Health Affairs May 22, 2024
Joshua M. Liao, Austin S. Kilaru, Joseph H. Joo, Aidan P. Crowley, Amol S. Navathe

Over the past several years, the Centers for Medicare and Medicaid Services (CMS) has reevaluated its approach to value-based payment models. Recent emphasis has been to expand population-based models, such as accountable care organizations (ACOs) and primary care programs.

However, it has been less clear how policy makers will advance episode-based payment models beyond ongoing programs. Episode-based bundled payment models have been successful in their own right, and greater engagement of specialists remains a major need—both for overall payment policy and to promote greater care delivery and incentive alignment with population-based models.

That policy direction is now clearer. Last month, CMS announced the Transforming Episode Accountability Model (TEAM), a new program that will begin in January 2026 after the conclusion...

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Topics: ACO (Accountable Care), CMS, Equity/SDOH, Govt Agencies, Healthcare System, Insurance, Medicare, Payment Models, Primary care, Provider, Value Based
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