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

TEAM-Bundled-Payment-PPT_2up-2

Pdf Summary

The document discusses the Transforming Episode Accountability Model (TEAM) and the preparation required for participating in mandatory bundles. TEAM aims to improve care quality and reduce costs for Medicare beneficiaries undergoing high-cost surgeries. The program focuses on addressing fragmented care, enhancing health equity, and aligning with value-based care strategies. The model includes elements like risk adjustment, financial reconciliation, and integration of quality measures for financial incentives. Hospitals in selected California regions are mandated to participate, with various tracks based on risk levels.<br /><br />The document outlines the agenda, episodes of care overview, risk factors for target price adjustments, and model requirements such as beneficiary notification and health equity plans. It provides strategies for provider alignment, incentives, and post-acute network formation. The final rule includes updates like a voluntary opt-in option, safety net hospital participation, and rural hospital definitions.<br /><br />Preparation for TEAM involves assessing current performance, implementing improvement strategies, and tracking outcomes across the care continuum. The playbook development includes actions like provider alignment, patient referrals, and demographic data reporting. Participants are encouraged to act promptly as CMS projects significant net savings over the five-year model period. Lastly, the document includes contact information for further inquiries and concludes with a thank you message for participation in the webinar.

Keywords

Transforming Episode Accountability Model

TEAM

mandatory bundles

care quality

Medicare beneficiaries

value-based care

risk adjustment

financial incentives

health equity

provider alignment