Total Cost of Care

As value-based payment (VBP) becomes the norm, health plans need valid and reliable metrics that enable them to communicate with providers on cost and accountability issues. In order to identify savings opportunities, plans and providers need to be on the same page, with full visibility into cost drivers and unbiased measures of efficiency. Our Total Cost of Care solution, a module within our industry-leading CareAnalyzer® platform, is designed to support a productive dialogue between your plan and your providers, and is a key component in our enterprise solution for establishing and managing VBP programs.

  • Proven mechanism for establishing equitable pricing and resource utilization guidelines for providers
  • Leverages National Quality Forum (NQF) endorsed methodology, based on the patented algorithm of HealthPartners, Inc.
  • Incorporates the Johns Hopkins ACG® System to adjust for illness burden
  • Aligns with our Quality Measurement and VBP services