TennCare Episode Of Care Thresholds: How Thresholds Are Set, Waves 1 To 4

On January 17, 2017, the Tennessee Health Care Innovation Initiative (TennCare) published this overview of the state's episodes of care strategy for reforming health care payment including, how payers will rate performance and determine eligibility for gain sharing. The document provides a summary for each episode wave launched since May 2014, the quality measures linked to gain sharing, and the episode "acceptable" cost threshold . . .