Episodes of Care

Episodes of Care is a state-wide value-based payment program incentivizing high-quality, cost-effective care for specific acute or specialized services over a specific time period, which is called an “episode”. The program includes 48 episodes. The program assigns a single principal accountable provider who has the most impact on the overall cost and quality of a patient’s relevant services within an episode and measures the quality and cost performance. Episodes of Care is primarily a cost-focused program, with a strong quality component.