Health Plan Members per Employee
This PDF report includes benchmarking data (in a visual, chart-based format), an comprehensive KPI definition, characteristics of high performers and technical details on measuring Health Plan Members per Employee. Purchase and download this easy-to-understand, presentation-ready report immediately to compare performance levels, set attainable performance targets, and push towards best-in-class performance for this KPI.
What is Health Plan Members per Employee?
The total number of health plan members, or policyholders, covered by the health insurance provider divided by the total number of employees working for the insurer (company-wide) at the same point in time.
Why should Health Plan Members per Employee be measured?
Health Plan Members per Employee measures the number of policyholders, or members, managed per health insurance company employee. This metric is an approximate measures of staffing levels within any health insurance company. A relatively low (as compared to industry averages, or previously demonstrated levels) number of health plan members per employee suggests that the company may be overstaffed, or not operating efficiently. Areas within health insurance companies that typically hold the most potential for improvement and capacity reduction/re-allocation include claims processing, member services (particularly, the call center) and underwriting. Alternatively, improving marketing, sales and customer service effectiveness (i.e., attracting, converting and retaining more customers) can increase the number of health plan members, which will also lead to a higher number of members per employee.
Download a Sample Health Plan Members per Employee
Frequently Asked Questions
Q: How do you collect and validate your data?
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