Gastroenterology and cardiology services are common and costly among Medicare beneficiaries. Episode-based payment, which aims to create incentives for high-quality, low-cost care, has been identified as a promising alternative payment model. This report describes research related to the design of episode-based payment models for ambulatory gastroenterology and cardiology services for possible testing by the Center for Medicare and Medicaid Innovation at the Centers for Medicare and Medicaid Services (CMS).
Andrew W. Mulcahy,Chris Chan,Samuel Hirshman,et al. Specialty Payment Model Opportunities and Assessment: Gastroenterology and Cardiology Model Design Report. 2015-01-01.