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Centers for Medicare & Medicaid Services
The CMS Innovation Center Announces Finalized Transforming Episode Accountability Model (TEAM)

The Centers for Medicare & Medicaid Services (CMS) Innovation Center is pleased to announce the finalized Transforming Episode Accountability Model (TEAM) [ https://www.cms.gov/priorities/innovation/innovation-models/team-model ]. The five-year mandatory model will incentivize coordination between care providers during a surgery as well as the services provided during the 30 days after surgery with the aim of:


* improving the quality of care for people with Medicare undergoing certain surgical procedures;
* reducing rehospitalization and recovery time;
* lowering Medicare spending; and
* driving equitable outcomes.

TEAM will focus on lower extremity joint replacement, surgical hip and femur fracture treatment, spinal fusion, coronary artery bypass graft, and major bowel procedure. The model will start in January 2026 and end in December 2030.

Acute care hospitals, located within the mandatory Core Based Statistical Areas (CBSAs) selected by CMS for model implementation, will be required to participate in TEAM. CMS will allow a one-time opportunity for additional hospitals that participate through the end of the Bundled Payments for Care Improvement Advanced or Comprehensive Care for Joint Replacement Models to voluntarily opt into TEAM.

TEAM participants will receive a target price to cover all costs associated with a 30-day episode of care, and they will be required to refer patients to primary care services to support continuity of care and drive positive long-term health outcomes.

The model will also include a voluntary Decarbonization and Resilience Initiative [ https://www.cms.gov/team-decarbonization-and-resilience-initiative ] to address threats posed by climate change to the nation's health and health care system.

TEAM is part of the FY 2025 Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment Systems Final Rule [ https://www.federalregister.gov/public-inspection/2024-17021/medicare-medicaid-and-childrens-health-insurance-programs-hospital-inpatient-prospective-payment ]. CMS may make updates to TEAM in future years through notice-and-comment rulemaking.

For more information, please visit the model web page [ https://www.cms.gov/priorities/innovation/innovation-models/team-model ]. To stay up to date on model announcements, events, and resources, sign up for the TEAM listserv [ https://public.govdelivery.com/accounts/USCMS/subscriber/new?topic_id=USCMS_13204 ]. You can contact the model team at CMMI_TEAM@cms.hhs.gov.

Centers for Medicare & Medicaid Services (CMS) has sent this update. To contact Centers for Medicare & Medicaid Services (CMS) go to our contact us [ http://www.cms.gov/About-CMS/Agency-Information/ContactCMS/index.html ] page.

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