Now added to the RemitDATA portfolio will be IF Technologies' full breadth of services and solutions, including HealtheReports, a comparative data solution that delivers pricing, by provider, to empower insurers and their members to find the best healthcare value; and
Episode of Care Analytics, a solution that provides insight to drive significant savings and empowers insurers to lower their costs as well as costs for employers and their members.
To resolve these analytic problems, we decided to approximate an
episode of care analytic methodology by using intervals of care defined as all services provided by one physician to one patient for one diagnostic category during fixed intervals of time.
Starting in late summer and focusing initially on commercial PPO patients in Los Angeles and Orange counties, the project is designed to demonstrate the feasibility of
episode of care payments for total knee or hip replacements.
Bundling payment for services that patients receive across a single
episode of care, such as heart bypass surgery or a hip replacement, is one way to encourage doctors, hospitals and other health care providers to work together to better coordinate care for patients both when they are in the hospital and after they are discharged.
The possibility exists to redesign entire
episode of care programs for chronic diseases.
DOD proposes to change its basic policy to enable dual eligible beneficiaries to access both systems for the same
episode of care, thus ensuring full freedom of choice.
However, they introduce real world responsibility--most significantly, budgets for each
episode of care.
Under the proposed system, HHAs would be paid a standardized rate for a 60-day
episode of care.
We propose that an
episode of care can serve as an appropriate time horizon for pharmacoeconomic studies for limited or episodic conditions, such as acute migraine or peptic ulcer disease (Schulman, Yabroff, and Glick 1995).
HCI3 is a recognized leader in defining the services bundled together into an
episode of care across acute and chronic conditions, including inpatient and outpatient procedures.
He expressed concern about the perinatal
episode of care.
Does a medical director who makes a decision about a specific
episode of care engage in the practice of medicine, or does she act as intercessor for the fiduciary agent of her company.
