Achieving Growth & Prosperity for Specialist under Risk Pymt Models Pt 2
Автор: Garrett Schmitt
Загружено: 2025-09-23
Просмотров: 27
The TEAM payment model is a CMS program that holds acute care hospitals accountable for surgical care and costs in five different types of surgery accounting for the highest costs in Medicare: CABG, Lower Extremity Joint Replacements, Femur Hip Fracture Repair, Spinal Fusion, and Major Bowel surgery. Central to the payment model are three features: (1) near-global risk for the surgical episode by inclusion of both Part A and Part B costs, with some exceptions and caps, (2) the provision that hospitals can use collaborative agreements to generate incentives for specialty clinical teams, and (3) required referrals of patients back to their primary care physicians at discharge.
In Part 1 of this webinar series on specialty payment models, we addressed the opportunities for savings in TEAM. In Part 2, we’ll focus on the collaboration agreements, and alignment of providers in TEAM episodes.
Issues we’ll address:
The unique roles that ACOs sponsored by TEAM participant hospitals can play;
Collaborative Agreements: What they are, and how create a positive alignment;
What specialty practices need to participate in gainsharing;
How to structure data-sharing for TEAM episodes;
Can ACOs fill the gap for primary care referrals?
How TEAM sets up ACOs to build specialty referral networks;
Hospital commitments to make TEAM efforts effective;
The hospital/ACO relationship for TEAM.
Speakers:
Theresa Hush, CEO, Roji Health Intelligence LLC
Dave Halpert, Chief of Client Team, Roji Health Intelligence LLC.
Hope you join us!
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