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 April 2021 : Medicaid Acuity and Medical Management Costs
Past editions:
- April 2021 : Operational Drivers of Medicare Advantage Costs
- March 2021 : Medicaid Risk Adjustment Expenses and Premiums PMPM
- January 2021 : The Sherlock Benchmarks and Cost Harmonization Services
- Late December 2020 : Short-Term Economies of Scale: Growth in Membership and Health Plan Administrative Costs
- December 2020 : Best-in-Class Independent / Provider - Sponsored Plans
- Late November 2020 : Best-in-Class Blue Cross Blue Shield Plans
- November 2020 : Economies of Scale in Health Insurance in 2019
- October 2020 : Growth Decelerates in Medicaid Plans' Core Expenses, while Account and Membership Administration Accelerates
Presentation|Presentation Slides|Transcript of Presentation - September 2020 : Administrative Costs in Medicare-Focused Plans Experience Slower Growth Despite Acceleration in Account and Membership Administration
Presentation Slides|Transcript of Presentation - August 2020 : Why Do Health Plans Commit to Medical Management
- July 2020 : Administrative Cost Trends Increased for Independent/Provider - Sponsored Plans in 2019
Presentation|Presentation Slides|Transcript of Presentation (Revised) - June 2020 : Blue Cross Blue Shield Plans Experienced Flat Trends in 2019 Total Administrative Expense as Corporate Services Surged
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