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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.

TCOC overview

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.

TCOC characteristics

  • 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

Fulfilling the Triple Aim

TCOC measurement supports HealthPartners’ commitment to achieve the Institute of Healthcare Improvement’s Triple Aim.

triple aim graphic improved experience improved health improved affordability

In the news

Contact TCOC

For more information about TCOC, email the Health Informatics team at

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