DOTmed January 13, 2026
When the Centers for Medicare & Medicaid Services (CMS) launched the Transforming Episode Accountability Model (TEAM) and the AIM for Health Equity and Accountable Care Growth (AHEAD) model, it wasn’t tinkering with policy at the margins — it was redefining what hospitals are accountable for. The new rules make one truth unavoidable: the hospital’s responsibility doesn’t end at discharge. Every missed medication at home, every preventable fall in a skilled nursing facility (SNF), and every readmission triggered by a botched handoff now loops back as a financial penalty. In short, hospitals are paying for what they can’t see. This post-acute problem is a serious blind spot in value-based care today.
For decades, hospitals have treated post-acute care as an external...
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