Opportunities and Challenges for Episode-Based Payment

Robert E. Mechanic

70 citations0/0 files storedNew England Journal of Medicine

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Healthcare Policy and Management Healthcare Systems and Reforms Primary Care and Health Outcomes

Abstract

Episode-based payment, one of the payment reforms in the Affordable Care Act, aims to create incentives for efficiency and better care coordination. But it's more complex to administer than fee for service or capitation and faces substantial implementation challenges.

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References

2009Payment Reform Options: Episode Payment Is A Good Place To Start 2009Building a Bridge from Fragmentation to Accountability — The Prometheus Payment Model 2009Episode-Based Performance Measurement And Payment: Making It A Reality

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2018Association of Hospital Participation in a Medicare Bundled Payment Program With Volume and Case Mix of Lower Extremity Joint Replacement Episodes

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