Final 2017 Ohio Episodes of Care performance reports are now available on the MITS portal. Included is the final determination of positive and negative incentive payments for the following episodes linked to payment in 2017: asthma, cholecystectomy, colonoscopy, COPD, EGD, GI bleed, perinatal, URI, and UTI. These reports include both a summary PDF report and a member-level CSV file.
Incentive payments are still determined at the individual payer level for these reports. Medicaid will be moving to a pooled approach for the 2019 performance year; for information on implementation of that change, please listen to Medicaid’s December 5, 2018, webinar and view the webinar slides.
Reports do only include information for 4 of the 5 managed care plans, plus fee for service. In the last few weeks, Medicaid discovered an issue with data from Paramount that was impacting episodes so Paramount data was pulled. Once that data issue is resolved, Medicaid will re-run and post the Paramount reports.