Total Cost of Care

Designed to support affordability initiatives, to identify instances of overuse and inefficiency, and to highlight cost-saving opportunities.

HealthPartners’ Total Cost of Care and Resource Use (TCOC) framework addresses one of the most fundamental problems related to population health: rising health care costs. It is a full-population, person-centered measurement tool that accounts for 100% of the care provided to a patient. Additionally, it supplies a reporting suite to support multiple levels of analysis.

HealthPartners has been developing health care cost of care and resource use measures since 1995. The National Quality Forum endorsed HealthPartners’ Total Cost Index (TCI) and Resource Use Index (RUI) measures in 2012 and re-endorsed them in 2017.

Our measures were reviewed and deemed credible by the National Quality Forum’s (NQF) independent statistical consultant.

Tools help providers, payers, employers, researchers, and government entities to evaluate the costs and resources used to treat varying populations.

Three analytic packages for implementing Total Cost of Care and Resources Use.

Additional resources

Executive summary

Importance of TCOC

TCOC Overview

Resource Use & Price
Videos presented by Network for Regional Healthcare Improvement (NRHI)

Total Cost of Care white paper
An in-depth look at TCOC

Resource use white paper
A detailed review of the building blocks of resource use measurement

Analytic packages
Reporting suite overview

TCOC is widespread throughout the United States

  • Population-based model
  • Attributable to medical groups for accountability
  • Includes all care, treatment costs, places of service, and provider types
  • Measures overall performance relative to other groups
  • Illness-burden adjusted
  • Drillable to condition, procedure, and service level
  • Identifies price differences and utilization drivers