episode

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episode

noun chapter, circumstance, event, happening, incident, occasion, occurrence, sequel, short-lived event, sudden event

References in periodicals archive ?

We find the similar pattern among patients on their third or later episode of care, but the size of discrepancy in the likelihood of discontinuation between 2008 and 2010 was smaller and less significant (see Appendix Figure S4a).

Effects of the ten percent cap in Medicare Home Health care on treatment intensity and patient discharge status

When the episode of care ends, Medicare will compare its total outlay to all providers to the pre-determined bundle price that naviHealth set in its contract with Medicare.

Episode payments making progress

In addition to the options of prospective or retrospective payment, providers could choose how long the episode of care will be and what conditions they want to bundle payment for, and what services would be included in the payment.

Physicians and hospitals can test CMS bundled payments

For example, CMS currently is developing the Medicare Acute Care Episode (ACE) demonstration that bundles services (both hospital and physician) into a single episode of care with a negotiated payment amount.

CMS to encourage further care coordination and quality reporting

A global fee is the price the payer reimburses an integrated specialty care team for an entire episode of care.

Evaluating risk: global fees and episodic care. (Managed Care Theory)

Differences in the numbers of episodes and of encounters per patient per year were small compared with differences in utilization per episode of care, including diagnostic and therapeutic interventions.

The role of family practice in different Health Care Systems: a comparison of reasons for encounter, diagnoses, and interventions in Primary Care Populations in the Netherlands, Japan, Poland, and the United States. (JFP Online)

Costs related to the episode of care include the length of stay in the special care unit or hospital, nursing care costs in the hospital, professional and technical services, physician services, respiratory therapy, pharmaceuticals, IV therapy, and collateral diseases and complications.

Point-of-care testing versus central lab costs

Payments can be set prospectively for each visit provided, each month of care, each episode of care, or each month of program enrollment, for example.

Contemplating home health PPS: current patterns of Medicare service use

Under this model, the episode of care will include the hospital inpatient stay and all related services during an episode up to 90 days post hospital discharge.

naviHealth Announces Participation in Groundbreaking Program to Reduce Costs, Improve Outcomes for Medicare

With CMS' recent announcement of its Comprehensive Care for Joint Replacement (CCJR) payment model and its plan to implement in seventy-five geographic areas, hospitals must be prepared to manage the entire episode of care from the time of surgery through ninety days after discharge.

Wellbe Announces Webinar on Preparing for Medicare's Comprehensive Care for Joint Replacement (CCJR) Model

Arkansas Medicaid has initiated payment reform by explicitly rewarding those physicians and hospitals that achieve quality outcomes at lower total resource utilization for a given episode of care.

More effective care deserves better payment

Bundled payments, in which providers are reimbursed a set fee for an episode of care, will enable UC to compete for regional and national employer-based contracts for these procedures.