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 2019: Core Expenses in Medicaid Plans Experience Fastest Growth Since 2012
Presentation|Presentation Slides|Transcript of Presentation
Past editions:
- 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?
- Late November 2018: Short-Term Economies of Scale: Growth in Membership and Health Plan Administrative Costs
- November 2018: Larger Health Plans' Administrative Costs Accelerate in 2017
- October 2018: Medicaid Plans Post Fastest Growth in Core Expenses Since 2014
Presentation|Presentation Slides|Transcript of Presentation - September 2018: Medicare Plans Administrative Expense Growth Accelerated in 2017
Presentation|Presentation Slides|Transcript of Presentation - July 2018: Administrative Costs Accelerate in Independent/Provider-Sponsored Plans 2017
Presentation|Presentation Slides|Transcript of Presentation - June 2018
Blue Cross Blue Shield Plans Accelerate in 2017
Presentation|Presentation Slides|Transcript of Presentation - April 2018: Scale, Growth and Cost Management Strategy
- Late January 2018: Best-in-Class Blue Cross Blue Shield Plans
- Mid - January 2018: Best-in-Class Independent / Provider - Sponsored Plans
- January 2018: Economies of Scale in Health Insurance
- December 2017: CVS - Aetna: Comment on Vertical Integration
- November 2017: Apparent Economies of Scale: Short Term Membership Changes and Health Plan Administrative Costs
- October 2017: Medicaid Administrative Cost Trends: Core Expenses Rebound from Last Year, Increasing by 1.4%
Presentation|Presentation Slides|Transcript of Presentation - Late September 2017: Medicare Advantage Plan Administrative Cost Trends: First Overall PMPM Cost Growth Since 2013
Presentation|Presentation Slides|Transcript of Presentation - Early September 2017: Benchmarks for Accountable Care Organizations: Observations of the Trial Stage
- Mid-August 2017: Sherlock Benchmarks "Test Drive"
- Early August 2017: Sherlock Benchmark Administrative Cost Values of Larger Health Plans - 2016 Metrics
- July 2017: Independent / Provider - Sponsored Plans: Optimizing Costs in an Uncertain Environment
Presentation|Presentation Slides|Transcript of Presentation - Late June 2017: Blue Cross Blue Shield Plans: Optimizing Costs in an Uncertain Environment
- Early June 2017: Market Segment Costs of Blue Cross Blue Shield Plans
- May 2017: How Do Medicare Advantage Plans Benefit From Expenses For Medical Management?
- Early May 2017: Medicaid and the Individual Market
- Late March 2017: Right-sizing For Change
- March 2017: Resolving the Paradox of Scale Among Blue Cross Blue Shield Plans
- February 2017: IPS Plans - Best in Class
- January 2017: BCBS Plans - Best in Class