Why Your Performance Reporting Should Include ‘Episodes Of Care’

"Episodes of care" are an increasingly common form of value-based reimbursement.

The most widely known episode of care or bundled payment model is the Centers for Medicare & Medicaid Services (CMS) bundled rate initiative for Medicare, which pays for acute care hospital stays and related post-acute services through episodic payment mechanisms. Depending on the payment model, bundles include designated episode lengths of 30, 60, or 90 days related to a hospital stay (see Bundled Payments for Care Improvement (BPCI) Initiative: General Information).

Humana recently expanded the availability of its Medicare Advantage value-based care bundled payment model for . . .