bundled payment

(redirected from episode-of-care payment)

bundled payment

A single comprehensive payment made to healthcare providers—hospitals and physicians—for a group of related services, based on the expected costs for a clinically defined episode of care.
References in periodicals archive ?
Unlike the ACO model, episode-of-care payments do not discourage expensive procedures; they encourage physicians and hospitals to work together to achieve good outcomes at low cost.
Additionally many states, payers and other groups are participating in experiments including bundled payments, episode-of-care payments, gain sharing demonstration projects, the Prometheus payment project, and pay-for-performance initiatives.
The organizations may combine other health care initiatives--such as medical homes and electronic medical records--with new ways of paying for health care, such as global and episode-of-care payments, which bill for an entire injury or disease rather than each exam, test or treatment.
Episode-of-Care Payments--As stated in the 2008 Medicare hospital outpatient final rule, the agency is seriously considering ways to consolidate outpatient payments into larger, more comprehensive, episode-of-care payments.
TriZetto's patent-pending payment-bundling application automates and streamlines the processing of episode-of-care payments by QualChoice.
Other initiatives include episode-of-care payments for joint surgery and soon CABG surgery and establishment of accountable care organizations (ACO).
The patent-pending application will automate the processing of episode-of-care payments to BlueCross.
the measurement and reward of efficiency in healthcare, administrative simplification, healthcare affordability, bundled episode-of-care payments, and accountable care organizations.
Both ACOs and PCMHs attempt to link organizational provider structures to episode-of-care payments and performance measurements for quality and cost-of-care accountability.
This patent-pending solution automates the processing of episode-of-care payments, including the unique feature of a single prospective payment to a group of clinicians and hospitals for all the medical services during an episode of care.
TriZetto's new patent-pending product automates the processing of episode-of-care payments, including the unique feature of a single prospective payment to a group of clinicians and hospitals for all the medical services during an episode of care.