Plan Management Navigator
Navigator provides analytics for health plan administration, focusing on the management of health plan expenses under the direct control of the management team. Much of the content is derived from our surveys of numerous health plans participating in the Sherlock Benchmarks. Topics addressed include the cost of administration in each functional area, drivers of administrative costs such as product mix and operational metrics, economics of scale and other important topics. This email publication is distributed episodically and is available for free. Sign up here.
Most recent Plan Management Navigator:
| Late-May 2025 | Customer Services and Customers Served |
Past Issues
| Late-May 2025 | Customer Services and Customers Served | |
| Mid-May 2025 | Customer Services and Customers Served | |
| May 2025 | Operational Drivers Behind Cost Management | |
| Late April 2025 | Health Care Management Resource Links Between Medicaid, Commercial Insured, and ACA | |
| April 2025 | Returns on Medicare Risk Adjustment | |
| December 2024 | The Relationship Between Scale, Staffing Ratios and Compensation in Health Insurance | |
| Late-November 2024 | Best-in-Class Blue Cross Blue Shield Plans: Factors of Performance | |
| Mid-November 2024 | Best-in-Class Independent / Provider - Sponsored Plans: Factors of Performance | |
| November 2024 | Economies of Scale in Health Insurance - 2024 Results | |
| Late October 2024 | Core Expense Growth Accelerates For Medicaid Plans in 2023 | PDF | Video | Slides | Transcript |
| October 2024 | Per Member Administrative Expenses for Medicare Plans Accelerated in 2023 | PDF | Video | Slides | Transcript |
| Mid-July 2024 | Independent/Provider - Sponsored Plans Administrative Expenses Grew at Record Pace for 2023 (Revised) | PDF | Video | Slides | Transcript |
| Early July 2024 | Larger Plans Administrative Costs in 2023 | |
| June 2024 | Blue Cross Blue Shield Plans Administrative Expenses Growth Decelerated in 2023 | PDF | Video | Slides | Transcript |