Upcoming Webinars

The TEAM Model Framework:
Financial Incentives, Risks, and Quality Measures

Thursday, June 26, 2025 at 1 pm EST

The Transforming Episode Accountability Model (TEAM) is a recently finalized mandatory payment model introduced by the Centers for Medicare & Medicaid Services (CMS) in the 2025 Inpatient Prospective Payment System (IPPS) Final Rule. Its primary objective is to enhance the quality of care delivered to Medicare beneficiaries by holding hospitals accountable for specific episodes of care. CMS has strategically linked cost and quality components to determine whether financial accountability can effectively reduce beneficiary costs while maintaining or even improving the quality of care provided.

In this presentation, we will delve into the framework of the TEAM model. We will provide a comprehensive explanation of its purpose and how CMS aims to integrate cost and quality performance within a value-based framework. Attendees will gain insights into the specific hospitals, beneficiaries, and episodes that fall under the purview of this model. Moreover, we will meticulously review the methodology for calculating costs and the utilization of quality performance metrics in determining payments or penalties under this model.

Learning Objectives:

• Define the purpose and structure of the TEAM payment model, which connects cost and quality within a value-based framework.
• Explain how CMS calculates payment or penalty fees in this model, using both cost and quality performance to determine the amounts.
• Identify the specific hospitals, beneficiaries, and episodes that meet the eligibility criteria for the TEAM model.

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