Published by APM Connect on 11/9/2026 CJR-X does not begin until 2028, and hospitals keep asking the same question: how are we going to do in a model we have no data for yet? Session 3 of the Downside Risk Bootcamp answered it the only way it can be answered, by running national Medicare fee-for-service claims from 2023 through 2025 against the CJR-X rules and seeing what comes out. The session walked the national picture first, then took one blinded hospital apart line by li

Published by APM Connect on 11/9/2026 Sarah Chuzi, MD, MSc; Karen Joynt Maddox, MD, MPH; Tara Lagu, MD, MPH. JAMA Viewpoint, published online November 2, 2026. Heart failure (HF) is one of the most evidence-rich areas of cardiovascular medicine, yet a persistent gap separates proven therapies from the care patients actually receive. In this JAMA Viewpoint, the authors argue that closing that gap requires more than changing clinician behavior. It requires infrastructure such a

Published by APM Connect 10/1/2026 TEAM hospitals move into downside risk in January, and CJR-X is on the way. The surgeons already know gainsharing is allowed, and many are asking for it. Kevin Lieb of Physician Alignment Solutions and Candice Morton of UNC Health walked APM Connect members through what it takes to put a shared savings arrangement in place: the legal structure, how the money flows, how to pick collaborators, and where programs get stuck. What we covered: A s

Published by APMConnect Sept 2026 Year one of the Transforming Episode Accountability Model is upside only. That changes in January 2027, and the health systems building TEAM programs right now are doing it against that clock. The population health team at Mass General Brigham spent this session showing APM Connect members what their program actually looks like in operation: how patients get identified, who touches them before and after surgery, and which post-acute habits ar

Published by APM Connect | August 2026 The FY2027 IPPS proposed changes (CMS-1849-F) are now final, and modifications include changes starting as early as October 1, 2026. For hospitals in the Transforming Episode Accountability Model (TEAM), CMS finalized nearly every proposal without modification. We've outlined what's changing and what your team should line up before the rule takes effect. The spinal fusion episode category is expanding CMS is adding three newly created MS

Published on APM Connect | August 2026 If you run an acute care hospital that performs hip and knee replacements, you need to know about CJR-X. Starting January 1, 2028, virtually every eligible acute care hospital in the country will be required to participate in a new bundled payment model for lower extremity joint replacement with immediate downside risk. This is not a voluntary pilot. It is not limited to select geographies. It is a mandatory, national, permanent program

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

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Break down of the final rule set forth by CMS from Pinnacle.

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CMS’s TEAM mandate introduces new financial and operational challenges. Learn how preparation, data, and provider networks drive success.

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