The Transforming Episode Accountability Model (TEAM) is CMMI’s new mandatory episode of care payment model that encompasses all spending in the hospital and 30 days post-discharge for five types of procedures.
The program will go into effect in 2026 and impact acute care hospitals within select Core-Based Statistical Areas (CBSAs). The model is designed to offer shared savings and reduce the financial impact of high-cost procedures.
The tools and resources linked here will help you understand the nuances of reimbursement and spending trends under TEAM. By preparing today, you can improve the financial and clinical performance of your hospital under this payment model.
Hospitals and health systems need to prepare for TEAM today. Get started by reading our Playbook for Success.
Read NowMandatory downside risk begins on January 1, 2027, and TEAM participants are entering a critical window for assessing performance and making operational adjustments.
Read MoreFind data and insights about spending for high-cost procedures that will impact payments under the Transforming Episode Accountability Model (TEAM).
Explore the DataWatch ATI’s Anne Tumlinson and Brian Fuller present a detailed explainer of the Transforming Episode Accountability Model (TEAM), CMMI’s new mandatory five-year, episode-based alternative payment model.
Watch Now and Download SlidesRead a comprehensive overview of the impacts of TEAM, written by ATI’s Managing Director of Value-Based Care, Brian Fuller.
Read NowAt ATI, our experts in analytics and value-based payment models developed these dashboards of each region’s TEAM anchor spending using the latest available CMS data. Find data and insights about your region that will give you more context about where your hospital stands and potential impacts to future payments under the Transforming Episode Accountability Model (TEAM).
With support from CMS, hospitals will need to reduce costs on high-cost episodes and could achieve
significant shared savings under TEAM.
Hospitals will need to:
ATI Advisory offers expert consulting that helps hospitals optimize bundled payment and episodic care models based on quantitative analysis, strategic guidance, and implementation support across payment models.
Our episodic care design team have worked directly with nationally recognized hospitals, providers, and the Centers for Medicare and Medicaid Innovation (CMMI) on BPCI, BPCI-A, CJR, and Medicare Advantage bundled payment programs.
Brian Fuller is a Managing Director in ATI’s Provider Strategy and Care Transformation Practice. He is a nationally recognized expert on value-based care and an expert on care integration and partnership development across the healthcare continuum. He has deep expertise in private equity-backed value-based care investments, including portfolio C-suite roles within provider organizations with risk, fully at-risk disruptors, and start-ups. Prior to ATI, he was CEO of a technology-enabled care coordination company that partners with physician group practices, hospital systems, ACOs, and payers to manage episodes of care under a variety of payment arrangements.
Learn MoreHannah Godlove is Vice President of Delivery and Operations. She has deep expertise in population health analytics, evaluation, and program planning. Prior to ATI, she worked at Signify Health where she helped providers implement episodes of care programs for Medicaid and Medicare populations.
Learn MoreTyler Overstreet Cromer leads ATI's Provider Strategy and Care Transformation Practice. Tyler is an industry leader developing innovative financing mechanisms to support older adults with LTSS need, including conducting research related to Medicare-only pathways for entering PACE. Prior to joining ATI, she worked for more than a decade in federal health policy at the White House Office of Management and Budget.
Learn MoreTina Hansen Pickett is a Managing Director in ATI's Provider Strategy and Care Transformation Practice. Tina leads ATI’s PACE service line, supporting PACE feasibility assessments, preparing state RFP responses and PACE applications, advising policymakers on PACE feasibility and policy options, and supporting PACE and PACE-adjacent growth opportunities.
She has deep expertise in federal policy as well as on-the-ground experience in healthcare delivery system transformation through her prior experience at Maimonides Medical Center and at the White House Office of Management and Budget.
Fill out the form below to receive a report that outlines your hospital’s spending for each procedure and how they compare to your region’s average. Understanding these figures will help you prepare for better financial and clinical outcomes under TEAM.