Health Affairs

Health Affairs, 28, no. 5 (2009): 1406-1417 doi: 10.1377/hlthaff.28.5.1406 © 2009 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Changing Incentives

Episode-Based Performance Measurement And Payment: Making It A Reality

Peter S. Hussey, Melony E. Sorbero, Ateev Mehrotra, Hangsheng Liu and Cheryl L. Damberg

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.

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