The Transforming Episodic Accountability Model–TEAM–is a mandatory episodic payment model effective Jan. 1, 2026, under which selected acute care hospitals will be financially accountable for the total costs of specified episodes of care for traditional Medicare beneficiaries.
With our deep experience in value-based payment models, PYA can help organizations develop and execute game plans for TEAM success:
Internal Education and Team Building
- Practical education sessions for board members, management, and key staff
- Medical staff education and engagement
- Ongoing regulatory updates
Performance Transformation
- Develop and implement pre-procedure interventions
- Quantify internal cost-saving opportunities
- Evaluate and enhance discharge planning and transitions of care
- Implement care management and remote monitoring programs
- Establish processes for post-discharge primary care referrals
- Assess post-acute care provider costs and outcomes
Collaboration Arrangements
- Drafting of required policies for partner selection
- Development and monitoring of gainsharing arrangements
- Support for negotiations of collaboration agreements
- Fair market value and commercial reasonableness opinions
Claims Data Analytics
- Customized and timely dashboards tracking individual episodes and trends
- Financial modeling to evaluate the impact of performance improvement initiatives
- Comparative analysis of physician and post-acute provider performance
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Download TEAM Flyer |
Learn more:
Check out other helpful information from PYA about the TEAM payment model:
- On-demand webinar:
TEAM and Other Key Provisions in 2025 IPPS Final Rule - Insight:
TEAM Building: CMS Announces Participants in New Mandatory Alternative Payment Model
PYA has earned the trust of some of the most recognized healthcare organizations through more than 40 years of expert guidance. Contact us at TEAM@pyapc.com, or call 800-270-9629.
