CMS approves Connecticut's 'episode of care' payment model


CMS has approved The State of Connecticut Health Plan, an episode-of-care payment model, according to an Oct. 7 news release.

The CMS designation will go into effect Jan. 1, 2022, under an "Episodes of Care" program. This program is designed to reduce variations in costs by setting fixed prices for more than 40 common health episodes, including knee replacements as well as spine care aimed to prevent unnecessary surgery.

The State of Connecticut Health Plan is the first of its kind in the U.S. to receive Advanced Alternative Payment Model designation for its episode-of-care payment.

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