ACCOUNTABILITY FORENSICS

The receipts for who's accountable

Not a dashboard of what happened — lineage-stamped figures that trace every number to its source, its year, and the person who signed off.

THE PROBLEM

Vendor dashboards show results, not responsibility

Your PBM, TPA, and carrier send monthly reports — colorful charts, PEPM trending, utilization summaries. But when you ask "Who verified this number?" or "What data source supports this claim?", the trail goes cold. Accountability requires more than outcomes: it requires lineage — who measured, when, from what dataset, under what methodology.

Plan Metrics iQ delivers source-stamped figures with full accountability chains: every number traces to a government dataset, every claim carries its year, and every variance points to the contract term responsible.

Standard Vendor Report

"Your pharmacy spend increased 8.2% this year"

No source. No benchmark. No accountability.

Kincaid Health Metric

"Pharmacy spend: $2.84M (2023) vs DOL EFAST2 benchmark $2.12M (2023, same-size plans), variance +34% driven by AWP spread pricing per PBM contract Section 4.2(b)"

Source: DOL EFAST2 · Year: 2023 · Contract: PBM Sec 4.2(b) · Verified: SHA-256

LINEAGE PROTOCOL

Every number carries its birth certificate

Source Dataset

Required

Named government or validated commercial dataset

e.g., DOL EFAST2, Mercer NSEHBP, KFF Employer Survey

Year Stamp

Required

All figures locked to specific calendar or plan year

e.g., 2023 plan year (1/1/23 - 12/31/23)

Benchmark Cohort

Required

Comparison group defined by size, industry, geography

e.g., 500-999 participants, manufacturing, Midwest

Contract Attribution

Required

Variance traced to specific contract terms

e.g., PBM Contract Section 4.2(b) spread pricing clause

Verification Chain

Required

SHA-256 hash or published audit trail

e.g., DOL filing 131826332-2023 verified via SHA-256

Methodology Disclosure

Required

Calculation method documented and reproducible

e.g., PEPM = Total Claims ÷ Member Months × 12

THE DELIVERABLE

What you receive

Source-Stamped Metrics

Every figure carries dataset name, year, cohort definition, and verification hash.

Variance Attribution

Cost differences traced to specific contract clauses — PBM spread, TPA fees, stop-loss terms.

Benchmark Comparisons

Your costs vs national norms from DOL EFAST2 — by size, industry, geography.

Accountability Chain

Who's responsible for each variance — vendor, contract term, or plan design decision.

Actionable Insights

What can be renegotiated, what's locked, expected savings per contract amendment.

PDF + Excel Deliverables

Executive dashboard + data workbook with all sources, calculations, verification hashes.

Ready for Peer Cohort Benchmarking?

Get forensic-grade benchmarking with 757,294 DOL rows, utilization variance analysis, and cost outlier detection.