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​​Modernization

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Care Redesign Program

In response to Maryland stakeholders' requests, care redesign provides tools for greater provider alignment and transformation.  Care redesign aims to support:
  • Effective care management and population health activities
  • Improvement in care for high and rising risk populations
  • Efforts to provide high quality, efficient, well-coordinated episodes of care
  • Hospitals and their Care Partners in monitoring and controlling Medicare beneficiaries' Total Cost of Care (TCOC) growth 
  • The next steps toward delivery system transformation

Episode Care Improvement Program (ECIP) 
The Episode Care Improvement Program (ECIP) is designed to allow a hospital to link payments across providers during an episode of care. Maryland modeled ECIP on CMS’s Bundled Payments for Care Improvement Program Advanced. 
 
Episode payment models bundle payments to health care providers for certain items and services furnished during an episode of care. ECIP’s bundled payment approach aligns incentives across hospitals, physicians, and post-acute care facilities to generate savings and improve quality through better care management during episodes, eliminating unnecessary care, and reducing post-discharge emergency department visits and hospital readmissions. ECIP provides hospitals with the opportunity to provide incentive payments to care partners that help achieve these goals.

ECIP intervention categories include clinical care and care redesign; beneficiary and caregiver engagement; and care coordination and care transitions. ​