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Transforming Episode Accountability Model (TEAM)

The Transforming Episode Accountability Model (TEAM) will be a mandatory, episode-based, alternative payment model. Selected hospitals will coordinate care for Traditional Medicare recipients undergoing one of the surgical procedures included in the model (initiate an episode). The hospital will assume responsibility for the cost and quality of care from surgery through 30 days post discharge. The model will launch January 1, 2026, and run for five years, ending on December 31, 2030.

Included procedures: lower extremity joint replacement, surgical hip femur fracture treatment, spinal fusion, coronary artery bypass graft, and major bowel procedure.

An episode includes:

•       Inpatient hospital services

•       Physician services: specialists and primary care

•       Outpatient therapy services

•       Skilled nursing facilities

•       Home health services

•       Clinical laboratory services

•       Durable medical equipment

•       Medications (Part B drugs and biologicals

•       Hospice

If your SNF receives referrals from hospitals selected for this mandatory model, we encourage you to review the information available on TEAM. For a quick overview visit the TEAM Fact Sheet & Team infographic in the Additional Information section. Hospitals will be collaborating with SNFs and potentially sharing their risk and reward.

Click here to view the Transforming Episode Accountability Model (TEAM).