MN Community Measurement is continuing to make progress toward a publicly-reported Total Cost of Care measure.
For the past 18 months, we have convened a multi-stakeholder group to determine the specifications and methodology for a measure that utilizes the Total Cost Index (TCI) methodology, which was pioneered in Minnesota and endorsed by the National Quality Forum in January 2012. TCI includes all costs associated with treating patients, including professional, facility inpatient and outpatient, pharmacy, lab, radiology, ancillary and behavioral health services.
The measure will obtain data from major Minnesota health plans and will utilize patient attribution processes, risk adjustment and methods of calculation that the multi-stakeholder group agreed upon. Additionally, clinics and medical groups will have an opportunity to review the patient attribution and data prior to it being published.
We are currently in the midst of a test run with major commercial health plans, and hope to publicly report the data later this year. More information will be available in the next few months.
To learn more about the TCOC measure and process that we’ve gone through, read this article by MNCM Health Economist Gunnar Nelson from the April 2014 issue of Minnesota Physician.