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Welcome to MedChi, The Maryland State Medical Society.  
As the statewide professional association for licensed 
physicians, we are dedicated to our mission to serve as 
Maryland's foremost advocate and resource for physicians, 
their patients, and 
the
public health.

Thursday, May 23, 2024
You are here : Your Profession  >  Center for the Private Practice of Medicine  >  Total Cost of Care  >  EQIP
EQIP

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
    • Episodes by Clinical Chapters
      Note: The vast majority of the episodes have not yet been fully defined, reviewed and updated. We welcome participation in Clinical Working Groups to continue the work of reviewing and fully defining each episode.
    • Next 100 List
      This is a list of episodes that the PACES team have nearly finalized but looking for clinical experts to validate. 
    • After extensive analysis and meetings with specialty stakeholders, the HSCRC will move forward with utilizing Patient-Centered Episodes of Care System (PACES) as the EQIP episode grouper, starting in PY4 (CY2025).  While many PACES episodes are undergoing final clinical review and updates, the system offers much more complete coverage than PROMETHEUS and paves the way for easier, more seamless program expansion in future years. Current EQIP episode categories are well-covered by finalized PACES categories and overall, a high degree of alignment has been found for episodes currently available under EQIP


Meeting Materials

EQIP Subgroup Meeting Slides

     
April 17, 2024
*Tier 1 and Tier 2 ZCTA List with PQI and ADI data compared to All Maryland

March 27, 2024  March 15, 2024 February 28, 2024   February 27, 2024
(Urology Crosswalk)

February 26, 2024
(Cardiology Crosswalk) 
February 16, 2024  February 16, 2024
(Orthopaedics Focus)
February 8, 2024
(Gastroenterology Focus)

 January 26, 2024
(Understanding the Episode Quality Improvement Program)
 January 19, 2024 November 17, 2023  November 17, 2023
(Quality Payment Program Overview)

 September 15, 2023 August 15, 2023
(Rheumatology EQIP update)
August 14, 2023
(Meeting with American College of Allergy Asthma Immunology)

August 1, 2023
(Special meeting on new MSK bundle)

July 14, 2023


May 19, 2023


January 20, 2023


November 18, 2022


September 16, 2022


July 15, 2022
(ED Focused)

July 15, 2022


May 25, 2022


May 20, 2022


April 14, 2022
(Urology Focused)

April 6, 2022
(Ophthalmology Focused)

March 17, 2022


February 18, 2022


January 28, 2022


December 10, 2021


October 22, 2021


September 17, 2021


July 16, 2021


June 18, 2021


June 2, 2021
(GI Focused)

June 1, 2021 (Orthopedic/Neuro Focused)

May 27, 2021
(Cardiology Focus)

May 21, 2021


 April 23, 2021


February 12, 2021



November 6, 2020



March 13, 2020
*Proposed Triggers to be Used to Identify Episodes

March 3, 2020




January 16, 2020


November 22, 2019


 


EQIP Subgroup Meeting Video Recordings

  April 19, 2024

April 17, 2024

March 27, 2024



 March 15, 2024



February 28, 2024



February 27, 2024



February 26, 2024



February 16, 2024



February 16, 2024



February 8, 2024



January 26, 2024



January 19, 2024



November 17, 2023



September 15, 2023



August 15, 2023

  
August 14, 2023

 
August 1, 2023



July 14, 2023



May 19, 2023



January 20, 2023



November 18, 2022



September 16, 2022



July 15, 2022



May 25, 2022



May 20, 2022



April 14, 2022



April 6, 2022



March 17, 2022



January 28, 2022



December 10, 2021



October 22, 2021



September 17, 2021



July 16, 2021



June 18, 2021



June 2, 2021 (Part 1)



June 2, 2021 (Part 2)



June 1, 2021



May 27, 2021



May 21, 2021



April 23, 2021



February 12, 2021



November 6, 2020



March 13, 2020



 


Quality Measures

EQIP quality measures will be evaluated via claims data.  Meaning the CPTs must show up in the claims data. 

 

The CMS guidelines for the measures can be found here:



 

Additional Resources


For more information on MedChi's Health System Reform Resources, contact the Law & Advocacy Division.