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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.

How it works Scientifically tested

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

Measures in use

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

MN Community Measurement – Health Care Cost & Utilization
November 2019

MN Community Measurement – Health Care Cost & Utilization
November 2018

NRHI: Data is the Spark, Collaboration is the Fuel
November 2018

NRHI Healthcare Affordability: Untangling Cost Drivers
February 2018

Maine Health Management Coalition receives NQF Quality Award using HealthPartners’ TCOC
May 2016

HealthPartners’ Medical Director Participating in CMS Health Care Payment Learning and Action Network
May 2015

Network for Regional Healthcare Improvement – Building Transparency
April 2015

AJMC – Making Measurement Meaningful
May 2015

AJMC – Tracking Spending Using a Distributed Data Model
September 2014

A commentary on Measuring and Assigning Accountability for Healthcare Spending
August 2014

PQC and NQF affordability webinar on HealthPartners’ TCOC
July 2014

HealthPartners’ Medical Director addressing FTC – Examining Health Care Competition
March 2014

Consumer Reports - TCOC vs. Quality
October 2012