Fact Based List:

Six Findings from Sherlock Company's BCBS Benchmark Report

Submitted by Patty Jamison on Wed, 07/05/2023 - 13:52


  1. PMPM administrative costs were $45.36 across the 17 plans surveyed, an 8.9% increase from 2021.
  2. Accounts and membership expenses rose 8.3%, up from 1.7% percent in 2021.
  3. Staffing ratios for plans increased slightly, up 1.9% percent from 2021.
  4. Plans had an average of 20.6 full-time employees per 10,000 members.
  5. Median compensation increased by 5.9% for Blues' plan employees.
  6. Medicare Advantage plans had the highest median PMPM administrative costs at $150.25.

Notes: PMPM: Per member per month
Source: Sherlock Company via Beckers, June 2023
Source URL: https://www.beckerspayer.com/payer/administrative-costs-for-...



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