Loss_Ratio_-_Oct_2024_-_Current.pdf

This document is a Loss Ratio report for the City of Edinburgh's medical and pharmacy benefits for the period of October 2024 through April 2025, generated by MedeAnalytics, Inc. The report tracks monthly medical and pharmacy premiums, claims, and value-based care (VBC) payments for a comprehensive healthcare funding analysis. The data covers a seven-month period, providing detailed financial metrics for each month, including total premiums, medical paid claims, pharmacy paid claims, and the corresponding loss ratio.

The loss ratio ranges from 68.4% in October 2024 to a high of 90.5% in February 2025, with a total period loss ratio of 82.3%. Monthly medical and pharmacy premiums remain relatively consistent, averaging around $802,000, while total paid claims fluctuate between $553,049.90 and $723,548.31. The funding type is designated as "PREM" (Premium), and the database specifically references the City of Edinburgh with the identifier 000243483. This financial report appears to be supporting documentation for the City of Edinburgh's ongoing pharmacy benefits management contract, providing transparency into healthcare spending and utilization rates.