episode of care

all services provided to a patient with a medical problem within a specific period of time across a continuum of care in an integrated system.

Farlex Partner Medical Dictionary © Farlex 2012

episode of care

An NHS term of art for a care episode of an inpatient, outpatient, day case, day patient, or for haemodialysis. Each episode is initiated by a referral (or re-referral) or admission, and is ended by a discharge.

Examples
Inpatient or outpatient episodes within a specialty, physiotherapy episode.

episode of care

Managed care Healthcare services provided for a specific illness during a set time period

ep·i·sode of care

(ep'i-sōd kār)

All services provided to a patient with a medical problem within a specific period of time across a continuum of care in an integrated health care system.

Medical Dictionary for the Health Professions and Nursing © Farlex 2012

ep·i·sode of care

(ep'i-sōd kār)

All services provided to a patient with a medical problem within a specific period of time across a continuum of care in an integrated system.

Medical Dictionary for the Dental Professions © Farlex 2012

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References in periodicals archive

When the episode of care ends, Medicare will compare its total outlay to all providers to the pre-determined bundle price that naviHealth set in its contract with Medicare.

Episode payments making progress

In addition to the options of prospective or retrospective payment, providers could choose how long the episode of care will be and what conditions they want to bundle payment for, and what services would be included in the payment.

Physicians and hospitals can test CMS bundled payments

* KEY WORDS Episode of care; family practice; reason for encounter [non-MESH]; diagnosis; coding [non-MESH]; classification; prescribing [non-MESH]; comparative study.

The role of family practice in different Health Care Systems: a comparison of reasons for encounter, diagnoses, and interventions in Primary Care Populations in the Netherlands, Japan, Poland, and the United States. (JFP Online)

Beyond a single episode of care, the long-term health of an individual might be influenced by the kind of lab testing he or she receives.

Point-of-care testing versus central lab costs

Payments can be set prospectively for each visit provided, each month of care, each episode of care, or each month of program enrollment, for example.

Contemplating home health PPS: current patterns of Medicare service use

Sound is a physician organization providing services across the acute episode of care - through emergency medicine, critical care, hospital medicine, transitional care and advisory services.

Fresenius Medical sells Sound Inpatient for $2.15B to Summit Partners

The Centers for Medicare & Medicaid Services is sending a clear message with CJR: They want hospitals and post-acute providers to partner and coordinate for a patient's entire 90-day episode of care. Through an Internet of Things approach, TracPatch helps both the patient and healthcare provider coordinate care and accountability.

Consensus launches orthopedic post-surgical wearable device

The Episode of Care model, which pays providers a fixed amount for all services rendered in a bundle ("episode") of care, has been discussed at some length, but remains untested, and in the end, may turn out to be just another variant of capitation.

MACRA

The Bundled Payments for Care Improvement (BPCI) initiative was designed to test whether linking payments for all providers involved in an episode of care reduces Medicare costs, while maintaining or improving quality of care.

CMS: bundled payment initiative shows savings

Under the new model, hospitals will be held accountable for the total cost of all delivered services across the entire episode of care and will have to meet regional financial targets set by CMS (Centers for Medicare and Medicaid Services).

PMMC Predicts Hospitals Face Up to $3 Million Financial Loss from CJR Ruling

Each observation in this dataset corresponds to a patient's 60-day-long episode of care. Descriptive statistics on main variables are presented in Table 1.

Effects of the ten percent cap in Medicare Home Health care on treatment intensity and patient discharge status