Value-Based Shift: Inside the CMS TEAM Transformation

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Value-Based Care Insights

Lumina Health Partners

139 episodes

4 days ago

Value-based care isn’t the “future of health care delivery,” it has already arrived. But value-based care is only the starting point of this conversation. We must also examine how we can bring more value to health care by increasing efficiencies, reimagining how financial performance is measured, and so on. Of course, realizing this level of transformation isn’t easy. That’s why we created the Value-Based Care Insights Radio Show – to empower health care organization leaders like you with the actionable guidance and strategic knowledge you need to optimize performance, as well as meet the

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Management

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Value-Based Shift: Inside the CMS TEAM Transformation

Value-Based Care Insights

27 minutes 35 seconds

4 months ago

Value-Based Shift: Inside the CMS TEAM Transformation

In this episode of Value-Based Care Insights, host Daniel Marino explores the newly introduced the CMS Transforming Episode Accountability Model (TEAM)—a mandatory five-year, episode-based pricing model, informed by earlier initiatives from the CMS Innovation Center. Designed to cover high-volume, high-cost surgical procedures, TEAM represents a significant shift in how hospitals and providers approach bundled payments. Join Daniel and special guest Lucy Zielinski, an expert in value-based programs and HCC coding , as they unpack what the TEAM model entails and what participating hospitals must do to prepare for the January 1, 2026 implementation. Gain insights how this model influences financial performance, drives care coordination redesign, and introduces new incentives and penalties. Whether you are a healthcare leader, provider, or payer, don’t miss this overview of one of CMS’s initiatives shaping the future of value-based care.