Transforming Episode Accountability Model (TEAM) CMS Mandatory Alternative Payment Model
Begins January 2026
Acute care hospitals paid under the Inpatient Prospective Payment System (IPPS) and located in selected Core Based Statistical Areas (CBSAs) are required to participate in TEAM.
5 Surgical Bundles
Lower Extremity Joint Replacement, Surgical Hip and Femur Fracture Treatment, Spinal Fusion, Coronary Artery Bypass Graft, and Major Bowel Procedures
Hospital Mandatory Participation
Hospitals required to participate are based on selected geographic regions, CBSAs, from across the United States.
5-Year Model
The model runs 2026 to 2030. Designed with a one-year glide path to mandatory downside financial risk for most hospital participants.
Over 700 hospitals were selected as mandatory participants in TEAM. The model is designed with 3 tracks of financial accountability. All participants can select to participate in an upside only track for year 1. In year 2, most hospitals must move to a downside risk track.
Are you a TEAM participant?
Review the CMS posted list of TEAM participants and start preparing today.
TEAM Participant Facts
The states with the most TEAM participants include California, New York, New Jersy, Florida, and Massachusetts.
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50 of the hospitals are listed as participating in a 2025 Medicare Shared Savings Program.
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11 TEAM hospitals have experience in year 7 or 8 BPCIA
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94 TEAM hospitals have experience in CJR
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10 hospitals elected for voluntary TEAM participation
Access more TEAM information on TEAM Connect's: