# **The TEAM Model is here.**

## _Is your hospital ready?_

## **What is the “TEAM Model?”**

The **Transforming Episode Accountability Model** (TEAM) is a mandatory, episode-based, alternative payment model, in which selected acute care hospitals will coordinate care for people with Traditional Medicare undergoing one of the surgical procedures included in the model (initiate an episode) and assume responsibility for the cost and quality of care from surgery through the first 30 days after the Medicare beneficiary leaves the hospital.

CMS used **Core-Based Statistical Areas** (CBSAs) to identify selected geographic regions for the model test. Hospitals paid under the Inpatient Prospective Payment System (IPPS) and located in the selected CBSAs are required to participate in TEAM. The list of selected mandatory CBSAs was published in the final rule. CMS will also allow a one-time voluntary opt-in opportunity for hospitals participating until the last day of the last performance period in the BPCI Advanced model, or the last day of the last performance year in in the CJR model, to participate in TEAM.

### **Mandatory Episode Payment Model (30 Days)**

- #### Procedures

1. Lower Extremity Joint Replacement
    2. Surgical Hip / Femur Fracture Treatment
    3. Spinal Fusion
    4. Coronary Artery Bypass Graft
    5. Major Bowel Procedure

- #### Duration

January 1 2026 to December 31, 2030

- #### Model Tracks

**Track 1:** No downside risk and lower levels of reward for one year.
    
    **Track 2:** Lower levels of risk and reward for certain hospitals year 2-5
    
    **Track 3:** Higher levels of risk and reward for entire program

- #### Quality Metrics

1. CMS PSI 90
    2. Hospital Wide All Cause Readmission
    3. THA / TKA PROM-PM

- #### Eligibility

Acute Care Hospitals located in 25% of qualified core-based statistical areas

### **Revel Ai gives you the AI-powered infrastructure to perform** — _without adding staff._

CMS’s Transforming Episode Accountability Model demands fewer readmissions, smarter transitions, and better outcomes across joint replacements.

## **What’s at stake?**

- 10% of reimbursement tied to Composite Quality Scores
- Mandatory participation begins with LEJR episodes
- Hospitals need to coordinate care faster, with fewer FTEs
- Readmissions, ED visits, and poor transitions hurt performance and margin

## **How Revel Ai supports TEAM**

- #### Up-Front Risk Stratification

Flags surgical- and social-risk patients before the OR schedule—reducing day-of cancellations and costly complications.

- #### Fewer Readmissions & ED Visits

24/7 conversational AI shepherds discharges, surfaces red flags early, and keeps Hybrid-Readmit scores trending down.

- #### Population Health Command Center

One live dashboard tracks spend, PRO-PM status, readmits, and equity gaps—so Quality and Finance teams act in real time.

- #### Transitions of Care Navigation

Automated task queues guide PCM & TCM workflows, timestamp every touch, and push reminders until each hand-off is closed.

- #### PROM Capture & Quality Score Auto-Submit

AI Agents deployed to collect assessments, THA/TKA PRO-PM HOOS Jr./ KOOS Kr. in CMS windows, then auto-package data for IQR/TEAM reporting—zero manual uploads.

- #### Ambient Care-Nav Documentation

AI transcribes calls and texts on the fly, generating bill-ready notes and freeing navigators from keyboards.

- #### Advisory & Fast Implementation

Launch TEAM-aligned workflows in days. Our team partners with your Quality and Clinical Ops leaders for seamless adoption.

# **Your TEAM plan starts here.**

Revel Ai doesn’t just help you comply — _we help you perform._

Let’s get your hospital TEAM-ready with care coordination that scales.