
Podnosis The TEAM model arrives, ready or not
Jan 14, 2026
Jeff Gleason, Chief Medical Officer at Navvis and a value-based care expert, dives into the ins and outs of the new Transforming Episode Accountability Model (TEAM). He discusses its ambitious goals of simplifying surgical care and enhancing hospital coordination while addressing pushback from the industry. Gleason highlights the five key surgical procedures affected, the importance of post-acute care partnerships, and the financial risks for unprepared hospitals. He emphasizes immediate actions to adapt, as the program could reshape the future of value-based care.
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Mandatory Episode-Based Payments Arrive
- TEAM is a mandatory CMS episode-based payment model for hospitals covering five high-cost surgeries and aims to improve quality while reducing Medicare spending.
- Jeff Gleason warns hospitals that failing to prepare now will make them struggle as bundled payments expand and become standard.
Hospitals Are Episode Owners
- TEAM designates the acute care hospital as the episode owner to manage care across hospitalization and recovery.
- The model targets surgeries that drive fragmentation, complications, readmissions, and high costs.
Five Targeted Surgical Episodes
- TEAM includes low extremity joint replacement, CABG, major bowel procedures, spinal fusion, and surgical hip/femur fractures.
- Some episodes are new to bundled payment programs and bring new specialties into accountability.

