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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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.
Build A Post-Acute Strategy First
- Prioritize building post-acute strategies and partnerships because the biggest opportunities to reduce readmissions lie there.
- Coordinate timely transitions from hospital to post-acute sites and home to keep the episode clean within TEAM's 30-day window.