Episode-based performance measurement and payment: making it a reality.
Proposals to use episodes of care as a basis for payment and performance measurement are largely conceptual at this stage, with little empirical work or experience in applied settings to guide their design. Based on analyses of Medicare data, we identified key issues that will need to be considered related to defining episodes and determining which provider is accountable for an episode. We suggest a number of applied studies and demonstrations that would facilitate more rapid movement of episode-based approaches from concept to implementation.
Hussey
Peter S
PS
RAND, Arlington, Virginia, USA. peter_hussey@rand.org
Sorbero
Melony E
ME
Mehrotra
Ateev
A
Liu
Hangsheng
H
Damberg
Cheryl L
CL
D017050:Episode of Care; D006302:Health Services Research; D006801:Humans; D006278:Medicare / Q000191:economics*; D019984:Quality Indicators, Health Care; D012051:Reimbursement Mechanisms; D014481:United States