Total Cost of Care

Several states have adopted policies that focus on measuring and setting a growth rate target for total cost of care. By looking at the cost performance across all payers of the system as a whole or a particular set of services such as hospital care, these states hope to facilitate delivery system reform.

At the request of several states, the MMF has begun a project to assess and document methods that states use to set a rate of growth target for total cost of care measures. The project looks at four states as models for this activity—and assesses how they are going about this work. How are they documenting costs, projecting growth rates, and setting targets? State-to-state interaction on this topic will enhance collaborative learning for both the states involved in the project and others states considering this policy activity.

Total Cost of Care News

  • Fund Publishes Report on Standardizing the Measurement of Commercial Health Plan Primary Care Spending

    Jul 25, 2017

    Primary care is often acknowledged as the foundation of any high-performing health care delivery system. But how much of our health dollars go to supporting it? To address this question, the authors of this report—Michael Bailit, Mark Friedberg, and Margaret Houy—present a methodology to define and estimate spending on primary care, relative to other medical expenses. The study design … Read more

  • Integrated Data Systems for Population Health: A Panel at the Health Datapalooza Conference

    May 30, 2017

    For the second year in a row, the Fund participated in the Health Datapalooza conference, hosted by AcademyHealth in late April. An event sponsor, the Fund organized a session on integrated data systems (IDS) as a tool to improve population health. “Improving population health means looking beyond the medical system to identify and address the social, economic, and environmental factors … Read more

  • Deadline to Assess Massachusetts Health Care Cost Benchmark Approaches

    Feb 27, 2017

    Massachusetts is one of several states addressing total health care cost measures.  Since 2013, the state’s Health Policy Commission (HPC) has set an annual health care spending target based on state economic growth. A lower benchmark rate is set to take effect in 2018. The HPC will hold a hearing on the new benchmark on March 8, 2017. Helping state officials measure their state’s health … Read more