The requested rates were further reduced to reflect the proper single to family mix and the reallocation of administrative expenses. The Department also eliminated the demographic pool surcharge. However, the Department determined that the HMO's prescription drug cost projections were based on very limited data. The Healthnow decision affects 420 of the HMO's members in Albany, Clinton, Columbia, Essex, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Warren and Washington counties. The Capital District Physicians' Health Plan decision affects 67,000 of the HMO's members in Albany, Schenectady, Schoharie, Saratoga, Rensselaer, Columbia, Greene, Warren, Washington, Fulton, and Montgomery counties.
Tables listing individual contract rate changes are available upon request.