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Sherlock Benchmark Calculator Beta Version

We invite you to see how your health plan or TPA compares to the Sherlock Expense Evaluation Report (SEER) benchmarks by applying your values to this benchmark calculator.

  1. Insert the number of members for each product that you offer into the appropriate box.
  2. Select the universe that is most comparable to yours with respect to the product offered by your organization. You may select products of universes individually or you may select only those products in a particular universe. If you do not locate your universe here, choose the closest one. For instance, we have found that commercial plans may closely resemble Blue Cross Blue Shield plans.
  3. If you are only interested in what the benchmark is, this value is now shown.
  4. If you are interested in comparisons, please insert your administrative expenses for your organization into the appropriate box. This will provide you with PMPM and percent variances.

The source of the values that populate this calculator are past editions of Plan Management Navigator, linked here. Other information concerning our SEER benchmarks can be found here.

Benchmark Value: N/A
Your Total Annual Administrative Expenses $ Optional
Total Average Members
0
Your PMPM Administrative Expenses
N/A
Variance from Benchmark
N/A
Percent Variance from Benchmark
N/A
Products Average Members Universe
Commercial HMO Insured
Commercial HMO ASO/ASC Blue Only
Commercial POS Insured
Commercial POS ASO/ASC Blue Only
Indemnity & PPO Insured
Indemnity & PPO ASO/ASC Blue Only
Commercial ASO
FEP Blue Only
Medicare Advantage
Medicare Advantage PFFS Medicare Only
Medicare SNP
Medicare Cost IPS Only
Medicare Supplemental
Medicaid
Medicaid Low Income Medicaid Only
Medicaid SSI for Adults Medicaid Only
Medicaid Child SSI Medicaid Only
Medicaid Dual Eligible Medicaid Only
Medicaid Child Buy-In Medicaid Only
Medicaid Family Buy-In Medicaid Only
Medical - TPA TPA Only
Dental - TPA TPA Only
Vision - TPA TPA Only
Pharmacy - TPA TPA Only
Short-Term Disability - TPA TPA Only
FSA Administration - TPA TPA Only
Student Health Administration - TPA TPA Only
Stand-Alone Part D
Stand-Alone Dental/Vision Blue Only

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