The Total Cost of Care Program

The Total Cost of Care (TCOC) program is a Category 3 Alternative Payment Model (APM) reimbursement system developed by AmeriHealth Caritas PA CHC for participating primary care practitioners (PCPs).

The TCOC program is intended to be a fair and open system that provides incentives for high-quality and cost-effective care, Participant service and convenience, and submission of accurate and complete health data. Both efficient use of services and quality performance are the key determinants of the additional compensation. As additional meaningful measures are developed and improved, the quality indicators contained in the TCOC program will be refined. AmeriHealth Caritas PA CHC reserves the right to make changes to this program at any time and shall provide written notification of any changes.

For more information, please consult the Total Cost of Care program manual (PDF).