CMS Team Model: A Framework for Collaborative Care

Persivia Inc16 Jun, 2025Health

Healthcare providers nationwide are preparing for a major shift in surgical care payment. The CMS Team Model represents a new approach to managing surgical episodes that holds hospitals accountable for both costs and quality outcomes. The CMS Team Model is a mandatory, episode-based payment system starting January 2026. Hospitals coordinate care for Traditional Medicare patients undergoing specific surgeries and take responsibility for costs and quality for 30 days after discharge.