Utilization_report.pdf

This is a utilization report for the City of Phoenix's employee health clinic services, documenting carrier usage and patient visit patterns across three fiscal years. The report tracks claims distribution among three primary insurance carriers: BCBS of Arizona (BC116), Aetna (AE022), and unspecified carriers, serving eligible city employees and their dependents covered under the City's active medical insurance plans. The report compares utilization data for 2025, 2024, and 2023, with total charges reaching 6,154 in 2025, 5,773 in 2024, and 5,100 in 2023.

Patient visit distribution by service type remains relatively consistent across the reported periods, with primary care, wellness, and annual visits comprising 76% of clinic utilization in 2025 compared to 79% in the 2023-2024 period, while acute and injury-related visits account for 24% in 2025 versus 21% in the prior period. BCBS of Arizona maintains the largest market share among carriers, representing 3,492 charges in 2025, followed by Aetna with 2,662 charges; these figures demonstrate stable carrier relationships and predictable claim volumes that support the contracted near-site clinic operations, which include same-day or next-day medical appointments and on-site pharmacy services provided at the contractor's expense.