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The SIHIS Directional Indicators Dashboard was updated to include a module for the Total Cost of Care (TCOC) goal. This module aims to help stakeholders track monthly progress towards enrolling Medicare beneficiaries in a Care Transformation Program and increasing the TCOC under a Care Transformation Program. Some Care Redesign programs allow for panel-based episodes that begin on the first day of the performance period. Depending on the program, performance periods run on a calendar or fiscal year. This will determine if beneficiaries in these panel-based episodes are included either in January or July. The first month of each new performance period will produce significant spikes in enrollment. Since the measures calculate on a year-to-date basis, they will be understated until July data are available.