Administrative Cost Trends of Independent/Provider Sponsored Plans in 2022

Independent / Provider - Sponsored plan cost growth sharply accelerated in 2022 based on the results of 9 continuously participating plans in the Sherlock Benchmarks. Total per member costs increased from an increase of 1.9% to an increase of 6.7%. After holding the universe’s product mix constant, the real cost growth was 7.5%, compared to a 4.2% increase in 2021.

This analysis is based on the twenty-sixth annual edition of our performance benchmarks for health plans. The Sherlock Benchmarks (Sherlock Expense Evaluation Report or SEER) represent the cumulative experience of, we expect by October, approximately 1,000 health benefit organization years. Each peer group in the Sherlock Benchmarks is established to be relatively uniform. So, within that constraint, participation is open to all Independent / Provider - Sponsored Plans possessing the ability to compile high-quality, segmented financial and operational data. We surveyed the participants to populate the Sherlock Benchmarks and this summary.

Event Date: Wednesday, July 19, 2023

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Category(s): Health Plans

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