Toolkit

Health Plan Performance Profiler

Use this tool to compare commercial health plan finances, including metrics such as claims incurred, premiums earned, health care quality improvement expenses, non-claims costs, and MLRs. The data can be filtered by year, state, plan size, group type, and plan name. The original dataset comes from CMS CCIIO’s MLR form.

Tool Basics

Suggested users

Health plan executives, CFO, VP business development, VP strategy, Director of competitive intelligence, Director of market insights

Outputs

  • Health plan-specific financial investments including claims incurred, premiums earned, and non-medical investments
  • Data filterable across commercial business lines, states, and plan sizes
  • Downloadable graphical and spreadsheet reports

Health Plan Performance Profiler

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