• Tolbert Coombs Alice A AA Department of Anesthesiology and Critical Care Medicine, Associate Professor, Virginia Commonwealth University, Medical College of Virginia, Ric.
• Department of Anesthesiology and Critical Care Medicine, Associate Professor, Virginia Commonwealth University, Medical College of Virginia, Richmond, Virginia, USA.
• Curr Opin Anaesthesiol. 2021 Apr 1; 34 (2): 154-160.

Purpose Of ReviewEpisode-based cost measures (EBCM) is a method of combining all services related to a defined episode of care, identified as either a procedure, acute illness or chronic disease, and providing expected cost for that episode or bundle of care. Procedural EBCM has become a major scheme for payment methodology and patient quality of care evaluation. Anesthesiologists need to know how EBCM can impact their clinical practice.Recent FindingCenters for Medicare and Medicaid Services (CMS) pays physicians with fee-for-service payment for Clinical Episodes and, in 2020, the EBCM are increasing and currently, represents 4.5% of the total Medicare Part A and B spending [1]. With the recent changes in CMS, it is important, for anesthesia providers to know how cost attribution identifies the cost for all services and complications under anesthetic management.SummaryEBCM can impact the anesthesiologist's quality performance, efficiencies measures, and payment. To preserve practice viability, anesthesiologists must understand how their compensation is impacted by services ordered. Anesthesiologists will increasingly be expected to improve quality and efficiencies in EBCM.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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