Principles for Clinical Episode and Population-Based Payment Overlap

While both episode-based and population-based payment models present opportunities for improvement in quality and care, they are not always in alignment. The recent implementation of Medicare-focused alternative payment models has resulted in instances of overlap, where multiple providers may be responsible for the same patient under different models. While this does not create a problem by itself, it can create inefficiencies and challenges that are ultimately at odds with the end goal of delivering higher quality and more integrated care.

The Task Force has developed a set of guiding principles to govern the development of best practices in public and private payer models.

 Read the Principles