This week, our In Focus section comes to us from HMA managing principal Sharon Silow-Carroll, senior consultant Diana Rodin, and consultant Annie Melia, of HMA’s New York office. With support from the Robert Wood Johnson Foundation (RWJF), HMA recently conducted a qualitative evaluation of Phase 1 of the RWJF Total Cost of Care and Resource Use (TCOC) pilot. The TCOC framework, developed by HealthPartners and endorsed by the National Quality Forum (NQF), is an analytical tool that measures cost and resource use for virtually all care used by individuals. According to HealthPartners, TCOC is designed to “support affordability initiatives, to identify instances of overuse and inefficiency, and to highlight cost-saving opportunities.”