2008, to 88.6 percent. The Medicare business
experienced an overall year-over-year increase in utilization trends and
had a higher concentration of dual-eligible members. Partially offsetting
the rise in the Medicare MLR was a decline in the Reform MLR. The
Commercial MLR increased by 230 basis points. However, if we consider the
effect of reserve developments in both periods, the MLR actually decreased
by 180 basis points.
Operating expenses rose $4.9 million, or 13.9 percent, to $40.2
million, compared with the same period last year. The increase is primarily
attributable to the higher volume, particularly within the Medicare
business. The segment's operating expense ratio decreased 30 basis points,
to 10.2 percent.
Managed Care Three months ended Nine months ended
September 30, September 30,
Additional Data 2008 2007 2008 2007
Member months
enrollment
Commercial:
Fully-insured 1,234,011 1,242,254 3,698,285 3,743,350
Self-funded 527,145 483,459 1,522,524 1,447,287
Total
Commercial 1,761,156 1,725,713 5,220,809 5,190,637
Reform 1,024,093 1,066,016 3,089,384 3,199,546
Medicare 221,412 142,831 627,769 407,675
Total member
months 3,006,661 2,934,560 8,937,962 8,797,858
Medical loss ratio 88.6% 86.9% 89.4% 87.7%
Operating expense
ratio 10.2% 10.5% 10.3% 11.0%
Managed Care As of September 30,
Membership by Segment 2008 2007
Members
Commercial:
Fully-insured 411,524 415,055
Self-funded
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SOURCE Triple-S Management Corporation Copyright©2008 PR Newswire. All rights reserved | |
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