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Quality PaymentPROGRAM2024 EpisodeBased Cost Measures Field Testing Wave 6 Measure Development ProcessWinter 2024 Field TestingTable of Contents 1.0Introduction .....................................................................................................................
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The episode-based cost measures field is a reporting framework that evaluates the costs associated with specific episodes of care, focusing on the financial performance and resource utilization for various medical conditions.
Providers and organizations that participate in Medicare programs and those involved in value-based care initiatives are typically required to file the episode-based cost measures field.
To fill out the episode-based cost measures field, providers should collect data on costs incurred during an episode of care, including all related services and supplies, and report the total expenditures alongside relevant patient identifiers and care details.
The purpose of the episode-based cost measures field is to enhance transparency in healthcare spending, promote accountability among providers, and encourage cost-effective care delivery by tracking the financial outcomes of specific treatment episodes.
Providers must report details such as total episode costs, the types of services included, patient demographics, and any other relevant financial data that accurately reflects the episode of care.
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