The Medicare TEAM Model: A Strategic Guide for Orthopaedic Surgeons.
expert_opinion · Level V
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- Record sourced from PubMed, PMID 41875221.
- Also identified by DOI 10.2106/JBJS.25.01084.
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Abstract
➢ The Medicare Transforming Episode Accountability Model (TEAM) is a 5-year payment model that started on January 1, 2026, with mandatory participation from >700 U.S. hospitals in 5 surgery categories, 3 of which are orthopaedic.➢ The TEAM encompasses a specified operation from the day of the admission or outpatient procedure to 30 days after discharge, with payment based on a hospital-specific target price that is adjusted for hospital demographic characteristics and a Composite Quality Score multiplier.➢ Although hospitals hold the financial risk and benefit, orthopaedic surgeons will drive the TEAM's success, making their strategic engagement with leadership essential.➢ Robust data infrastructure, along with timely collection and analysis, forms the foundation for the TEAM implementation and compliance.➢ Many hospitals are unprepared for the TEAM, and the inclusion of high-variability procedures, such as the surgical treatment of hip and femoral fractures and spinal fusion, heightens financial risk, underscoring the need for a clear strategic framework and orthopaedic surgeon leadership.