FAQs

What is the source of claims data?

Pivotal uses All Payer Claims data for the 12-month timeline. The current data set available in the platform is from 2022 and is updated on an annual basis.

What are Pivotal’s care demand projections and how are they calculated?

Rather than using national utilization rates and adjusting to the local market, Pivotal leverages our knowledge of the current volumes in the market through claims data as a starting point for current year and uses Advisory Board growth rates to calculate the volumes 5 and 10 years in the future. This allows organizations to support strategic healthcare decisions on demand for services in each market.

How are baseline utilization numbers calculated?

Pivotal calculates baseline numbers directly from the claims data. This allows clients to understand actual activity in their local market and considers various market dynamics captured in the claims.

How are the 5- and 10- year projections calculated?

Pivotal uses Advisory Board 5- and 10- year service line projections along with our baseline utilization. They leverage both demographic and non-demographic factors to drive their projections.

Why, in some projects, are my Local projections identical to my Regional?

If your market definition is contained within a single CBSA, the regional and local projections will be the same. If you cross through multiple metro areas your projections will differ for the two views.

In Pivotal Filters, what facilities are included in Clinics?

The following facilities types are consolidated under Clinics in the Facilities filter:

• Ambulatory Surgical Center

• Behavioral Health Center

• Federally Qualified Health Center

• Imaging

• Laboratory

• Outpatient Rehabilitation

• Physical Therapy

• Urgent Care

• Other

These can be viewed and filtered further by expanding the Clinics filter.