CMS is rewriting the rules of post-acute care. With the Transforming Episode Accountability Model (TEAM) launching soon, hospitals must prepare to take full ownership of patient outcomes — not just during a hospital stay, but throughout the entire care episode.
This signals a fundamental shift in how care will be measured, reimbursed, and delivered across the healthcare continuum.
The takeaway? Hospitals that rely solely on retrospective reporting or siloed care processes will struggle. Those that build intelligent, coordinated, and predictive systems will thrive.
Unlike previous models, TEAM places direct accountability on hospitals for managing post-discharge outcomes and total episode costs. The days of focusing solely on inpatient efficiency are over.
Now, success means ensuring that care doesn’t just end at discharge — it continues seamlessly into rehab, home health, and follow-up care.
Hospitals will be judged on how well they prevent readmissions, manage transitions, and keep costs in check across a 30–90 day episode window.
To perform under TEAM, health systems must undergo three core transformations:
Predictive Insights for Smarter Care
Anticipating complications, readmission risks, and care gaps before they happen is key. This requires leveraging advanced analytics on patient history, comorbidities, and social determinants of health.
SolvEdge delivers AI-powered risk scoring tools to prioritize high-risk patients and preempt costly episodes.
Real-Time Orchestration Beyond the Hospital
Coordinating care across facilities — from SNFs to home health agencies — demands more than faxed referrals. It requires digital infrastructure that enables real-time communication, task tracking, and patient engagement.
SolvEdge’s care collaboration platform connects teams and patients with guided workflows and real-time updates.
Aligning People, Processes, and Platforms
New models need new mindsets. TEAM success isn’t just about technology — it’s about aligning your clinical teams, financial leaders, and technology partners under a unified episode strategy.
SolvEdge works closely with your C-suite, clinical ops, and IT to design scalable pathways that drive measurable impact.
The TEAM model isn’t just a policy update. It’s a leadership opportunity. Hospitals that proactively build episode-based capabilities today will be the ones setting the benchmark for tomorrow.
Let’s discuss how SolvEdge can help your organization thrive in CMS’s next chapter of accountability. Contact our value-based care experts today.
From our humble beginnings as a healthcare start-up—to becoming a full-blown healthcare-exclusive digital transformation provider, our journey has been quite a remarkable one. Today, SolvEdge is a leading-edge Healthcare services and solutions provider—trusted by 450+ Hospitals, 3500+ Physicians and millions of patients across the globe.