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CMS TEAM Model

Your Team for TEAM

Starting January 1, 2026, CMS will require selected hospitals to take part in the Transforming Episode Accountability Model (TEAM). 

Using ThoroughCare, hospitals can navigate TEAM from day 1.

We combine care management software with experienced clinical advisors to help coordinate better care and reduce costs.

Request a Software Demo Opportunity Analysis

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What is CMS's TEAM Model?

The Goal: Improve Care After Surgery

TEAM incentivizes hospitals to effectively manage out-patient care, helping drive better outcomes.

For hospitals that reduce readmissions, shorten recovery times, and decrease costs, Medicare will reward. 

Procedures in Focus

The model targets five major surgical procedures:

  • Lower extremity joint replacement

  • Surgical hip and femur fracture treatment

  • Spinal fusion

  • Coronary artery bypass graft (CABG)

  • Major bowel procedures

Participating hospitals are required to coordinate care for patients after discharge to ensure a smooth, supported recovery.

Read the CMS Overview

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Whether they’re ready or not,
hospitals are required to participate

CMS will compare your results against target costs and quality benchmarks.

To succeed, you’ll need:

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Coordination

Seamlessly between inpatient, outpatient, specialists, and PCPs

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Documentation

Document and track each episode of care accurately

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Engagement

Engage patients through recovery with proactive outreach

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Metrics

Meet or exceed CMS quality measures for both cost and outcomes

Managing care for TEAM
is easy with ThoroughCare

We sell software, but we’re not another software vendor.

Our Clinical Advisory Team has extensive experience with the very models that TEAM builds on. They can help your staff understand how to provide services in line with TEAM expectations. 

Our experience includes:

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Transitional Care Management

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Care Coordination Models

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Population Health & Outcomes Tracking

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Connecting Care Teams Across Settings

Request a Software Demo Opportunity Analysis

 

Technology to simplify
Transitional Care Management

ThoroughCare provides the 30-day framework for Medicare's Transitional Care Management, offering clinicians a path to engaging their patients. 

ThoroughCare supports full analytics to track population health programs. This includes performance, operations, and financials.

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After surgery, hospitals must connect patients to ongoing care

TEAM participants will help their patients find primary care resources on or prior to discharge.

This will help patients establish accountable care relationships that can support optimal, long-term health.

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When hospitals and service providers succeed at TEAM, they:

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Lower costs without sacrificing quality

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Improve patient satisfaction and engagement

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Better outcomes that meet CMS performance metrics

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Smooth collaboration between hospitals, PCPs, and specialists

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TEAM Readiness Checklist

Is your hospital ready to manage care for
CMS’s five high-cost surgical episodes?

If you check fewer than 10 boxes, your hospital may not be fully prepared for TEAM.

This is where ThoroughCare can help.


  • Compliance & Program Awareness


  • Episode Tracking & Documentation


  • Care Coordination & Transitions of Care


  • Patient Engagement & Follow-Up


  • Metrics & Outcomes





Effective care coordination
driven by ThoroughCare

“ThoroughCare allows us to engage and educate patients consistently using evidence-based medicine as a guiding tool. Care plan development and documenting outreach and interventions have enhanced our clinical workflow and operational effectiveness, enabling us to reach more patients and develop consistent standards of care across disease states and patient populations.”

Are you on the list?

Check if your hospital is participating.

View CMS's Full List

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Request a software demo

We'll connect with you to learn about your organization,
its care delivery needs and help you find the right solution.

Submit the form and schedule time to speak with our team.