This initiative known as NRHI Getting to Affordability and this Technical Resource is a major component of this effort. One of the key objectives of this work is national spread. All-Payer Claims Databases (APCDs), which already exist or are planned in many states, represent a golden opportunity to enable that expansion (to build upon, coordinate and ultimately establish a national standard model). NRHI partnered with the APCD Council to understand the strategy for using APCDs for this purpose. Together, these entities worked to translate the standardized technical specifications and lessons learned from the pilot regions into a more formal how-to guide for measuring and reporting total cost of care. This effort uses the HealthPartners National Quality Forum endorsed Total Cost of Care and Resource Use framework (TCOC). The purpose of this Technical Resource is to give other users of APCDs the benefit of experience gained by project participants in creating TCOC on multi-payer commercial claim data. It addresses data preparation, quality assessment, and suggestions for getting the best results from the HealthPartners Standard Analytic Package.
