Episodes of Care

Episodes of Care Initiative

Overview

As a key value-based care strategy, episodes of care is an alternative payment model that offers incentives to providers to increase coordination and efficiency of care while improving quality and outcomes at lower costs. The National Alliance is collaborating with key stakeholders to help accelerate development of employer adoption of episodes of care across the country.

Our Path Forward

National Alliance member coalitions will continue to assist purchasers in the development, implementation and administration of episodes of care programs with multiple employers active in Florida through the Florida Alliance for Healthcare Value. Other states such as Colorado, Pennsylvania, Tennessee and Texas are also moving forward. To support these efforts, a toolkit is being developed that will provide materials to support the implementation process and educate on standards and carrier assessments. 

For more information, please contact Karlene Lucas from the National Alliance of Healthcare Purchaser Coalitions.

Featured Resources

Action Brief - Hope and Healing

Targeted Commercial Episodes of Care

Commercial Bundle Categories

FAQs

Frequently Asked Questions

This document addresses frequently asked questions around Episodes of Care.

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Tennessee Substance Use Disorder

This deck provides an overview for the Substance Use Disorder Episode of Care program from a parity and benefits standpoint.





Our Collective Value Agenda:

  • Common episodes definitions to align and focus care management and improvement efforts
  • Quality & appropriateness of care to ensure and promote the right care at the right place for the right patient
  • Double-sided risk alignment to incentivize a shared commitment to success and patient centered value 
  • Warrantied performance to provide accountability for high performance and outcomes
  • Relevance for purchasers, patients & providers to enable substantive and sustainable benefits for all stakeholders

“Employer-led episodes of care can truly bring about the change required in the broken healthcare market. Working through our regional and national network of member coalitions can enable faster and more seamless execution of episode-of-care payment models across the country."

Michael Thompson, President & CEO, National Alliance