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Invited Commentary
January 2018

Episode Payment Model for Coronary Artery Bypass Grafting—Opportunities and Challenges

Author Affiliations
  • 1Center for Coronary Revascularization, Cleveland Clinic, Cleveland, Ohio
  • 2Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio
  • 3Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio
JAMA Surg. 2018;153(1):20. doi:10.1001/jamasurg.2017.2895

Through the episode payment models, hospitals and clinicians are financially responsible for expenses incurred during index hospitalization as well as in the prehospitalization and posthospitalization periods. Coordinated and efficient care allows hospitals to be competitive with regard to this payment model, but the challenge is to deliver care that guarantees access and quality within the budgetary constraints. Payments should be fair and practical if the intended goal is value-based care and not just cost containment.

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