TCoC Phase II Project Seeking Development Sites

A new opportunity is being made available to participate in the Total Cost of Care Phase II (TCoC) project.

One of the key goals of the Phase II project is expansion to new regions.  In June, two new expansion regions (HealthInsight Utah and Maryland Health Care Commission) were selected to join the original five Pilot sites (Colorado, Maine, Minnesota, Oregon and St. Louis).  During the process of selecting the expansion sites, NRHI identified that some regions faced barriers to meeting the project requirements, and were not yet at a state of readiness to participate.

With support from the Robert Wood Johnson Foundation, NRHI is now able to provide support for regions to overcome barriers and increase their level of readiness for potential future phases. As further described in the Request for Proposal (RFP), NRHI will select up to four new regions to participate in Phase II as a Development Site.  The scope of participation for Development Sites is different from that of the Pilot and Expansion sites, and is focused in identifying and working to resolve a barrier that would otherwise prevent full participation.

More information on TCoC Phase II is included in the RFP, as well as requirements and deliverables for the selected Development Sites.  For more information on the Pilot project, please see the additional resources noted below.  The qualitative evaluation prepared by Health Management Associates, may be particularly helpful in understanding the processes, challenges and accomplishments of the original five pilot participants.


Request for Proposal Process and Timeline

All RFP respondents shall submit the information listed below no later than midnight on Friday, October 23, 2015.  Submissions should be send via email as noted below. All responses will be reviewed against the requirements. All respondents shall be notified of the final selection decision no later than November 9, 2015.


An informational webinar will be held on Wednesday, October 14th from 3:00 – 4:00 pm (Eastern Time) and will be recorded and posted on the Total Cost of Care page on the NRHI website at  Please note, space is limited to the first 100 registrants, however the recording will be made available on the NRHI website for additional viewing.  Click HERE to register.

Frequently Asked Questions

Frequently asked questions and answers will be posted on our website at and regularly updated.  Please send any questions to Ellen Gagnon at .

Additional Resources

Background materials include the following and are available at


Proposals shall be submitted to the following e-mail address no later than 8 am EST on October 26, 2015:

Network for Regional Healthcare Improvement

Attn: Ellen Gagnon, Senior Project & Operations Director