Health Insurance KPIs, Metrics & Benchmarks

Buy Health Plans KPI Benchmarking “Data-as-a-Service” Products from Opsdog

Opsdog.com sells Health Plans KPI and benchmarking data in three different ways.

1. Comprehensive Health Plans KPI benchmarking reports bundles that include 10 to 80+ measured KPIs.
   • Price range is from $750-$2000 per report
   • Instant download
2. Individual Health Plans KPI benchmarks that contain 1 benchmarked KPI –
   • Price range is $50-$65 per individual benchmarked KPI
   • Instant download
3. Custom Health Plans benchmarking KPI Data-as-a-Service projects and consulting engagements
   • 3-10 week long KPI benchmarking projects
   • Price varies based on scope
   • Hybrid on-site/off-site low-cost model

Browse Instant Download Health Plans KPI and Benchmarking Products for Purchase Below

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KPI's & Data

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Percentage of Calls Handled by Call Reason: Payment Inquiry

The total number of calls handled from customers inquiring about making a current bill payment, or about a recent or upcoming bill, divided by the total number of calls handled from customer...

KPI Type : Volume

KPI's & Data

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Percentage of Calls Handled by Call Reason: Provider Inquiry

The total number of calls handled from customers inquiring about network healthcare providers divided by the total number of calls handled from customers over the same period of time, as a p...

KPI Type : Volume

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KPI's & Data

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Abandonment Rate by Call Reason: Deductible Inquiry

The total number of incoming calls from customers inquiring about a health insurance deductible that end in the customer hanging up before a representative can answer divided by the total nu...

KPI Type : Volume

KPI's & Data

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Abandonment Rate by Call Reason: Financial Assistance Programs

The total number of incoming calls from customers inquiring about health plan financial assistance program eligibility and coverage that end up with the customer hanging up before the repres...

KPI Type : Volume

KPI's & Data

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Abandonment Rate by Call Reason: Issue Escalation

The total number of incoming calls from customers that are escalations, an issue which required "escalation" to a manager or supervisor, that end up with the customer hanging up before the r...

KPI Type : Volume

KPI's & Data

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Cycle Time: New Member Enrollment

The number of business days required to enroll a new member into a health insurance plan, from the point-of-sale until the new member is enrolled. Includes both manual and electronic enrollm...

KPI Type : Service

KPI's & Data

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Medical Claims Processed per Medical Claims Processor

The total number of medical claims processed over a certain period of time divided by the number of medical claims processors (claims employees focused on processing medical claims) working...

KPI Type : Productivity

KPI's & Data

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Cycle Time: Health Insurance Underwriting

The number of business days required to perform a health insurance underwriting final action (i.e., approval or denial of the health insurance application), from the time the health insuranc...

KPI Type : Service

KPI's & Data

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Total Health Insurance Premium Written per Medical Underwriter

The total amount of health insurance premiums written over a certain period of time divided by the number of medical underwriters (underwriting employees focused on health insurance) working...

KPI Type : Productivity

KPI's & Data

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Member Services Expense per Policy In-Force

The total expense incurred by the Member Services (or in-force customer service) function divided by the number of inforce (active) policies managed by the health plan at the same point in t...

KPI Type : Cost

KPI's & Data

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Health Insurance Application Approval Rate

The number of health insurance applications submitted by potential members that are approved and paid (first month's premium) divided by the total number of health insurance applications sub...

KPI Type : Quality

KPI's & Data

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Percentage of Health Insurance Applications Received Electronically

The number of new health insurance applications that are received by the company through electronic platforms (online, mobile, etc.) divided by the total number of new health insurance appli...

KPI Type : Quality

KPI's & Data

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Unit Cost: Health Insurance Application Processing

The total cost of processing health insurance applications divided by the number of health insurance applications processed over the same period of time.

KPI Type : Cost

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