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Sherlock Benchmarks – Participation and Licensing
By Douglas B. Sherlock CFA
Hello All ME-P Readers and Subscribers:
This email invites your participation and/or licensing of the Sherlock Benchmarks.
A central effect of the Affordable Care Act is to sharply increase the incentive for health plans to minimize their administrative expenses. The Sherlock Benchmarks can be a catalyst to respond to these incentives since they identify and prioritize cost variances.
Use of the Sherlock Benchmarks reflects this:
• At least 40 health plans serving at least 40 million people with health insurance are so far committed as participants in this year’s Sherlock Benchmarking study.
• Of the 36 U.S. – based Blue Cross Blue Shield primary licensees, one-half are participating in this year’s Sherlock Benchmarking Study, either as an enterprise or through a subsidiary.
• Of the 13 members of the Alliance of Community Health Plans that are not focused on public programs or are staff-model plans, 11 are participating in this year’s Sherlock Benchmarking Study for Independent / Provider – Sponsored Health Plans.
• Most of the largest members of the Health Plan Alliance that are not focused on public programs are participating in this year’s Sherlock Benchmarking Study for Independent / Provider – Sponsored Health Plans.
• Health plans serving at least one-half of all insured Americans are licensed users of Sherlock Benchmarks since January 1, 2015.
Licensing and participation is available to all health plans
We have recently launched the Independent / Provider – Sponsored and Blue Cross Blue Shield surveys. There is still time, but the financial metrics survey form must be returned to us by the end of April.
So please contact me immediately if you wish to join these robust panels.
Our universes of Medicaid and Medicare plans will launch in a few months to avoid conflict with your Medicare bid process. If a plurality of your members are in either Medicare or Medicaid, please contact us about participation. Note that all costs are segmented by product as well as by function to assure an apples-to-apples comparison between the plans.
Licensing is available without participation. Licensing costs more but it entails less effort. The 2016 Sherlock Benchmarks for Blue Cross Blue Shield Plans and Independent / Provider – Sponsored plans will be available beginning in July. The 2016 Sherlock Benchmarks for Medicare plans and Medicaid plans will be available beginning in September.
Assessment
We look forward to working with you.
Conclusion
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- Dictionary of Health Economics and Finance
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[HEALTH INSURANCE, MANAGED CARE, ECONOMICS, FINANCE AND HEALTH INFORMATION TECHNOLOGY COMPANION DICTIONARY SET]
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Filed under: Health Economics, Health Insurance, Healthcare Finance | Tagged: ACA, Alliance of Community Health Plans, Blue Cross Blue Shield, Douglas B. Sherlock CFA, invitation, Medicaid, medicare, PP-ACA, Sherlock Benchmarks | Leave a comment »
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