The public comment period for the draft white paper on clinical episode payment for elective joint replacement is now open. The Clinical Episode Payment (CEP) Work Group invites your input and comments now through Monday, March 28.

Key Dates

  • Friday, February 26: Comment period open
  • Monday, March 28: Comment period closes
  • Listening sessions for providers, purchasers, consumers, payers. Dates TBD

Overview of the Draft White Paperjoint-replacement-highlight

The draft white paper provides recommendations for how to design patient-centered episode payment for elective hip and knee replacement. Specifically, the white paper discusses the Work Group’s recommendations for those design elements and operational considerations that support clinical episode payment adoption across a broad set of health plans, providers, and purchasers. Information and positions taken in this document should be considered preliminary until the Work Group receives input from the LAN and releases a final version of the white paper.

What Feedback Are We Seeking?

Your comments will help to refine the final white paper, which is targeted for release later this year. In addition to input about the overall white paper, the CEP Work Group is seeking feedback on:

  • Definitions and terminology
  • Design element recommendations
  • Operational considerations
  • Stakeholder perspectives
  • Examples and case studies that would be useful to illustrate the adoption of clinical episode payment models.

How Will We Collect Feedback?

The Work Group is collecting feedback in three ways:

Webinar Recording Now Available
On Tuesday, February 23, the Work Group hosted a webinar to provide an overview of the Work Group’s decision making process and a high level review of the Elective Joint Replacement recommendations. Work Group member Steve Spaulding also presented on Arkansas Blue Cross Blue Shield’s experience with implementing episode payments in their market. For more information and to listen to the recording, view slides, or read a summary, visit the webinar archive.

The Work Group requests feedback on the draft white paper by Monday, March 28. We appreciate your involvement and look forward to your input.

Sincerely,
The CAMH Team

To achieve the goal of better care, smarter spending, and healthier people, the U.S. health care system must substantially reform its payment structure to incentivize quality, health outcomes, and value over volume. The Health Care Payment Learning and Action Network (LAN) was established as a collaborative network of public and private stakeholders, including health plans, providers, patients, employers, consumers, states, federal agencies, and other partners within the health care community.

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