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 Navigator:
- October 2024: Per Member Administrative Expenses for Medicare Plans Accelerated in 2023
Presentation|Presentation Slides|Transcript of Presentation
Past editions:
- Mid-July 2024: Independent/Provider - Sponsored Plans Administrative Expenses Grew at Record Pace for 2023 (Revised)
Presentation|Presentation Slides|Transcript of Presentation - Early July 2024: Larger Plans Administrative Costs in 2023
- June 2024: Blue Cross Blue Shield Plans Administrative Expenses Growth Decelerated in 2023
Presentation|Presentation Slides|Transcript of Presentation - Mid-April 2024: Health Care Management Resource Links Between Medicaid, Commercial Insured, and ACA Products
- April 2024: Returns on Medicare Risk Adjustment
- Mid-March 2024 : Estimating Health Plan Performance Using a Free On-Line Application
- March 2024 : Automation and Operational Drivers
- February 2024 : Best-in-Class Independent / Provider - Sponsored Plans
- Late January 2024 : Best-in-Class Blue Cross Blue Shield Plans
- January 2024 : Third-Party Administrator: Benchmarking Results for 2023 and Comparisons with Other Universes
- December 2023 : Twenty-Ninth Annual Health Plan Pricing Survey Summary
- Late November 2023 : The Relationship Between Scale, Staffing Ratios, and Compensation
- November 2023 : Economies of Scale
- Late October 2023 : Larger Plans Administrative Costs
- October 2023 : Medicare Plans Accelerate Growth to Modest Rates in 2022
Presentation| Presentation Slides|Transcript of Presentation - September 2023 : Medicare Plans Accelerate Growth to Modest Rates in 2022
Presentation| Presentation Slides|Transcript of Presentation - July 2023 : Independent / Provider - Sponsored Plans Administrative Expenses Accelerated in 2022
Presentation|Presentation Slides|Transcript of Presentation - June 2023 : Blue Cross Blue Shield Plans Administrative Expenses Accelerated in 2022
Presentation|Presentation Slides|Transcript of Presentation - Mid-April 2023 : The Sherlock Benchmarks and Cost Harmonization Services
- April 2023 : Medicaid Eligibility Reviews: Planning Using Sherlock Benchmarks and Scale Slopes