited

Growth

• Program expense growth: Limited
• Revenue growth: -5.7% per year; rating input score 0; 34th percentile among comparable filings
• Asset growth: -6.7% per year; rating input score 0; 21st percentile among comparable filings