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The costs of specialty care have come under the public eye of Value-Based Health Care. As health care costs continue to escalate, CMS has been pivoting to higher risk vehicles to push for cost accountability among providers. One of these is TEAM, Transforming Episode Accountability Model, set to start in January, 2026. The model is mandatory for 745 participating hospitals identified in selected CBSAs, along with physicians and other providers involved in each episode for the five procedure types.
As the first of two major payment models leveled at specialty physicians and costs of care for bread-and-butter types of specialty care, there is an urgency for TEAM providers to identify early interventions to avoid cost overruns. “Achieving Growth and Prosperity for Specialists In Risk Payment Models: Part 1,
TEAM” will help you do that. Let us help you create a plan of action to tackle the Value-Based Care strategies aimed at specialists.
Issues we’ll address:
- TEAM synopsis, participants, and risk elements
- Results of pre-TEAM efforts, e.g. BPCI
- Assessment of data sources available to you for evaluating cost and quality
- Evaluating patient risk
- Issues related to care coordination, transfer that result in higher cost or quality issues
- Data sharing agreements and infrastructure
- Specialty groups: navigating hospital-convened episodes while maintaining clinical direction of
care
Speaker:
Theresa Hush, CEO, Roji Health Intelligence LLC