Interestingly, the effect on the likelihood of discontinuation was obvious only among patients on their first or second episode of care
, but not for patients whose duration of care was longer (i.
THE MOST MODEST EPISODE--On the other end of the spectrum, five oncology practices across the country recently completed an episode of care
pilot that is limited to chemotherapy administration.
So, far from putting physicians at risk for the frequency of uncertain medical events often beyond their control, globally pricing an episode of care
only puts them at risk for complications within their technical skills to control after the patient has decided to seek care.
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.
The demonstration is being implemented in two phases: Phase I has been testing a system where payment rates are set on a per visit basis; and Phase II, to begin in 1995, will test a system where rates are set for each episode of care
MedAssets has worked with numerous providers to implement alignment models that bring hospitals and their physicians together, evaluate, identify, and implement changes to the care delivery system to improve quality and decrease cost across the continuum, and employ meaningful analytics for managing an episode of care
Bundled payment, where providers are reimbursed a set fee for an episode of care
, is a health reform aimed at improving the coordination, quality and efficiency of care.
Under these models, Medicare officials will work with physicians and hospitals to come up with a target price for the episode of care
The Department of Defense (DOD) reported that under its current policy, beneficiaries eligible for both TRICARE and the Department of Veterans Affairs' (VA) health care (dual eligible beneficiaries) are not allowed to utilize the services offered by both health care systems for treatment for the same episode of care
Access restrictions can be applied to individual patient charts, or an episode of care
for a specific patient, securing confidentiality.
These systems identify patients entering an episode of care
and contact them via email or telephone, to remind them of their episode allowance and ask if they need help in managing their health services.
Under the proposed system, HHAs would be paid a standardized rate for a 60-day episode of care