About this Community

The NRHI Getting to Affordability Community provides a collaborative learning platform for those implementing, or working toward implementing, standardized Total Cost of Care and Resource Use (TCOC) reporting in their regions.

Keep your organization in touch with the latest in standardized TCOC reporting by following this work and contributing to the conversation here, in the Getting to Affordability Community.  This by-invitation community will serve as a communication hub and resource library for all things TCOC.  Here you can learn from subject matter experts on everything from data quality and analysis to identifying physician champions and engaging employers.

It’s the most efficient way to connect with and learn from the the collaborative, multi-region team members participating in the project.

Our Goals 

Our community goals are to:

  • Expand standardized measurement to new regions by learning from and building on our community members’ experience; and
  • Further engage stakeholders in the use of a standardized TCOC approach

Total Cost of Care Accelerates Healthcare Affordability

In the pursuit of advancing payment reform, the Network for Regional Healthcare Improvement (NRHI) is leading a multi-regional innovation initiative focused on the production, sharing and use of information about the total cost of care. With funding from the Robert Wood Johnson Foundation, five pioneering regional health improvement collaboratives (RHICs) were joined by thirteen additional regions in a unique approach to standardizing how they report cost information. Balancing local customization with alignment to national efforts makes the information consistent, relevant, and actionable. NRHI’s regional partners:

  • Produce standardized, high-quality data analyses: Most regional health improvement collaboratives are already engaged in data collection and reporting. Often, the data varies from one region to the next. Participation in this effort helps regional partners initiate or accelerate their ability to produce meaningful cost comparisons at the local and regional level. Regional partners work collaboratively with one another and with the project’s technical advisor to arrive at standardized healthcare cost information of the highest quality. These efforts support each regional partner’s goal of serving as a trusted community resource.
  • Share both information and experiences: Emerging federal healthcare policy and healthcare market changes require transparent, nationally standardized information on relative performance. As growing numbers of regional partners develop the ability to produce and use the total cost of care measure, opportunities for sharing vitally important cost information, insights, and successful initiatives increase. Knowledge sharing eliminates the need to start from scratch, and supports each regional partner’s ability to design reporting tools around local and national stakeholder input. By embracing proven practices from one region to the next — and avoiding missteps — participation will help eliminate inefficiencies, allowing stakeholders to innovate and accelerate healthcare affordability.
  • Use the resulting information to compel fundamental change: Data analyzed at the local and regional level, and prepared for national aggregation, will allow regional partners and their stakeholders to produce reports and compare their results to their peers — locally, regionally and nationally. As awareness and market forces compel the identification and replication of initiatives that reduce healthcare costs and eliminate unnecessary spending — estimated to represent as much as 37% of all healthcare expenditures — those reductions will free resources for reallocation within the community, funding a growing culture of health.