AJMC December 11, 2024
Robert E. Mechanic, MBA,Jennifer Perloff, PhD,Daniel Koppel, MS

The authors evaluate features of the Transforming Episode Accountability Model and discuss its benefits and limitations.

Am J Manag Care. 2024;30(Spec. No. 13):SP1050-SP1058

On August 1, 2024, CMS finalized a new mandatory bundled payment initiative, the Transforming Episode Accountability Model (TEAM), which will begin on January 1, 2026, and continue for 5 years.1 The model will be implemented in 188 metropolitan areas encompassing 25% of Medicare beneficiaries. CMS has identified 741 hospitals that will have to take on financial risk for 5 surgical episodes, including spending for the initial hospital stay and most care provided in the 30 days after discharge.

The TEAM episodes are lower extremity joint replacement (LEJR), coronary artery bypass graft (CABG), spinal fusion, surgical hip/femur fracture...

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