Care Coordination Episode Profiler

Examine national-level, post-hospitalization episodic spending

Tool Basics

Suggested Users

• Hospital executives
• Planners
• Analysts
• Finance leaders

Inputs

None

Outputs

National-level episodic spending post anchor hospitalization by site of service




The Comprehensive Care for Joint Replacement (CJR), finalized in November 2015, marked CMS’s first foray into mandatory bundled payments in select markets across the nation. It was followed in July 2016 by a second proposal to expand the mandatory bundles to include other conditions such as AMI, AMI with PCI, CABG and surgical hip fixation.

Each episode holds qualifying acute care inpatient hospitals financially responsible for all spending within 90-day episodes of care for eligible Medicare fee-for-service joint replacement patients.

In response, we developed a tool to help you assess your episodic spending and ensure your organization is on track.

Our Care Coordination Episode Profiler allows you to view national average episodic spending allocation by site of service and time intervals following anchor discharge, as well as modify your view from 5 to 90 days following anchor hospitalization.

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