Medicaid Episodes Of Care & Other Weird Arrangements

If you're confused about the terminology in the world of value-based payment, you're not alone. Somewhere between fee-for-service and capitation is a range of reimbursement models that are fondly referred to as “other weird arrangements.” There are many terms – case rates, bundled payments, gain sharing, episodic payments, and even capitation payment models for a specific populations that are the financial equivalents of case rates.

We've reported on all of the above. The use of case rates – see Four Keys To Success With MCO Contracting and The Keys To Negotiating Risk-Based Contracts: Advice From . . .