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TEAM - Why Preparation, Data, and Provider Networks Matter

Navigating the Transforming Episode Accountability Model (TEAM):

Why Preparation, Data, and Provider Networks Matter


The healthcare industry is facing yet another major shift with the Transforming Episode Accountability Model (TEAM)—a mandatory Alternative Payment Model (APM) designed to hold hospitals accountable for the total cost and quality of care across an episode. While the model aims to drive efficiency and improve patient outcomes, its success depends on how well participants prepare, leverage data, and build strong networks.


1. Preparation: The Key to Success

With TEAM’s focus on cost containment and quality performance, organizations must proactively assess their current care delivery models, financial exposure, and operational workflows. This means:


  • Conducting internal readiness assessments to identify gaps in care coordination and financial risk management.

  • Educating teams on the TEAM requirements and reimbursement structures.

  • Aligning operational strategies to meet TEAM’s quality and efficiency targets before penalties take effect.


2. Data: The Power to Drive Outcomes

Data is the backbone of success under TEAM. Providers will need real-time analytics, predictive modeling, and performance tracking to:


  • Identify high-risk patients and intervene early to prevent costly complications.

  • Track cost drivers and pinpoint inefficiencies in care delivery.

  • Ensure accurate reporting, risk capture, and benchmark performance against CMS requirements.


    Without a robust data strategy, organizations risk financial penalties and missed opportunities for shared savings.


3. Provider Networks: Collaboration is Non-Negotiable

TEAM does not reward siloed care—it demands strong partnerships across the continuum.


  • Establish high-performing networks with hospitals, physicians, and post-acute care providers.

  • Standardize care pathways and communication protocols to ensure seamless transitions.

  • Develop financial alignment models that fairly distribute risk and rewards across all stakeholders.


The Bottom Line


TEAM represents a new era of mandatory accountability, but its success—or failure—depends on how well providers prepare, utilize data, and foster collaboration. Those who take a proactive, data-driven, and network-focused approach will not only survive this transition but thrive in the evolving value-based care landscape.


Is your organization ready for TEAM? Now is the time to act.


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