EQIP is an episode-based payment program for non-hospital physicians designed to: 

• Help the State meet the financial targets of Total Cost of Care (TCOC) Model
• Include more physicians in a value-based payment framework (that is, to have responsibility and share in rewards for reducing Medicare TCOC spending)
• Encourage multi-payer alignment in a value-based payment framework
• Include more episodes than in Centers for Medicare & Medicaid Services (CMS) Innovation Center (CMMI) models
• Broaden access to Medicare’s Advanced APM (AAPM) MACRA opportunity

EQIP will provide the State with input on:

• Episodes to include (prioritization), and
• Episode design, recognizing there are annual opportunities for updates and participation.

• Episode of Care Definitions
  The Episodes of Care Definition Summary Descriptions are designed to facilitate understanding of the scope and boundaries of a specific episode.

• Prometheus Grouper
  The code set being used by EQIP.  Reach out to MedChi, CRISP, or the HSCRC to learn more or get more details.  Other value based programs or bundles can be used, but these codes are easier to add to the program.

Meeting Materials

EQIP Subgroup Meeting Slides

EQIP Subgroup Meeting Video Recordings