Episodes of care: Is emergency medicine ready?

Jennifer L. Wiler, Dennis Beck, Brent R. Asplin, Michael Granovsky, John Moorhead, Randy Pilgrim, Jeremiah D. Schuur

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

Optimizing resource use, eliminating waste, aligning provider incentives, reducing overall costs, and coordinating the delivery of quality care while improving outcomes have been major themes of health care reform initiatives. Recent legislation contains several provisions designed to move away from the current fee-for-service payment mechanism toward a model that reimburses providers for caring for a population of patients over time while shifting more financial risk to providers. In this article, we review current approaches to episode of care development and reimbursement. We describe the challenges of incorporating emergency medicine into the episode of care approach and the uncertain influence this delivery model will have on emergency medicine care, including quality outcomes. We discuss the limitations of the episode of care payment model for emergency services and advocate retention of the current fee-for-service payment model, as well as identify research gaps that, if addressed, could be used to inform future policy decisions of emergency medicine health policy leaders. We then describe a meaningful role for emergency medicine in an episode of care setting.

Original languageEnglish (US)
Pages (from-to)351-357
Number of pages7
JournalAnnals of emergency medicine
Volume59
Issue number5
DOIs
StatePublished - May 1 2012

ASJC Scopus subject areas

  • Emergency Medicine

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    Wiler, J. L., Beck, D., Asplin, B. R., Granovsky, M., Moorhead, J., Pilgrim, R., & Schuur, J. D. (2012). Episodes of care: Is emergency medicine ready? Annals of emergency medicine, 59(5), 351-357. https://doi.org/10.1016/j.annemergmed.2011.08.020