Medicare Advantage Plan Administrative Cost Trends: First Overall PMPM Cost Growth Since 2013
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After eliminating the effects of mix differences,
Corporate Executive and Governance was the most rapidly growing function overall, while Information Systems function's growth was the most important source of growth for Medicare plans.
The median total costs for the universe were
Additional information was published recently in Plan Management Navigator, and is posted here.
We will discuss the results via free web conference on
The Navigator analysis excerpts from the 2017 Medicare edition of the Sherlock Benchmarks. This benchmarking study analyzes in-depth surveys of 10 health plans with a plurality of their business stemming from Medicare Advantage and collectively served 4.0 million comprehensive members.
Planning under uncertainty entails strategies that are applicable under any scenario. Cost optimization has been called a "no-regret move" for this reason. After all, superior performance should be translatable into growth in market share or earnings under any environmental outcome, since optimal costs can be deployed to achieve low prices or superior quality. One tool to inform this "no-regret move" is the Sherlock Benchmarks.
Besides the Medicare universe, other universes include Blue Cross Blue Shield Plans, Independent / Provider - Sponsored plans, and Medicaid plans. Collectively, the approximately 40 participating plans serve 50 million insured Americans.
This is the 20th consecutive year of the Sherlock Benchmarks. With cumulative experience of 780 health plan years, they are "the gold standard" of benchmarks used to measure and manage health plan administrative activities.
Keywords for this news article include: Medicaid, Medicare, Managed Care, Health Policy,
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