With DXC's Episodes of Care as-a- Service (EoCaaS), states gain flexibility to quickly and cost effectively add new episodic measures, since it’s a pay-as-you-go service.
An episode of care represents a predetermined bundle of clinical services associated with treating a specific health condition over a pre-established period of time. The episode aggregates the cost of all the services—professional, inpatient, outpatient, and pharmacy — associated with the patient’s treatment, such as knee replacements, nonemergent cardiac revascularization, and otitis media. It also enables payers and providers to evaluate the cost of care relative to reference groups and form the basis of value-based payment approaches.
Examples of programs: Episode-based measurement introduces value-based payment programs.
- Pre-negotiated—bundled—payments, incenting providers to deliver care effectively and efficiently.
- Gain/risk sharing arrangements that enable payers and providers to share savings associated with reductions in total healthcare delivery expenditures.
- Savings gained because no additional payments are made for the cost of treating complications of care, as would normally be the case under fee for service.
To move to an episode-based payment scenario, states need a system that calculates and models Episodes of Care (EoC) payment programs to State Health and Health Services Title XIX agencies and commercial payers.
DXC Technology Episodes of Care as-a- Service (EoCaaS) is the solution. With it, states gain flexibility to quickly and cost effectively add new episodic measures, since it’s a pay-as-you-go service. And it lets users analyze detail data down to a claims level in individual episodes.