CMS TEAM

Improve care efficiency to win under CMS TEAM.

Tag, you’re it. The model’s mandatory. Success? That’s optional — but we’ll help stack the odds in your favor.


Redesign high-risk episodes to win in CMS TEAM— and build long-term resilience as payment reform accelerates. 

Why TEAM matters:

The Transforming Episode Accountability Model (TEAM) is a mandatory CMS bundled payment program for:

Hospitals are accountable for the total cost and quality of each episode — from admission through 30 days post-discharge. Performance impacts both financial reconciliation and quality scores. 

A holistic system for the 30-day episode

How we help hospitals succeed in TEAM:

EHR-based eligibility screening

Identify high-risk patients directly in the EHR before surgery, ensuring the right level of care is tailored to each patient to manage cost and quality.

Prehab education and support

Ensure patients and caregivers are prepared for the procedure with custom education content and baseline monitoring (if applicable).

Procedure-specific
clinical pathways

Each with predefined patient journeys, alarm parameters, and escalation protocols, ready to deploy from day one.

Flexible logistics management

End-to-end device deployment, retrieval, and servicing that can be fully outsourced to us or run in a hybrid model with your staff.

24/7 triage and escalation

Our RNs and MAs provide continuous oversight, escalating to your care team as needed to maintain safety and staffing efficiency.

Seamless EHR integration

Epic and other EHR connectivity helps ensure data flows directly into existing clinical workflows without adding burden.

Built for the real world of post-acute care at home.

Under TEAM, episode margins will be shaped less by the inpatient procedure itself and more by what happens after discharge. Our unique approach is well proven to enable better outcomes at a lower cost—and easier control over any unplanned encounters.

Clinically rigorous

Support higher-acuity patients and broaden eligibility with wearable and peripheral device options.

Keeps patients in your ecosystem

Every component—pathways, monitoring, logistics—is designed to minimize clinician burden and support scale.

Proven at scale

Our model powers the largest Hospital at Home programs in the country.

Aligned economics

Our model shares risk and uses bundled options to ensure growth works in your favor.

How we’re approaching this: 

Start with high-impact cases, then expand.

Our recommended approach is to launch TEAM care model redesign with high-risk total hip arthroplasty (THA) and total knee arthroplasty (TKA) — the largest cost and volume drivers in TEAM.

 

By focusing first on these cases, we can rapidly demonstrate measurable reductions in:

Once the model is proven in THA/TKA, we expand the same high-touch, tech-enabled approach to other TEAM procedures — targeting complex post-acute patients who are at highest risk for complications and cost overruns. This staged rollout builds early wins, strengthens provider adoption, and maximizes ROI across your service lines.

How Virtua Health's Care after Discharge program reduced readmissions and shortened length of stay.

See how Virtua Health leveraged our post-acute care model to create a seamless bridge from hospital to home.

 

By leveraging structured recovery workflows, integrated monitoring, and virtual touchpoints, Virtua Health:

3.65

Average inpatient LOS

60+

DRGs

3,721

Bed days saved with first 1,500 patients

5

Hospitals supported by a centralized model

Ready to put the systems in place to benefit from TEAM?

Let's make it happen.

Get started