How The Latest Rules Might Affect Your Practice: Legislative and Regulatory Update - Including the new TEAM CMMI Program-How the Latest Rules Might Affect Your Practice

Video Transcription

Video Summary

The webinar featured Cameron Wheeler and Michael Picchiaro from Lobbyit, who provided updates on advocacy efforts. They outlined significant legislative and regulatory updates including various bills such as H.R. 5378, aimed at increasing transparency and lowering healthcare costs, as well as telehealth legislation (H.R. 4189 and S.2016) to expand Medicare coverage. <br /><br />Cameron discussed the successful legislative year for AOE’s priorities, the progress made, and upcoming healthcare reauthorization package. Michael emphasized monitoring fall legislative sessions, expiring federal programs, and election impacts on healthcare legislation.<br /><br />Paul Bruning from Sutter Health dove into the Teams (Transforming Episode Accountability Model), which starts on January 1, 2026. This mandatory model targets payments for specific healthcare episodes like joint replacements and fusions, requiring follow-up care with PCPs to be integrated. There was extensive discussion on the alignment payments, gain-sharing, and downside risks involved.<br /><br />Panelists, including Alyssa High, Jennifer Odo, Zelda Raridan, and Megan O’Hara, fielded questions about implementation strategies, the intricacies of data tracking, and the mandatory impact on hospitals. Key takeaways stressed early communication with hospitals and continuous tracking of metrics for successful participation in the Teams model.

Keywords

TeamCMMI

medical practices

legislative priorities

Lower Cost More Transparency Act

telehealth bills

Strengthening Medicare for Patients and Providers Act

physician fee schedule

Transforming Episode Accountability Model

healthcare regulations

value-based care

advocacy efforts

legislative updates

healthcare costs

telehealth legislation

Medicare coverage

Teams model

healthcare reauthorization

election impacts

data tracking