Cost of Care


In recent years there has been national momentum to gather data and develop measures to assess the cost of health care services. Through generous funding from the Robert Wood Johnson Foundation (RWJF) and the pioneering support of Oregon data suppliers and stakeholders, Q Corp has been able to be a part of this national conversation through several partnerships and projects. Our shared goal is to help multiple stakeholders achieve the Triple Aim outcomes of a healthy population, exceptional patient care and affordable costs.

Measuring Total Cost of Care: Healthcare Regional Cost Measurement and Transparency Pilot

As a part of the RWJF grant and a national pilot project led by the Network for Regional Healthcare Improvement (NRHI), Q Corp and four other regional multi-stakeholder health improvement collaboratives are piloting production of cost of care measures which can be reported to primary care clinics and the public and compared across regions. These measures are based on a framework developed by HealthPartners®, a large nonprofit integrated health care organization based in Minnesota, and have been in use for over ten years. The two measures, which are endorsed by the National Quality Forum (NQF), are the Total Cost Index (TCI) measure which looks at the overall cost effectiveness of managing patient health, and the Resource Use Index (RUI) measure which looks at the frequency and intensity of services used to manage patient health.  

The second round of the Regional Total Cost of Care pilot allows Q Corp and the four other original sites further develop their cost of care measures, use longitudinal data to evaluate trends, examine the impact of risk adjusters, and continue working toward standardization. Introducing two new regions to the work allows for testing of new models for maximum leverage and adaptability in the rapidly changing health care transformation environment.

In the spring of 2015, Q Corp rolled out initial Clinic Comparison Reports.  These reports included cost, utilization and quality measures for clinics. This fall, Q Corp will release our second round of Clinic Comparison Reports to over 150 primary care clinics in Oregon. Reports for additional audiences will be released after the second round of Clinic Comparison Reports. 

Cost of Care Steering Committee (view roster)

Q Corp convened the Cost of Care Steering Committee in the summer of 2014.  The Committee’s charge is to guide Q Corp on implementing cost of care and payment reform products and services, and to inform the development of new related products and services. Much of 2014 and 2015 has been spent on the format and content of the clinic comparison reports and strategy development around implementation and communications. The Committee has also considered the various audiences that would find cost analyses useful.   



Please view this webinar recording, in which Oregon staff review the recently released Network for Regional Health Improvement (NRHI) report Health Care Affordability: Untangling Cost Drivers and what it means for Oregon.

Watch the Recorded Webinar >>>

View Webinar Slides >>>

Please view this webinar recording, which is an in-depth look at cost, quality and utilization reports. We reviewed the measures and reports, and answered questions from medical group particpants who attended the webinar live.

             Q Corp Clinic Comparison Report Review - What it Means for Your Medical Group

             June 30th 2016

 Watch the Recorded Webinar >>>

View Webinar Slides >>>


Why Total Cost of Care?

The Total Cost of Care pilot’s National Physician Leadership Seminar held at Stanford University in August of 2014. Led by the Network for Regional Healthcare Improvement (NRHI) and hosted by Dr. Arnie Milstein of the Clinical Excellence Research Center, this seminar brought together physician leaders from five states to come together and discuss how Total Cost of Care information might be used to improve quality and reduce cost.

Watch the videos below (some starring Oregon’s own Stephen Hale, MD) to learn more >>>


For More Information

Read the NRHI report “Health Care Affordability: Untangling Cost Drivers"

Read the NRHI report "From Claims to Clarity: Deriving Actionable Healthcare Cost Benchmarks from Aggregated Commercial Claims Data"

Medicare Total Cost of Care Issue Brief

Read Q Corp's white paper on the Total Cost of Care initiative

Frequently Asked Questions

Technical Appendix

Quality Composite Measure Methodology

Sample Clinic Comparison Report

View additional references for the HealthPartners® measures and Johns Hopkins risk adjusters

Learn more about the measures at the HealthPartners® website

Learn more about the Regional Total Cost of Care pilot at the NRHI website

Total Cost of Care Phase I Evaluation (Health Management Associates)

Email Q Corp's Cost of Care team