CMS Innovation Center Episode Payment Models

CMS Innovation Center Episode Payment Models

Episode Payment Models Evaluation Synthesis

White Paper Key Takeaways:

CMS conducted an analysis of nine available evaluation reports that look at results for seven episode payment models to identify common themes, determine lessons learned, and highlight best practices. Of the episode payment model results reviewed, some have shown reductions in utilization and episode costs without compromising quality. However, despite decreased utilization and lower expenditures in some of these episode payment models, to date, model evaluations typically observe no net savings to Medicare, due to how target prices, discounts, and risk-sharing arrangements have been set.

The White Paper (includes an Executive Summary): White Paper Synthesis (PDF) Additional Supporting Materials: Bundled Payments for Care Improvement (BPCI) Initiative: General Information Comprehensive Care for Joint Replacement Model Oncology Care Model