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:

• July 2020 : Administrative Cost Trends Increased for Independent/Provider - Sponsored Plans in 2019
  Presentation|Presentation Slides|Transcript of Presentation (Revised)

Past editions:

• June 2020 : Blue Cross Blue Shield Plans Experienced Flat Trends in 2019 Total Administrative Expense as Corporate Services Surged
  Presentation|Presentation Slides|Transcript of Presentation (Revised)
• May 2020 : Model for Changes in Mix and Scale: Invitation to Discuss This Week
• Late-April 2020 : Application of Scale Slopes in Coronavirus Market (Revised)
• Mid-April 2020 : “Test Drive” the Sherlock Benchmarks 
• April 2020 : Short-Term Economies of Scale: Growth in Membership and Health Plan Administrative Costs
• Late-March 2020 : Apples To Apples or How We Eliminate Mix Distortions
• Late-March 2020 : Cost Allocation for the Sherlock Benchmarks
• Mid-March 2020 : Administrative Expense Ratios of Publicly-Traded Companies
• March 2020 : Spill-Over Effects Between Medicaid and Commercial
• Mid-February 2020 : Economies of Scale in Health Insurance
• February 2020 - Revised: Best-in-Class Independent/Provider-Sponsored Plans
• January 2020: Best-in-Class Blue Cross Blue Shield Plans
• October 2019: Core Expenses in Medicaid Plans Experience Fastest Growth Since 2012
  Presentation|Presentation Slides|Transcript of Presentation
• September 2019: Administrative Costs for Medicare Plans Continue to Accelerate in 2018 - Revised
  Presentation|Presentation Slides|Transcript of Presentation
• July 2019: Administrative Costs Moderate for Independent / Provider - Sponsored Plans in 2018
  Presentation|Presentation Slides|Transcript of Presentation
• June 2019: Administrative Cost Trends for Blue Cross Blue Shield Plans in 2018 increased from 2017
  Presentation|Presentation Slides|Transcript of Presentation
• Late-April 2019: Medicaid and the Commercial Market
• Mid-April 2019: Apples to Apples, or How We Eliminate Mix Distortions
• Early-April 2019: Best-in-Class Independent / Provider-Sponsored
• Mid-March 2019: Best-in-Class Blue Cross and Blue Shield Plans
• February 2019: Economies of Scale in Health Insurance
• Mid-January 2019: Administrative Expense Ratios of Publicly-Traded Companies
• January 2019: What Drives Short-Term Scale Effects?