HIT Consultant November 17, 2025
Fred Pennic

What You Should Know:

– On November 15, 2025, the Centers for Medicare and Medicaid Services (CMS) will begin notifying 742 hospitals and health systems of their 2026 pricing targets and quality scores for the Transforming Episode Accountability Model (TEAM).

– CMS issued a final rule in July codifying the TEAM model, which aims to reduce costs and improve the quality of outcomes for millions of Americans.

TEAM Model

The model focuses on the five highest-spend surgical procedures in Medicare, which currently cost $19.2B annually:

  • Lower Extremity Joint Replacement (LEJR)
  • Spinal Fusion
  • Coronary Artery Bypass Graft (CABG)
  • Major Bowel Procedures
  • Hip/Femur Fracture Treatment

Starting January 1, 2026, participating hospitals will have the sole responsibility to coordinate...

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