
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:
- Late January 2023 : Best-in-Class Blue Cross Blue Shield Plans
Past editions:
- January 2023 : Why Commit to Medical Management? Measurable ROI and/or Defensive Expenditures
- December 2022 : Short-Term Economies of Scale: Growth in Membership and Health Plan Administrative Costs in 2021
- Late November 2022 : The Relationship Between Scale, Staffing Ratios, and Compensation
- November 2022 : Summary of Sherlock Company's 2021 Economies of Scale in Health Insurance Analysis
- Late October 2022 : Larger Plans Administrative Costs Were Lower Compared to Blues in 2021
- October 2022 : Medicaid Plans Growth Slows in Core Expenses in 2021
Presentation|Presentation Slides|Transcript of Presentation - September 2022 : Costs for Medicare Plans Increase Slightly in 2021
Presentation|Presentation Slides|Transcript of Presentation - July 2022 : Independent / Provider - Sponsored Plan Costs Accelerate in 2021
Presentation|Presentation Slides|Transcript of Presentation - June 2022 : Blue Cross Blue Shield Plans Expenses Declined in 2021 - Revised
Presentation|Presentation Slides|Transcript of Presentation - Early June 2022 : Sherlock Benchmarks: Progress in 2022
- May 2022 : Strong Relationship Between ASA and Call Abandonment Rate
- Late March 2022 : Returns on Medicare Risk Adjustment
- Mid March 2022 : Operational Drivers of Medicare Advantage Costs
- March 2022 : Spill-Over Between Medicaid and Medical and Provider Management in Commercial Products