Utilization_report.pdf

This is a utilization report from the City of Phoenix's Benefits and Employee Services (BES) department detailing employee health clinic service utilization across multiple carrier groups for the years 2023 through 2025. The report demonstrates current clinic usage patterns among the city's employee population, showing total charges increasing from 5,100 in 2023 to 6,154 in 2025. The primary carriers serving the city's employees are BCBS of Arizona (BC116) and Aetna (AE022), with BCBS representing the largest share of charges at 3,492 in 2025, followed by Aetna at 2,662 charges in the same year. The utilization data is segmented by clinic visit type, indicating that the clinic primarily serves preventive and wellness needs, with primary care, wellness, and annual appointments comprising 76 percent of 2025 visits, while acute injury and illness services account for 24 percent of utilization.

This utilization report serves as supporting documentation for the City of Phoenix's Request for Proposal PS 26-0095 for Employee Health Clinic Services, with a proposal deadline of February 23, 2026. The data demonstrates existing demand patterns that inform the contractor's operational planning for the five-year contract term commencing January 1, 2027. The report provides prospective contractors with historical utilization metrics necessary to assess patient volume, service mix, and staffing requirements for the near-site clinic that will serve approximately 32,000 eligible city employees and dependents. This baseline utilization information is critical for offerors to develop realistic pricing proposals and operational methodologies, as the City requires firm and fixed pricing for the entire contract period through December 31, 2031.