What is Episode of Care Payment?

Episode of care payment is a reimbursement model where providers receive a single payment for all services related to a specific medical condition or procedure over a defined time period. This bundled approach typically covers initial treatment, follow-up care, and related complications within the episode window, encouraging coordinated, efficient care delivery across multiple providers.

Why episode of care payment matters

• Promotes care coordination: Incentivizes providers to work together throughout treatment
• Controls costs: Creates predictable expenses for defined treatment periods
• Improves quality: Rewards good outcomes rather than service volume

How Solace can help

A Solace advocate can help you understand which services are included in your episode of care payment, ensure you're not billed separately for covered services, and coordinate care among multiple providers involved in your treatment episode.