ICD10monitor April 15, 2024
Federal officials are taking a TEAM approach to saving federal dollars on certain high-volume, high-cost surgical procedures with a new program embedded in the recent Proposed Rule for inpatient and long-term care hospitals (LTCHs) for the 2025 fiscal year.
All-caps fully intended: that’s the Transforming Episode Accountability Model (TEAM), which is slated to begin on a mandatory five-year trial basis, starting in January 2026.
Specifically, officials said, they want to see if the new model could reduce Medicare expenditures for the designated procedures while preserving or enhancing the quality of care, hoping it will “incentivize coordination between care providers during a surgery, as well as the services provided during the 30 days that follow, and require referral to primary care...
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