TCOC toolkit

The Total Cost of Care and Resource Use (TCOC) framework provides a robust, scalable measurement system for both cost and resource use. The TCOC analytical reporting suite supports multiple levels of analysis—which easily and systematically pinpoints savings opportunities at the population, provider, and condition levels. This versatility is what allows TCOC to identify problem areas and to produce actionable results. HealthPartners offers two licensing agreements to external users implementing TCOC in their organizations for SAS users and non-SAS users.

HealthPartners offers three analytic packages for implementing Total Cost of Care and Resources Use.

• Applies TCRRVs™ to claims.
• Assigns members to analysis groups (optional).
• Applies risk adjustment to TCOC measures and utilization metrics (optional).
• Calculates TCOC measures and service category benchmarks. Utilization benchmarks are optional.
• Produces TCOC summary report.

• Applies TCRRVs™ to claims.
• Assigns members to analysis groups (optional).
• Applies risk adjustment to TCOC measures and utilization metrics.
• Allows multiple entities to compile and summarize data.
• Calculates aggregated TCOC measures and service category benchmarks. Aggregated utilization benchmarks are optional.
• Produces aggregated TCOC summary report.

Manual application of TCRRVs™ by place of service.

HealthPartners provides guidance for implementation, defining data requirements, and calculating measures.

• Technical guidelines
• Risk adjustments specifications
• ACG technical guide
• Frequently asked questions

HealthPartners offers two license agreement options.

Users performing Total Cost of Care or Resource Use measurement on their own (Your own use)

Users working with a vendor who will implement the measurement on their behalf (Vendor/Client)