Dayna Gallagher and Scott Ode - Mathematica RECORDING A must watch for tips on reviewing your data. DON'T WAIT until you receive your performance year reconciliation, it's too late and you likely can't correct errors. Ready to make sense of the TEAM data you receive from CMS? Mathematica shared best practices for analyzing bundled payment data and avoiding common pitfalls. Drawing on less ons from prior CMS models, Mathematica explained why hospitals’ internal data and calcul

Go beyond the basics to explore how leading organizations are rethinking care transitions, leveraging data, and building stronger SNF partnerships to reduce readmissions, control costs, and improve outcomes. Hear Sentara Health’s real-world strategies and PointClickCare’s insights on how smarter coordination and visibility across the continuum can help hospitals thrive under TEAM. Members access recording - RECORDING & SLIDES Hospitals are responsible for outcomes across the

By John Ossowski & Andrew Arreola Access full article Protecting Margin in CMS TEAM: A Focus on Implant & Instrumentation Strategy - Pinnacle Healthcare Consulting CMS 's Transforming Episode Accountability Model is accelerating the shift toward episode-based reimbursement, and implant strategy is becoming a defining factor in surgical margin performance. With implant and instrumentation costs embedded within a fixed episode payment, even modest variation can materially impac

→ Look up your NPI at TechyPolicy.com — the interactive tool shows your individual Part B allowed amounts, penalty exposure at each year’s rate (9% → 12%), cohort assignment, small practice designation, and organizational context. If you manage a group, the organization scorecard aggregates all ASM participants within your entity.

CMS has released the Ambulatory Specialty Model (ASM) preliminary participants dataset for the 2027 performance year starting January 1, 2027.

CMS determines ASM participant eligibility using the following criteria. A clinician must meet all four to be subject to mandatory participation in a given performance ye

ASM selection isn’t a one-time event—it’s a data-driven, multi-year process tied to historical claims and episode volume.

Because post-acute spending can reach up to 53% of total episode costs, this checklist focuses on post-acute priorities for TEAM participants.

CMS finalized its proposal for a new test model launching in 2027: the Ambulatory Specialty Model (ASM).

How CMS’s New Payment Model Could Spur Widespread Adoption of Value-Based Arrangements Justin at Bass Berry & Sims shared this article he wrote with a colleague regarding TEAM arrangements. Justin, regularly advises on complex health care regulatory issues, like Stark Law, Anti-Kickback Statute, and state analogs. See below exerts. Access the full article by Justin K. Brown, Bass Berry & Sims PLC Travis G. Lloyd, Bass Berry & Sims PLC below. Although the CMS-sponsored model s

CMS has finalized the Ambulatory Specialty Model (ASM)—a mandatory, condition‑focused value‑based care initiative designed to transform specialist care for Original Medicare beneficiaries. Launching on January 1, 2027, and running through December 31, 2031, ASM targets outpatient specialists treating heart failure and low back pain.

12.04.25 | Presented by: David Pittman, Founder Pittman Policy Strategies and Sarah Habeeb Director, Government Programs, Baylor Scott & White Quality Alliance​​​ CMS finalized a new mandatory value-based payment model requiring downside risk for physicians treating heart failure and low back pain. With the Ambulatory Specialty Model starting in January 2027, join David Pittman and Sarah Habeeb to discuss what this means for physician practices, hospitals, and ACOs, where CMS

ASM represents the first large-scale effort by CMS to hold specialists accountable. Learn more about ASM.

Leveraging nearly 15 years of experience implementing bundled payment models for CMS, Mathematica helps hospitals turn TEAM episode and claims data into actionable insights.

11.13.25 | Presented by: Terry Kowalski, Stanford Health Care, ​Dr Sabrina Poon, Robert Lin, and Nicole Harmon, Clarify Health Maximizing revenue in today’s hybrid world of fee-for-service (FFS) and value-based care is increasingly complex. Consider a single physician referral: that one decision can carry financial implications across thousands of contracts, spanning FFS arrangements, Alternative Payment Models, and initiatives like CMS TEAM. Each choice can mean the differen

TEAM Playbook for Hospitals Post-Acute Care Coordination

11.06.25 | Presented by: Intermountain Health ​Nicole Christensen, Barry Boyce, Scott Bishop Intermountain Health shared strategies for building and managing effective care networks, identifying patients in need of timely intervention, defining team roles and responsibilities, and ensuring seamless transitions of care. Members Access Recording Thank you to the team from Intermountain Health for joining us and sharing your experience managing post-acute facilities, care manage

Insights into episode data for TEAM, watch the recording.

Featured webinar that highlighted grouping DRGs based on clinical relevance versus CMS defined episode for TEAM

10.29.25  |Presented by: Dr. Robert Hymes, Inova Health System, Dr. Thomas Tsai, Harvard Medical School & Lisa Miller, NovaNav​ The webinar brought together Dr. Hymes, Dr. Tsai, and Lisa Miller for a dynamic discussion spanning research, operational readiness for TEAM, and innovative care solutions. Dr. Hymes and Dr. Tsai explored the clinical, operational, and policy dimensions shaping the post-acute landscape, offering practical guidance for hospitals preparing for the upco