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With 2012 Benchmarking Study Invitation
By Marco Georeno
Health Care Analyst
Dear Dr. Marcinko and ME-P Readers
At the risk of appearing overwhelmed with New Year’s enthusiasm, we think the attached edition of Plan Management Navigator is especially interesting:
1. We report on the cost decisions made by low cost Blue Cross Blue Shield plans. Low cost plans make decisions that differ from their higher cost peers. Hallmarks of these decisions include levels and distributions of expenses between functions, the levels and distribution of staff between functions, the levels of compensation and its distribution between functions and the distribution between functions, and levels of, non-labor expenses. Overall, low cost Blue Cross Blue Shield Plans have “tactical” administrative expenses that were $5.63 PMPM, or 29%, lower than their higher cost counterparts. These tactical expenses are all administrative expenses excluding medical management and sales and marketing.
2. We provide an update on the most recent operating and financial results for firms participating in our monthly Dashboard.
3. We invite appropriate ME-P readers to participate in the 2012 benchmarking study. Participation is very timely given that the weak economy is placing great pressure on commercial enrollment, creating the risk that administrative expenses could be a source of negative operating leverage.
Assessment
A more detailed version of this analysis is available to licensed users of Blue Cross Blue Shield Sherlock Expense Evaluation Report (SEER). Please call us for further information if you have an interest.
Link: Navigator Late January 2012
Sherlock Company
Ph: 215-628-2289
Fax: 215-542-0690
Conclusion
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Filed under: Health Economics, Health Insurance, iMBA, Inc. | Tagged: Blue Cross Blue Shield, health plan benchmarking, January [Health] Plan Management Navigator, Marco Georeno, Sherlock Company, Shield Sherlock Expense Evaluation Report | Leave a comment »
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