Administrative costs for BCBS plans on the rise: 5 things to know

Administrative costs for Blue Cross Blue Shield plans rose in 2022, according to an analysis from Sherlock Company. 

Costs increased by 7.2 percent in 2022, compared to a 0.4 percent decline in 2021, according to the report, published June 19. 

Here are five findings to note from the report: 

  1. Per member per month administrative costs were $45.36 across the 17 plans surveyed for the report, an 8.9 percent increase from 2021. 

  2. Accounts and membership expenses rose 8.3 percent, up from 1.7 percent in 2021. This is the biggest jump in costs since 2015, according to Sherlock Company. 

  3. Staffing ratios for plans increased slightly, up 1.9 percent from 2021. Plans had an average of 20.6 full-time employees per 10,000 members. 

  4. Median compensation increased by 5.9 percent for Blues' plan employees. 

  5. Medicare Advantage plans had the highest median per member per month administrative costs at $150.25. 

A spokesperson for the Blue Cross Blue Shield Association told Becker's the association did not have a comment on the report's findings. 

See the full report here. 


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