All Payer Claims Database
2022 Utah Primary Spend ReportUtah All Payer Claims Database (APCD) to calculate the total amount of spending on primary health care services as a percentage of all health care expenditures. View report
Identifying Potential Overuse of Non-Evidence-Based Health Care in UtahReporting years: 2022 | 2021 In 2020, H.B. 195 – Identifying wasteful healthcare spending, which enacted UCA §26-33a-117 -Identifying potential overuse of non-evidence-based health care was passed. The law requires the Department to contract with a nationally-recognized health waste calculator, to use the calculator to analyze data in the state All Payer Claims Database and flag entries the calculator identifies
Utah Primary Care Spend Calculation ProjectThe Utah Department of Health, Office of Health Care Statistics (OHCS) produced this primary care spend report for the Utah Academy of Family Physicians (UAFP). In late 2020, the Office of Health Care Statistics was tasked with using the Utah All Payer Claims Database (APCD) to calculate the total amount of spending on primary health care services as a percentage
Exploring the Cost of Cataract Surgery in UtahBy: Brantley Scott The Utah Department of Health, Office of Health Care Statistics (OHCS) produced this report at the request and under the direction of the Transparency Advisory Group (TAG). The TAG is a subcommittee of the Utah Health Data Committee (HDC). The mission of the Transparency Advisory Group is to identify opportunities to make high value information on health
Exploring the Cost of Colonoscopy in UtahThe Transparency Advisory Group selected colonoscopies as a procedure with high health care value for Utahns. This report identifies differences in costs between certain facilities as well as the variation that can exist within a health care provider.
Preliminary COVID-19 Healthcare Trends: A Snapshot from Utah’s All Payer Claims Database (UPDATED 2020-12-15)The intent of these reports is to highlight emerging COVID-19 healthcare consumption trends using Utah’s All Payer Claims Database (APCD) and Healthcare Facility Database (HFD).
DataByte: Autism AwarenessBy Brantley Scott April is Autism Awareness Month and the Office of Health Care Statistics at the Utah Department of Health, in partnership with the Disability and Health Program, decided to look at what other health conditions people with autism might have and how that compares with the general population. The data used in the DataByte comes from both commercial
DataByte: Back Imaging by Place of ServiceBy Brantley Scott Introduction: When it comes to back imaging there are many options to choose from. A great question to ask, is if an MRI or CT scan is needed or will a simple X-ray do? If it is decided that a more complicated MRI or CT scan is needed, will the procedure be done with or without dye?
DataByte: Colonoscopies by Place of ServiceBy Brantley Scott Introduction: One of most common shoppable medical procedures is colonoscopies. They are generally non-urgent with a variety of options for where these procedures can be performed. Depending on where the procedure is done the costs can be significantly different. The three most common places of service are at a clinic, ambulatory surgery, or an outpatient hospital setting.
DataByte: Opioid and Other Pain Medication Use in UtahBy Brantley Scott The opioid epidemic has received much attention both in Utah and nationally. According to the Utah Opidemic website, an average of five Utahns die from opioid overdose every week. There is much that can and should be done to prevent overdose incidents and deaths. This Office of Healthcare Statistics (OHCS) DataByte looks at both the percentage of
2017 Provider Payment Comparisons Methodology2017_Provider_Payment_Comparison Methods
What is the cost of having a baby in Utah?Find out what you’ll pay to have a baby where you live and across the state. Use the information to help you plan, negotiate prices and ask questions.Here you’ll find a comprehensive listing of Utah doctors, hospitals, clinics, medical groups, and health insurance companies, along with objective quality measurements and patient satisfaction information to help you find great care for
NHRI Report-From Claims to Clarity: Deriving Actionable Healthcare Cost Benchmarks from Aggregated Commercial Claims DataOver the past three years Regional Health Improvement Collaboratives (RHICs), working collectively through the Network for Regional Healthcare Improvement’s (NRHI’s) Getting to Affordability Total Cost of Care initiative, have demonstrated the ability to assess and refine raw regional healthcare cost data, to standardize that data, and to use it in establishing meaningful, local practice level reports and comparisons within and
DataByte: Opioid Prescriptions and ER Overdose Trends 2017-2021This DataByte looks at Utah opioid prescription and ER overdose trends from 2017-2021.
DataByte: Major Depressive DisorderAccording to the American Psychiatric Association, major depressive disorder (MDD) is a common and serious medical illness that negatively affects how you feel, think, and act.1 Symptoms of major depressive disorder include, but are not limited to, feelings of sadness, loss of interest in activities once enjoyed, sleep disorders, thoughts of suicide, feeling worthless or guilty, loss of energy or fatigue, and changes in appetite (weight loss or gain unrelated to dieting). This DataByte examines claim rates and allowed amounts for January 2019-April 2021 where major depressive disorder was the first-, second-, or third-listed diagnosis (ICD-10 code F33), using the Utah All Payers Claims Database.
DataByte: Childhood Immunization – Lower Vaccination Claim Rates in the Wake of the COVID-19 Pandemic
According to the Centers for Disease Control and Prevention , pediatric vaccine orders and administration saw a significant decline at the start of the COVID-19 pandemic in 2020. Given the pandemic continued beyond a year, the Utah Department of Health Office of Health Care Statistics sought to examine the current trend of insurance claims for this standard preventive health practice in our state.