Medicaid Plans' Costs by Functional Area Per Member Per Month (PMPM)

According to a recent edition of Plan Management Navigator by Sherlock Company:

• $7.24 Median PMPM - Provider & Medical Management
• $14.61 Median PMPM - Account & Membership Administration
• $5.05 Median PMPM - Corporate Services
• $24.48 Median PMPM - Subtotal: Core Expenses
• $8.80 Median PMPM - Sales and Marketing
• $33.57 Median PMPM - Total Expenses

Note: Data is from the Sherlock Benchmark Summary, Figure 3 (Medicaid Navigator 2014).


Source: Sherlock Company