
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 2022 : Independent / Provider - Sponsored Plan Costs Accelerate in 2021
Presentation|Presentation Slides|Transcript of Presentation
Past editions:
- 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
- January 2022 : Why Commit to Medical Management?
- December 2021 : Short-Term Economies of Scale: Growth in Membership and Health Plan Administrative Costs, 2020
- Late-November 2021 : Economies of Scale in Health Insurance in 2020
- Mid-November 2021 : Larger Plans 2020 Administrative Costs are Lower, Compared to Blues
- Early-November 2021 : Best-in-Class Independent / Provider - Sponsored Plans in 2020
- Late-October 2021 : Best-in-Class Blue Cross Blue Shield Plans in 2020
- Mid-October 2021 : Growth in Core Expenses in Medicaid Plans Accelerates in 2020
Presentation|Presentation Slides|Transcript of Presentation - Early October 2021 : Initiating coverage of a new universe of managed care companies focused on Value-Based Care.
P • U • L • S • E - Value-Based Care|Financial Tables|Publication - September 2021 : Growth in Administrative Costs Slightly Ticks Up for Medicare-Focused Plans in 2020
Presentation|Presentation Slides|Transcript of Presentation - July 2021 : Costs Decline for Independent / Provider - Sponsored Plans in 2020
Presentation|Presentation Slides|Transcript of Presentation - Late June 2021 : Blue Cross Blue Shield Plans Expense Growth Declined in 2020
Presentation|Presentation Slides|Transcript of Presentation - Early June 2021 : COVID-19 Adaptations by Blue Cross Blue Shield Plans in 2020
- Late April 2021 : Medicaid Acuity and Medical Management Costs