Transforming Mandates into Momentum

Multiple analyses suggest that hospitals and providers are not prepared for the new program, and could lose money when downside risk hits in less than a year. 

Developing the ability to model and forecast performance, optimize episode-driven care pathways, and evaluate results won’t happen overnight. The longer you wait to get started, the higher your risk of significant losses — and falling behind as CMS and commercial payers continue to push forward with alternative payment models in the future.

How-To Guide: 6 Steps to Mitigate Risk & Uncertainty in the CMS TEAM Program

Whether TEAM is your first risk-based bundled payment arrangements or you have participated in other programs, this guide will help you better understand how to anticipate and manage risk in retrospective bundled payments, and what to look for in a technology partner (complete with checklist!), as you embark on this journey.

We’re Your TEAMmate

Finding an experienced partner to help navigate an unprecedented program like TEAM can be a challenge. As you continue developing your understanding of the nuances of in this — and any future — bundled payment program, you need a vendor partner that: 

• Has real-world experience executing full-scale bundled payment models/programs for clients

• Understands the nuances of TEAM and are confident in what participating hospitals need to do to set themselves up for success

• Provides a comprehensive suite of analytics and technology capabilities required to maximize TEAM performance, even if there already have pieces in place

You are in the right place! We ARE that vendor.

Navigate TEAM with Confidence

With a track record administering and enabling high-performance bundled payment programs for over 40 years, helping our clients navigate TEAM is a natural evolution.

Our experienced CMS product and services team delivers flexible, reliable, and proven bundle payment program management with turnkey services, including:

• Advanced Analytics & Performance Modeling – A powerful platform that ingests Medicare bundles data, models performance and potential cost savings, and delivers relevant insights through automated dashboards that are tailored for the recipient.
• Integrated Care Management – Clinically focused, episode-based workflows that support best-practice care pathways and reduce variations in care delivery.
• Provider Education – Patient navigation and administrative workflow optimization toolkit.
• Financial Validation & Settlement – Expert-led review of CMS reconciliation documents to validate financial settlements and recommend clinical optimizations for improved financial performance.