Total Cost of Care Expansion Sites Selected

Congratulations to HealthInsight of Utah and the Maryland Health Care Commission!

We are pleased to announce that HealthInsight of Utah and the Maryland Health Care Commission were selected to join the original 5 pilot sites in the Total Cost of Care (TCoC) Phase II project.  Both organizations not only met the minimum requirements, they are also well positioned to be successful in their communities, and can provide new testing and learning opportunities to advance the work toward national scalability.

HealthInsight of Utah is a Regional Health Improvement Collaborative and an NRHI member; they will partner with the Utah Department of Health (UDOH), Office of Health Care Statistics (OHCS), who manages the Utah All-Payer Claims Database (APCD).  Learn more about HealthInsight of Utah at

The Maryland Health Care Commission is a stand-alone APCD with significant stakeholder engagement experience; they will partner with The Hilltop Institute at the University of Maryland Baltimore County for additional data and policy expertise.  Learn more about the Maryland Health Care Commission at

There are many other regions across the country who have expressed interest in the TCoC work.   NRHI is committed to sharing what was learned in the original pilot to help build a path forward for those interested in implementing TCoC reporting.  In the coming weeks we will be working to identify the levels of participation  and types of engagement activities that might be helpful for these organizations.

If you have any questions, please feel free to contact Ellen Gagnon at or Kelly Seiler at .


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