Fidest – Agenzia giornalistica/press agency

Quotidiano di informazione – Anno 32 n° 220

AM Best Revises Outlooks to Positive for Memorial Hermann Health Plan

Posted by fidest press agency su giovedì, 14 marzo 2019

AM Best has revised the outlooks to positive from stable and affirmed the Financial Strength Rating of B+ (Good) and the Long-Term Issuer Credit Rating of “bbb-”of Memorial Hermann Health Plan, Inc. and Memorial Hermann Health Insurance Company. Collectively, the group is herein referred to as Memorial Hermann Insurance Operations. All companies are domiciled in Houston, TX.The ratings reflect Memorial Hermann Insurance Operations’ balance sheet strength, which AM Best categorizes as adequate, as well as its weak operating performance, limited business profile, and appropriate enterprise risk management.The ratings also reflect Memorial Hermann Insurance Operations’ strategic role as the managed care subsidiary of Memorial Hermann Health System (Memorial Hermann), a fully integrated health care delivery system, as well as Memorial Hermann’s established network and overall creditworthiness, which enhances each entity’s assessment. Furthermore, the parent organization has historically demonstrated explicit financial support in the form of capital contributions to Memorial Hermann Insurance Operations.After reporting significant underwriting losses in recent years, Memorial Hermann Insurance Operations became profitable in 2018 due to several implemented performance improvement initiatives, including an exit from the individual exchange market, a shift of membership mix toward HMO products, and improved operations and medical management. These earnings were accretive to growth in absolute capital and surplus and, combined with reduced premium, strengthened projected risk-adjusted capitalization. The positive outlooks reflect this enhanced projected risk-adjusted capitalization, as well as continuing financial and operational support from its parent company.Memorial Hermann Insurance Operations continues to be challenged by a limited business profile largely reflecting its modest market share, geographically concentrated operations within the Houston, TX metro area, as well as highly competitive major medical and Medicare Advantage markets, which include larger national and regional health carriers.


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