Identify Opportunities
We conduct thorough research and analysis to pinpoint areas for individual and collective action.
SPENDING GROWTH MEASUREMENT
Timeline
Annually, beginning with the 2021–2023 report
The first annual Utah Healthcare Spending Growth Report covers spending trends from 2021 to 2023. Moving forward, this report will be updated each year to track healthcare spending patterns and trends.
Objective
Collect healthcare spending data from payers at the aggregate level on claims by category, non-claims by category, pharmacy rebates, market enrollment, administrative cost, and primary care provider attribution.
Results
The first annual Utah Healthcare Spending Growth Report released in February 2025, provides a comprehensive analysis of total healthcare spending trends at the state and market level—commercial (including self-insured), Medicaid, and Medicare—from 2021 to 2023.
In Spring 2024, the Collaborative announced the formation of a Technical Advisory Group (TAG) to estimate Utah’s total healthcare spending baseline and trends. Now, the first annual Utah Healthcare Spending Growth Report has been published, offering key insights into healthcare spending across the state from 2021 to 2023. Moving forward, this report will be updated annually to track spending patterns and trends. The TAG members and respective organizations represent more than 95% of insured Utahns.
Participating insurers include:
- Aetna/CVS Health
- Cigna
- Health Choice Utah
- Molina Healthcare of Utah
- Public Employment Health Plan (PEHP)
- Regence BlueCross BlueShield of Utah
- Select Health
- UnitedHealthcare (UHC)
- Utah Medicaid
- University of Utah Health Plans
COST-DRIVER ANALYSIS
The Collaborative is analyzing healthcare spending levels and identifying cost drivers to inform policy decisions and uncover opportunities to make healthcare costs for Utahns more affordable.
Timeline
December 2024-June 2025
Objective
Use All Payers Claims Database (including Medicaid), Medicare database and HealthCare Facility Database from 2019-2023
Results
A report tracking spending growth (e.g., spending, price, utilization) by major service category (e.g., inpatient, outpatient, long-term care, professional, medical and retail pharmacy, behavioral), chronic conditions, and by market, year, geography, and socio-demographic factors (e.g. age, gender)
CURRENT PRIORITY AREAS
Pharmaceuticals
Reinsurance
