Strengthen your TEAM performance before CMS reconciles
TEAM holds your hospital accountable for surgical episodes through 30 days after discharge. We show where you stand against target and what to change.
TEAM at a glanceRunning now
5surgical categories
30days after discharge
2030model ends
- Who
- Acute care hospitals in CMS-selected regions, plus hospitals that opted in
- Episodes
- CABG, lower extremity joint replacement, major bowel, surgical hip and femur fracture, spinal fusion
- Risk
- Track 1 is upside only. Tracks 2 and 3 are two-sided.
What makes TEAM hard
Five service linesEach needs its own plan.
Care after dischargeMuch of the cost sits outside your walls.
Late resultsClaims arrive months after the episode.
Quality moves paymentYour score adjusts what you earn or owe.
Downside risk in 2027Most hospitals move to two-sided risk.
How TEAM works
- 1Care is billed as usualProviders bill Medicare fee-for-service.
- 2CMS sets a targetRegional baseline, risk adjusted, less a 1.5% or 2% discount.
- 3CMS reconciles yearlySpending is compared to target across all episodes.
- 4Quality adjusts the resultYour quality score moves what you earn or owe.
Choose your level of risk
Each track caps gains and losses as a share of target spending. Hospitals pick a track each year.
TrackMax lossMax gainWho
Track 1Upside onlyNone10%All hospitals in 2026. Safety net hospitals through 2028.
Track 2Lower risk5%5%Safety net, rural, and other qualifying hospitals
Track 3Full risk20%20%Any hospital
What’s ahead
- Jan 2027Two-sided risk for most
- Apr 2027Next rule proposed
- Dec 2030TEAM ends
Proven in bundled payments
11%
Across our clients Bundled Payment Earnings In the 2 most recent CMS BPCI Advanced (bundled payments) performance periods, our clients on average beat their target prices by 11%.
HBRCase studyRead the article in Harvard Business Review
Results published in Harvard Business Review
15%below CMS target prices
34% → 25%90-day mortality
30% → 25%90-day readmissions
HBROur research on physician incentives
Physicians Can Help Cut Costs. They Just Need the Right Incentives.
TEAM results depend on surgeons and care teams across five service lines. Our Harvard Business Review research shows how to align physician incentives with cost and quality goals.
Read the article in Harvard Business ReviewWhy the field trusts us
Bundled Payment and Care Transformation Summit
We host the nation’s only bundled payment summit
Sacha Wolf of the CMS Innovation Center, who works on both CJR-X and TEAM, gave her first public talk on CJR-X at our 8th Summit in August 2026.
Published research
The only company published in Harvard Business Review on bundled payments
HBRGetting Bundled Payments Right in Health CareHBRPhysicians Can Help Cut Costs. They Just Need the Right Incentives.JAMAEconomic and Clinical Outcomes Under CMS Mandatory Bundled Payments for Joint Replacements
Would you like a PDF copy of an article? Email Derek Haas.
How we help TEAM participants
Predictive analyticsSee each category against target before CMS reconciles.
Actionable opportunitiesSavings sized in dollars by surgeon and post-acute provider.
Sid, our AI analystAnswers TEAM cost questions in plain language.
See where your TEAM episodes stand
Our team will walk through where your TEAM episodes stand and where your largest opportunities are.