Post on 21-May-2022
Real world health care experiences from over 150 million unique individuals since 1993
Optum Research Data
Assets
Linkages • Social Security Administration death file • Consumer socioeconomic database • Self-reported health risk assessments
Clinical • Medical groups’ EMR/EHRs • Integrated delivery networks’ EMR/EHRs • Hospitals’ EMR/EHRs
Administrative • Affiliated health plans • Optum employer customer health plans • Optum payer customer health plans
Cumulative population counts through 20141,2,3,4
Some segments with history since 1993. A
ffilia
ted
Adm
inis
trativ
e O
ptum
Em
ploy
er
Adm
inis
trativ
e O
ptum
C
linic
al
Optum Payer Administrative
(not linked)
5.7M
12.3M
20.4M
3.9M
57.6M
0.1M
1.6M
0.2M
8.4M
30.7M
29.6M
Unique Lives Linkable Assets: 144.4M Optum Payer: 26.1M
Optum share5 of US population in 2014, by segment
Administrative Data Clinical Data
Commercially Insured6
Medicare Advantage7
Medicare PDP Only7
Population w/Healthcare
Utilization8
30.6M 3.2M 5.7M 18.4M
19% 19% 24%
7%
Optum’s research data assets originate from providers’ EMR/EHR systems, as well as from the administrative claims and enrollment systems of both affiliated and non-affiliated health plans. Well over 150 million unique lives are available from across all payer types. In 2014, approximately 19% of the US population in commercial health plans, 19% of those in Medicare Advantage plans, and 24% of those in Medicare PDP only plans were represented in Optum’s administrative data assets. In addition, 7% of the US population with any health care utilization, regardless of insurance, were represented in Optum’s clinical data assets.
optum.com
Affiliated Health Plans, Commercially Insured Population with Medical and Pharmacy Benefits9,10
ADMINISTRATIVE DATA
Annual and cumulative membership, 1993-2014
Minimum available continuous enrollment11, millions of members, through 2014
Medical Claims12
Pharmacy Claims13
Lab Results14,15
% with 1 or more, all time 86% 75% 45%
Per member per year, all time 10.0 9.3 15.8
Record volume in 2014 108.6M 107.1M 114.7M
Utilization and densities through 2014
Age groups16, 2014
Census region16, 2014
Gender16, 2014
West: 20%
Mid- west: 24%
South: 38%
Northeast: 18%
0-9 10-17 18-24 25-34 35-44 45-54 55-64 65-74 75+
Optum17 1.6M 1.5M 1.4M 2.5M 2.3M 2.3M 1.8M 0.4M 0.1M
% ofOptum 12% 11% 10% 18% 17% 17% 13% 3% 1%
US Est.6 12% 12% 11% 15% 16% 18% 16% 1% 0%
OptumUS
M F
Optum17 6.9M 7.1M% of
Optum 49% 51%
US Est.6 50% 50%
F51%
M49%
optum.com
WestMid-west South
North-east
Optum17 2.8M 3.3M 5.3M 2.5M
% ofOptum 20% 24% 38% 18%
US Est.6 23% 23% 35% 19%
1.1M
1.4M
1.7M
2.2M
3.0M
4.2M
4.8M
5.5M 12
.0M
12.4
M
14.2
M
14.2
M
17.2
M
17.7
M
17.7
M
16.7
M
15.4
M
14.7
M
14.6
M
14.4
M
14.6
M
13.9
M
'93
'94
'95
'96
'97
'98
'99
'00
'01
'02
'03
'04
'05
'06
'07
'08
'09
'10
'11
'12
'13
'14
63.1MCumulative Total:
46.0M
19.9M
63.1M
30.6M20.7M
14.1M9.7M
28.2M
12.4M 7.9M 5.1M 2.9M
AllTime
Most Recent 5 Years
Avg. months enrolled:31.8
1+Day
12+Months
24+Months
36+Months
48+Months
60+Months
Affiliated Health Plans, Commercially Insured Population with Medical Benefits Only9,10
ADMINISTRATIVE DATA
Annual and cumulative membership, 1993-2014
Minimum available continuous enrollment11, millions of members, through 2014
Medical Claims12
Lab Results14,15
% with 1 or more, all time 76% 45%
Per member per year, all time 11.8 16.9
Record volume in 2014 108.1M 94.6M
Utilization and densities through 2014
Age groups16, 2014
Census region16, 2014
Gender16, 2014
West: 16%
Mid- west: 22%
South: 46%
Northeast: 17%
optum.com
M F
Optum17 6.0M 6.3M% of
Optum 49% 51%
US Est.6 50% 50%
F 51%
M 49%
WestMid-west South
North-east
Optum17 1.9M 2.7M 5.6M 2.0M
% ofOptum 16% 22% 46% 17%
US Est.6 23% 23% 35% 19%
0-9 10-17 18-24 25-34 35-44 45-54 55-64 65-74 75+
Optum17 1.4M 1.3M 1.3M 1.8M 1.7M 1.8M 1.6M 0.8M 0.6M
% ofOptum 11% 10% 10% 14% 14% 15% 13% 7% 5%
US Est.6 12% 12% 11% 15% 16% 18% 16% 1% 0%
OptumUS
0.1M
0.3M
0.3M
0.4M
0.3M
0.5M
0.5M
0.9M 7.
0M
7.5M
7.9M 9.2M 10.2
M
10.1
M
9.7M
9.8M
9.7M
9.9M 11.0
M
12.3
M
13.0
M
12.3
M
'93
'94
'95
'96
'97
'98
'99
'00
'01
'02
'03
'04
'05
'06
'07
'08
'09
'10
'11
'12
'13
'14
39.4MCumulative Total:
29.0M
16.1M
39.4M
20.0M14.2M
9.8M7.1M
21.3M
11.6M7.9M 5.4M 3.5M
AllTime
Most Recent 5 Years
Avg. months enrolled:35.3
1+Day
12+Months
24+Months
36+Months
48+Months
60+Months
Affiliated Health Plans, Medicare Advantage Population with Medical and Pharmacy Benefits9,10
ADMINISTRATIVE DATA
Annual and cumulative membership, 1993-2014
Minimum available continuous enrollment11, millions of members, through 2014
Utilization and densities through 2014
Age groups16, 2014
Census region16, 2014
Gender16, 2014
West: 31%
Mid- west: 22%
South: 33%
Northeast: 15%
optum.com
Medical Claims12
Pharmacy Claims13
Lab Results14,15
% with 1 or more, all time 94% 83% 50%
Per member per year, all time 25.0 28.9 28.3
Record volume in 2014 77.6M 72.0M 78.5M
WestMid-west South
North-east
Optum17 1.0M 0.7M 1.0M 0.5M
% ofOptum 31% 22% 33% 15%
US Est.18,19 23% 23% 35% 19%
M FOptum17 1.4M 1.8M
% ofOptum 43% 57%
US Est.18,19 43% 57%
F57%
M43%
0.0M
0.0M
0.0M
0.1M
0.2M 0.4M
0.4M
0.4M
0.4M
0.3M
0.4M
0.4M 1.
3M 1.7M
1.6M
1.7M 1.9M 2.3M 2.4M 2.7M 3.0M
3.2M
'93
'94
'95
'96
'97
'98
'99
'00
'01
'02
'03
'04
'05
'06
'07
'08
'09
'10
'11
'12
'13
'14
6.4MCumulative Total:
5.1M
3.9M
6.4M
3.7M2.8M
2.1M1.4M
4.7M
2.8M2.1M
1.5M1.0M
AllTime
Most Recent 5 Years
Avg. months enrolled:39.2
1+Day
12+Months
24+Months
36+Months
48+Months
60+Months
0-55 55-64 65-74 75+
Optum17 0.1M 0.2M 1.5M 1.3M
% ofOptum 4% 7% 47% 42%
US Est.18,19 6% 8% 49% 38%
OptumUS
Affiliated Health Plans, Medicare PDP Population with Pharmacy Benefits Only9,10
ADMINISTRATIVE DATA
Annual and cumulative membership, 2006-2014
Minimum available continuous enrollment11, millions of members, through 2014
Utilization and densities through 2014
Age groups16, 2014
Census region16, 2014
Gender16, 2014
West: 18%
Mid- west: 21%
South: 39%
Northeast: 23%
optum.com
Pharmacy Claims13
% with 1 or more, all time 89%
Per member per year, all time 41.9
Record volume in 2014 207.5M
M FOptum17 2.3M 3.3M
% ofOptum 40% 60%
US Est.18,19 41% 59%
F60%
M40%
WestMid-west South
North-east
Optum17 1.0M 1.2M 2.2M 1.2M
% ofOptum 18% 21% 40% 21%
US Est.18,19 23% 23% 35% 19%
5.0M 5.3M
4.5M
4.7M 5.0M 5.2M
4.6M 5.
6M
5.7M
'06
'07
'08
'09
'10
'11
'12
'13
'14
12.4MCumulative Total:
10.2M
7.7M
12.4M
7.4M5.4M 4.2M
3.2M
9.2M
5.4M3.7M 2.9M 2.1M
AllTime
Most Recent 5 Years
Avg. months enrolled:40.0
1+Day
12+Months
24+Months
36+Months
48+Months
60+Months
0-55 55-64 65-74 75+
Optum17 0.4M 0.4M 2.5M 2.3M
% ofOptum 7% 7% 44% 42%
US Est.18,19 13% 9% 41% 37%
OptumUS
Affiliated Health Plans, Linkages Note: Not all linkages are available in all affiliated segments. See footnotes for details.
LINKED DATA
Benefit plan design data20, annual and cumulative membership, 2001-2014
STD, LTD and WC benefits21,22,23, annual and cumulative membership, 2001-2014
Pharmacy benefit structure, e.g.: •Tier levels, types and cost sharing •Premiums, deductibles, copays, coinsurance, limits, thresholds
•Mail order benefits Medical benefit structure, e.g.: • In- and out-of-network copays and coinsurance
• Individual and family deductibles and out-of-pocket thresholds
10.3% have short term disability, long term disability, or workers' compensation cases.
optum.com
Socioeconomic data31, annual and cumulative membership with at least one valid, non-missing socioeconomic attribute, 2007- 2014
Availability of selected socio-economic attributes:
Education 100%
Language 99%
Race/ethnicity 96%
Net worth 92%
Home ownership 78%
Household income 69%
5.8M 7.1M 9.0M 11.1
M
12.6
M
19.3
M
20.3
M
19.6
M
19.4
M
19.5
M
19.9
M
19.4
M
20.8
M
20.7
M
'01
'02
'03
'04
'05
'06
'07
'08
'09
'10
'11
'12
'13
'14
65.0MCumulative Total:
0k 1k 66k 33
8k
352k
439k 65
4k 794k
629k
700k
620k
600k
598k
407k
'01
'02
'03
'04
'05
'06
'07
'08
'09
'10
'11
'12
'13
'14
2,348kCumulative Total:
20.1
M
19.6
M
19.0
M
18.9
M
19.3
M
19.7
M
20.0
M
18.9
M
'07
'08
'09
'10
'11
'12
'13
'14
45.9MCumulative Total:
Affiliated Health Plans, Linkages Note: Not all linkages are available in all affiliated segments. See footnotes for details.
LINKED DATA
Oncology management data26, annual and cumulative membership, 2008-2014
Health risk assessments27,28, annual and cumulative membership, 2009- 2014
Availability of selected clinical attributes:
Availability of selected self-reported attributes:
optum.com
Current clinical status 96%
Histology 95%
Stage at diagnosis 89%
Tumor types: Breast 59%
Lung 14%
Prostate 12%
Colon 11%
Rectal 4%
Health status 100%
Height, weight, BMI, BSA 99%
Stress 98%
Tobacco use 98%
Alcohol use 98%
Pain 94%
Physical/emotional problems 90%
Sleep 84%
Clinical information from EMRs/EHRs during health plan enrollment24,25, annual and cumulative membership, 2007-2014
Availability of selected clinical attributes during health plan enrollment:
Is notes eligible 83%Has diagnosis 68%Has lab result 67%
Has vital sign measurement 57%In an IDN 55%
Has RX administration 19%
5k 7k 13k 23
k
21k
19k
15k
'08
'09
'10
'11
'12
'13
'14
91.6kCumulative Total:
0.9M 1.1M 1.2M 1.4M 1.
7M 1.8M
1.8M
1.6M
'07
'08
'09
'10
'11
'12
'13
'14
4.1MCumulative Total:
0.3M 0.
7M 0.8M 1.
2M
1.2M
1.0M
'09
'10
'11
'12
'13
'14
3.1MCumulative Total:
Affiliated Health Plans, Linkages Note: Not all linkages are available in all affiliated segments. See footnotes for details.
LINKED DATA
Primary data collection population32 as of January 31, 2015
4.7M available for prospective data collection including direct-to-patient survey, medical chart review, medical device information, NDI link, etc., as of January 31, 2015.
optum.com
West: 23%
Mid- west: 25%
South: 45%
Northeast: 7% White 62%
Hispanic 13%
Black 10%
Asian 5%
Unknown 10%
Age Gender
Census region Race/ethnicity
Availability of direct-to-patient contact methods:
Phone number 66%
Opt-in email address 8%
Mortality29,30, full date of annual and cumulative deaths during enrollment, 1993-2014
2k 3k 5k 7k 12k
19k
27k
30k
97k
103k
101k
104k
131k
157k
157k
166k
170k
173k
160k
105k
101k
60k
'93
'94
'95
'96
'97
'98
'99
'00
'01
'02
'03
'04
'05
'06
'07
'08
'09
'10
'11
'12
'13
'14
1,890kCumulative Total:
Provider-based Clinical EMR/EHR Systems 34 EMR/EHR Systems Contributing9,33
CLINICAL DATA
Annual and cumulative patients, 2007-2014
Minimum available clinical observation periods34, millions of patients, through 2014
Utilization and densities through 2014
Age groups38, 2014
Census region38, 2014
Gender38, 2014
West: 13%
Mid- west: 32%
South: 45%
Northeast: 9%
optum.com
Vital
Signs35 Drug
Admins36 Lab
Results37 % with 1 or more, all time 65% 25% 57%
Per patient per year, all time 11.1 3.0 20.5
Record volume in 2014 291.1M 87.1M 445.8M
0-9 10-17 18-24 25-34 35-44 45-54 55-64 65-74 75+
Optum17 1.1M 0.9M 0.9M 1.4M 1.5M 1.8M 1.8M 1.4M 1.2M
% ofOptum 10% 8% 7% 12% 12% 15% 15% 11% 10%
US Est.39,40 13% 10% 8% 13% 12% 14% 14% 9% 8%
OptumUS
M F
Optum17 5.1M 6.8M% of
Optum 43% 57%
US Est.39,40 47% 53%
F57%
M43%
WestMid-west South
North-east
Optum17 0.4M 1.5M 1.6M 0.1M
% ofOptum 12% 40% 45% 3%
US Est.39,40 24% 21% 37% 18%
13.0
M
14.6
M
16.4
M
18.5
M
20.6
M
21.5
M
20.7
M
18.4
M
'07
'08
'09
'10
'11
'12
'13
'14
36.5MCumulative Total:
23.5M
21.6M
36.5M
20.3M 17.4M14.5M
11.7M
32.9M
18.1M14.6M
10.6M2.9M
AllTime
Most Recent 5 Years
Avg. months observed:38.9
1+Day
12+Months
24+Months
36+Months
48+Months
60+Months
Provider-based Clinical EMR/EHR Systems Linked to Health Plan Data9,33,41
CLINICAL DATA
Annual and cumulative patients, 2007-2014
Minimum available clinical observation periods34, millions of patients, through 2014
Utilization and densities through 2014
Age groups38, 2014
Census region38, 2014
Gender38, 2014
West: 11%
Mid- west: 49%
South: 38%
Northeast: 2%
optum.com
Vital
Signs35 Drug
Admins36 Lab
Results37 % with 1 or more, all time 70% 24% 61%
Per patient per year, all time 10.7 2.2 20.1
Record volume in 2014 49.1M 12.2M 76.5M
0-9 10-17 18-24 25-34 35-44 45-54 55-64 65-74 75+
Optum17 149k 160k 156k 274k 319k 371k 350k 261k 173k
% ofOptum 7% 7% 7% 12% 14% 17% 16% 12% 8%
US Est.39,40 13% 10% 8% 13% 12% 14% 14% 9% 8%
OptumUS
M F
Optum17 1.0M 1.3M% of
Optum 43% 57%
US Est.39,40 47% 53%
F57%
M43%
WestMid-west South
North-east
Optum17 97k 428k 331k 15k
% ofOptum 11% 49% 38% 2%
US Est.39,40 24% 21% 37% 18%
2.0M 2.3M 2.7M 3.
1M 3.5M 3.6M
3.6M
3.2M
'07
'08
'09
'10
'11
'12
'13
'14
5.8MCumulative Total:
3.9M
3.7M
5.8M
3.4M3.0M
2.4M1.9M
5.3M
3.1M2.6M
1.8M0.5M
AllTime
Most Recent 5 Years
Avg. months observed:41.0
1+Day
12+Months
24+Months
36+Months
48+Months
60+Months
Optum Payer Customers’ Health Plans42,43
Commercially Insured Population with Medical and Pharmacy Benefits 14 data contributors
ADMINISTRATIVE DATA
Annual and cumulative membership, 2004-Q3 2014
Minimum available continuous enrollment11, millions of members, through Q3 2014
Utilization and densities through Q3 2014
Age groups16, 2014
Census region16, 2014
Gender16, 2014
West: 1%
Mid- west: 18%
South: 40%
Northeast: 42%
optum.com
Medical Claims12
Pharmacy Claims13
Lab Results14,15
% with 1 or more, all time 82% 68% 11%
Per member per year, all time 11.8 9.4 25.2
Record volume in 2014 13.0M 7.8M 2.3M
0-9 10-17 18-24 25-34 35-44 45-54 55-64 65-74 75+
Optum17 202k 203k 217k 337k 303k 364k 348k 80k 15k% of
Optum 10% 10% 10% 16% 15% 18% 17% 4% 1%
US Est.6 12% 12% 11% 15% 16% 18% 16% 1% 0%
OptumUS
WestMid-west South
North-east
Optum17 14k 368k 821k 866k
% of Optum 1% 18% 40% 42%US
Estimate6 23% 23% 35% 19%
(Q3)
M F
Optum17 1.0M 1.0M% of
Optum 49% 51%
US Est.6 50% 50%
F51%
M49%
8.8M
9.1M
8.0M
7.9M
7.1M
5.8M
4.7M
4.6M
3.9M
3.6M
2.1M
'04
'05
'06
'07
'08
'09
'10
'11
'12
'13
'14
20.4MCumulative Total:
14.7M
5.3M
20.4M
10.1M6.3M
4.5M2.7M
8.4M
3.3M 2.2M 0.9M 0.6M
AllTime
Most Recent 5 Years
Avg. months enrolled:30.5
1+Day
12+Months
24+Months
36+Months
48+Months
60+Months
Optum Payer Customers’ Health Plans42,43
Commercially Insured Population with Medical Benefits Only 13 data contributors
ADMINISTRATIVE DATA
Annual and cumulative membership, 2004-Q3 2014
Minimum available continuous enrollment11, millions of members, through Q3 2014
Utilization and densities through Q3 2014
Age groups16, 2014
Census region16, 2014
Gender16, 2014
West: 1%
Mid- west:
0%
South: 41%
Northeast: 58%
optum.com
Medical Claims12
Lab Results14,15
% with 1 or more, all time 79% 6%
Per member per year, all time 13.4 23.6
Record volume in 2014 1.4M 0.3M
(Q3)
0-9 10-17 18-24 25-34 35-44 45-54 55-64 65-74 75+
Optum17 19k 19k 20k 26k 26k 30k 28k 10k 4k% of
Optum 10% 10% 11% 14% 14% 17% 15% 6% 2%
US Est.6 12% 12% 11% 15% 16% 18% 16% 1% 0%
OptumUS
WestMid-west South
North-east
Optum17 2k 1k 74k 106k
% of Optum 1% 0% 41% 58%US
Estimate6 23% 23% 35% 19%
M F
Optum17 88k 95k% of
Optum 48% 52%
US Est.6 50% 50%
F52%
M48%
2.7M 2.9M
3.0M
1.4M 1.6M
1.1M
0.9M
1.0M 1.1M
0.9M
0.2M
'04
'05
'06
'07
'08
'09
'10
'11
'12
'13
'14
5.7MCumulative Total:
4.1M
1.2M
5.7M
3.1M
1.1M 0.7M 0.4M1.8M0.6M 0.4M 0.1M 0.0M
AllTime
Most Recent 5 Years
Avg. months enrolled:27.5
1+Day
12+Months
24+Months
36+Months
48+Months
60+Months
Optum Employer Customers’ Health Plans45,46
Commercially Insured Population with Medical and Pharmacy Benefits 57 data contributors
ADMINISTRATIVE DATA
Annual and cumulative membership, 2001-Q2 2014
Minimum available continuous enrollment11, millions of members, through Q2 2014
Utilization and densities through Q2 2014
Age groups16, 2014
Census region16, 2014
Gender16, 2014
West: 14%
Mid- west: 31%
South: 36%
Northeast: 19%
optum.com
(Q2)
% with >1,
all time
Per member per year, all time
Activity volume,
2014
Medical Claims12 80% 14.5 27.5M
Pharmacy Claims13 75% 12.7 33.4M
Lab Results14,15 5% 0.9 306k
STD, LTD and WC Cases47 6% 0.03 34k
HRA Surveys48 13% 0.1 39k
Linked EMRs/EHRs 2% n/a n/a
0-9 10-17 18-24 25-34 35-44 45-54 55-64 65-74 75+
Optum17 114k 125k 140k 141k 181k 267k 293k 82k 50k% of
Optum 8% 9% 10% 10% 13% 19% 21% 6% 4%
US Est.6 12% 12% 11% 15% 16% 18% 16% 1% 0%
OptumUS
M F
Optum17 1.1M 1.3M% of
Optum 44% 56%US
Estimate6 50% 50%
F56%
M44%
WestMid-west South
North-east
Optum17 179k 401k 456k 241k
% ofOptum 14% 31% 36% 19%
US Est.6 23% 23% 35% 19%
0.0M
0.1M 0.4M
1.9M 2.1M 3.
3M 3.7M 4.
4M 4.6M 5.0M
4.2M
4.1M
3.7M
2.4M
'01
'02
'03
'04
'05
'06
'07
'08
'09
'10
'11
'12
'13
'14
8.4MCumulative Total:
6.5M
5.1M
8.4M
5.0M3.9M
3.1M 2.5M
6.6M
3.4M2.4M
1.8M 0.9M
AllTime
Most Recent 5 Years
Avg. months enrolled:43.8
1+Day
12+Months
24+Months
36+Months
48+Months
60+Months
1. Optum Payer administrative data includes commercial members, Medicaid members (1.6M not shown elsewhere in this document), and Medicare members (438k not shown elsewhere in this document) through Q3 2014. Optum Employer administrative data includes commercial members through Q2 2014. All other sources through Q4 2014. Affiliated health plan administrative data includes 753k Medicare Advantage members with medical benefits only (not shown elsewhere in this document).
2. Areas are mutually exclusive and not to scale. Curved labels denote counts for the entire circle. Each discrete area formed by the overlapping circles is also labeled with its mutually exclusive count.
3. Optum Payer and Employer member counts exclude members where an affiliated health plan is the payer.
4. Members that have multiple discreet enrollment periods are categorized in the segment where they have the longest continuous period of enrollment. Enrollment periods are combined if separated by 32 days or less.
5. Administrative population segments include commercial and Medicare members of affiliated plans, and commercial members of Optum Employer customers’ and Optum Payer customers’ health plans who were enrolled any time in 2014. Optum clinical population includes unique patients who had clinical activity any time in 2014.
6. Source of estimate of US commercially insured population: US Census Bureau, Current Population Survey, Annual Social and Economic Supplement, 2014. Health insurance questions asked respondents about their status in the previous year (2013). Accessed at http://www.census.gov/cps/data/cpstablecreator.html.
7. Source of estimate of US Medicare Advantage and Medicare PDP populations: US Department of Health & Human Services, Centers for Medicare & Medicaid Services, Monthly enrollment by plan report for December 2014. Accessed at http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MCRAdvPartDEnrolData/Monthly-Enrollment-by-Plan.html.
8. Source of estimate of US healthcare utilizers: US Department of Health & Human Services, Agency for Healthcare Research & Quality, Medical Expenditure Panel Survey (MEPS), Projected Expenditure Data File for 2014. Percent of US population with non-zero medical expenditures found from MEPS and applied to 2014 US population estimate for 2014 from US Census Bureau, Current Population Survey to obtain denominator. MEPS data accessed at http://meps.ahrq.gov/mepsweb/data_stats/download_data_files_detail.jsp?cboPufNumber=NHEA-Aligned MEPS. US Census data accessed at http://www.census.gov/cps/data/cpstablecreator.html.
9. Statistics current through December 31, 2014. 10. Members counted here may also be counted in other
administrative segments because they can move between segments over time. Members do not appear in multiple administrative segments during the same period of time.
11. The longest continuous period of enrollment is selected for members that have multiple discreet enrollment periods. Enrollment periods are combined if separated by 32 days or
less. 12. A medical claim is defined as a unique combination of
member, provider, and service date. 13. A pharmacy claim is defined as a unique combination of
member, valid NDC code, and fill date. 14. A lab result is defined as a unique combination of member,
valid LOINC code, and result date. 15. Lab results per member per year calculated for members with
at least one result. 16. Includes members enrolled at any time in 2014. 17. Excludes members where attribute is unknown. 18. Source of US estimate of Medicare Advantage and Medicare
PDP populations by age & sex: US Department of Health & Human Services, Centers for Medicare & Medicaid, CMS Statistics Reference Booklet, 2014. Accessed at http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/CMS-Statistics-Reference-Booklet/2014.html.
19. Source of US estimate of Medicare Advantage and Medicare PDP populations by census regions: US Department of Health & Human Services, Centers for Medicare & Medicaid, MA State/County Penetration Report, December 2014. Accessed at http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MCRAdvPartDEnrolData/MA-State-County-Penetration.html.
20. Pharmacy benefit design data can be linked for members with pharmacy benefits in a subset of affiliated health plans.
21. Short term disability (STD), long term disability (LTD), and workers' compensation (WC) cases can be linked for members employed by Optum Employer customers using affiliated health plans.
22. Additional STD, LTD, and WC case data (not shown) are available for members employed by Optum Employer customers using non-affiliated health plans.
23. STD, LTD and WC cases available through June 30, 2014. 24. Includes members with at least one clinical data point during
active health plan enrollment. 25. Additional linked clinical data (not shown) is available for
members employed by Optum Employer customers using non-affiliated health plans.
26. Oncology management data can be linked to fully insured members in affiliated commercial health plans.
27. Health risk assessment (HRA) data can be linked to members in affiliated commercial health plans.
28. Additional linked HRA data (not shown here) is available for members employed by Optum Employer customers using non-affiliated health plans.
29. The Social Security Administration began restricting reported deaths available in their Death Master File in November 2011.
30. Death data can be linked to members in all affiliated health plans, except Medicare PDP plans.
31. Shows cumulative and annual counts of members with at least one valid, non-missing attribute. Socioeconomic data can be linked to members in all affiliated health plans, except Medicare PDP plans.
32. Primary data collection can be performed with fully insured members in affiliated commercial health plans.
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28. Patients without sufficient clinical data to meet a minimum quality threshold are excluded.
29. The minimum available clinical observation period for each patient is determined by the earliest and latest dates of clinical activity.
30. A vital sign is defined as a unique combination of patient ID, observation date and valid clinical observation of height, weight, BMI, blood pressure, heart rate, temperature, spirometry tests, ejection fraction measurements, or T&Z scores.
31. A drug administration is defined as a unique combination of patient ID, administration date, and valid NDC code for a drug administration given by a provider or at a provider's location.
32. A lab result is defined as a unique combination of patient ID, lab result date, and valid LOINC code.
33. Includes patients with at least one clinical observation at any time in 2014.
34. Source of US estimate of healthcare utilizers by age & sex: US Department of Health & Human Services, Agency for Healthcare Research & Quality, Medical Expenditure Panel Survey (MEPS), Projected Expenditure Data File for 2014. Percent of US population with non-zero medical expenditures found from MEPS and applied to 2014 US population estimate for 2014 from US Census Bureau, Current Population Survey to obtain denominator. MEPS data accessed at http://meps.ahrq.gov/mepsweb/data_stats/download_data_files_detail.jsp?cboPufNumber=NHEA-Aligned MEPS. US Census data accessed at http://www.census.gov/cps/data/cpstablecreator.html.
35. Source of estimate for total US population by census regions:
US Census Bureau, Current Population Survey, Annual Social and Economic Supplement, 2014. Health insurance questions asked respondents about their status in the previous year (2013). Accessed at http://www.census.gov/cps/data/cpstablecreator.html.
36. Population includes linked patients that have both clinical activity and health plan enrollment any time between 2007 and 2014.
37. Statistics current through September 30, 2014. 38. Members are not linked with any other sources, however
members from affiliated health plans have been excluded at the plan level.
39. Source of US estimate of Medicaid population: US Census Bureau, Current Population Survey, Annual Social and Economic Supplement, 2014. Health insurance questions asked respondents about their status in the previous year (2013). Accessed at http://www.census.gov/cps/data/cpstablecreator.html.
40. Statistics current through June 30, 2014. 41. Counts exclude members where an affiliated health plan is the
payer. 42. An STD, LTD, and WC case is defined as a unique
combination of member and incident date. Percent with at least one case, and cases per member per year are calculated based on the subset of employers that contribute this type of data.
43. An HRA is defined as a unique combination of member and HRA completion date. Percent with at least one HRA, and HRAs per member per year are calculated based on the subset of employers that contribute this type of data.
Footnotes
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