Associated tags: Health insurance, Financial management, Medicare, Medicaid, Health, Health care, Blue Cross Blue Shield Association, PMPM, Insurance, General Health, Government, Public Policy, Consulting, Other Consumer, Health Insurance, Healthcare Reform, Consumer, Professional Services, Medicare Advantage, Accounting
Locations: UNITED STATES, NORTH AMERICA, PENNSYLVANIA
Retrieved on:
Thursday, November 30, 2023
Health plans are expecting 2024 premiums to increase by 8.0% for Group fully-insured plans and by 6.1% for Individual plans.
Key Points:
- Health plans are expecting 2024 premiums to increase by 8.0% for Group fully-insured plans and by 6.1% for Individual plans.
- For Individual plans, growth expectations are lower by 0.5 percentage points.
- After the effect of buy-downs, plans anticipate premium increases for Group plans of 7.3% and 5.3% for Individual plans.
- For plans participating in this survey, we infer their projected medical cost increases of 6.6% for Group plans and 7.0% for Individual plans.
Retrieved on:
Tuesday, October 10, 2023
Managed Care,
General Health,
Professional Services,
Consumer,
Healthcare Reform,
Health Insurance,
Other Consumer,
Practice Management,
Finance,
Consulting,
Health,
Public Policy,
Government,
Medicaid,
Comprehensive,
Medicare,
PMPM,
Blue Cross Blue Shield Association,
Account,
Growth,
Financial management,
Core,
Health insurance,
Health care Core expenses exclude the plans’ Sales and Marketing expense clusters.
Key Points:
- Core expenses exclude the plans’ Sales and Marketing expense clusters.
- Navigator excerpts from the 2023 Medicaid edition of Sherlock Benchmarks which analyzes and reports on the in-depth surveys of 15 Medicaid plans that collectively served 15.5 million members with Comprehensive products.
- With other universes, the Sherlock Benchmarks universes analyze the administrative costs of plans serving 17% of all Medicaid beneficiaries.
- Besides the Medicaid universe, others include Blue Cross Blue Shield plans, Independent/Provider-Sponsored plans and Medicare plans.
Retrieved on:
Monday, September 11, 2023
Marketing,
Communications,
Health,
Managed Care,
General Health,
Media,
Medicare Advantage,
Medicaid,
Blue Cross Blue Shield Association,
Medicare,
SNP,
Advertising,
Growth,
PMPM,
IPS,
Financial management,
Blue,
Pharmaceutical industry,
Health insurance,
Health care In 2022, Medicare plans’ costs increased by 1.9% per member compared an increase of 0.6% in 2021.
Key Points:
- In 2022, Medicare plans’ costs increased by 1.9% per member compared an increase of 0.6% in 2021.
- This edition analyzes and reports on the in-depth surveys of 11 Medicare plans that collectively served 1.7 million members.
- Excluding the five largest Medicare Advantage providers, Sherlock Benchmarks for Medicare include the results health plans serving of 16.4% of Medicare Advantage members.
- While the total administrative cost increase was greater than 2021, the growth was second lowest since 2016.
General Health,
Accounting,
Professional Services,
Consumer,
Healthcare Reform,
Public Policy,
Other Consumer,
Insurance,
Congressional News,
Views,
Consulting,
Health,
Government,
Medicaid,
Blue Cross Blue Shield Association,
Marketing,
Medicare,
Navigator,
Advertising,
Member,
Growth,
Tobacco Advertising and Promotion Act 2002,
PMPM,
IPS,
Financial management,
Health insurance,
Health care Plans’ cost growth reflected changes in their product mix that emphasized low cost products, especially Medicaid.
Key Points:
- Plans’ cost growth reflected changes in their product mix that emphasized low cost products, especially Medicaid.
- The Sherlock Benchmarks are the health plan industry’s metrics informing the management of administrative activities.
- Health plans use them to determine whether their administrative costs are optimal and to prioritize improvements among numerous specific activities.
- They are the “gold standard” of benchmarks and used to measure and manage health plan administrative activities in health plans serving over 208 million members.
Health Technology,
Health Insurance,
Public Policy,
Insurance,
Other Policy Issues,
Finance,
Healthcare Reform,
Consulting,
Other Consumer,
Accounting,
Professional Services,
Congressional News,
Views,
Government,
Consumer,
Health,
Medicare Advantage,
Medicaid,
Actuarial science,
Customer,
Blue Cross Blue Shield Association,
TPA,
Medicare,
Member,
Growth,
PMPM,
Financial management,
Blue,
Health insurance,
Health care In 2022, Blue Cross Blue Shield Plans’ costs increased by 7.2% per member compared with a decline of 0.4% in 2021.
Key Points:
- In 2022, Blue Cross Blue Shield Plans’ costs increased by 7.2% per member compared with a decline of 0.4% in 2021.
- Navigator excerpts from the 2023 Blue Cross Blue Shield Plan edition of the Sherlock Benchmarks.
- Surveyed Plans serve 76% of the members of Blue Cross Blue Shield Plans excluding publicly-traded companies.
- Besides the Blue Cross Blue Shield universe, others include Independent/Provider-Sponsored plans, Medicare plans, Medicaid plans and TPAs.
Retrieved on:
Wednesday, December 7, 2022
Health Insurance,
Health,
Other Health,
PULSE,
Financial management,
Medicaid,
Insurance,
Medicare,
MLR,
Growth,
Health insurance,
Individual Health plans are expecting 2023 premiums to increase by 7.2% for Group fully-insured plans and by 6.4% for Individual plans.
Key Points:
- Health plans are expecting 2023 premiums to increase by 7.2% for Group fully-insured plans and by 6.4% for Individual plans.
- For Group plans, this growth is 1.6 percentage points higher than their expectations for 2022.
- After the effect of buy-downs, plans anticipate premium increases for Group plans of 6.1% and 5.6% for Individual plans.
- For plans participating in this survey, we infer their projected medical cost increases of 5.4% for Group plans and 4.3% for Individual plans.
