RevCycle Intelligence May 1, 2024
Victoria Bailey

The bundled payment model would provide hospitals with a target price to cover all costs associated with an episode of care for certain surgical procedures.

CMS has proposed a new mandatory bundled payment model to test if episode-based payments for select surgical procedures would lower Medicare spending and improve care quality.

The Transforming Episode Accountability Model (TEAM) is proposed to launch on January 1, 2026, and run for five years. The model aims to build upon the CMS Innovation Center’s previous work on episode-based alternative payment models, including the Bundled Payments for Care Improvement Advanced and Comprehensive Care for Joint Replacement models.

Traditional Medicare beneficiaries receiving surgical procedures in the hospital or as an outpatient may experience fragmented care, resulting...

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Topics: Bundled Payments, CMS, Govt Agencies, Health System / Hospital, Insurance, Medicare, Payment Models, Provider, Value Based
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