Bundled Payment (BPCI)
Expert articles and analysis related to bundled payment (bpci).
AI Summary — Last 30 Days
Synthesis:
In the past 30 days, CMS has reasserted bundled payment models as a core lever in value-based care, most notably through the launch of the mandatory Transforming Episode Accountability Model (TEAM), which represents Medicare’s most significant surgical payment overhaul in years. The TEAM Bundle introduces compulsory downside risk for hospitals, with episode-specific discounts (e.g., 2% for LEJR, SHFFT, and spinal fusion; 1.5% for CABG and major bowel), and links payment to a composite quality score—shifting provider focus toward outcomes and cost containment across defined episodes of care, beyond voluntary participation seen in prior BPCI iterations [TEAM Bundled Payments: Preparing for Downside Risk.
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bundled payment models
From newsletter: The TEAM Bundle Part 1: Where Hospitals Will Win and Lose Under Medicare’s Biggest Surgical Payment Overhaul The TEAM Bundle Part 1: Where Hospitals Will Win and Lose Under Medicare’s...
Bundled Payments Are Back – And This Time, Hospitals May Not Be Ready
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TEAM Bundled Payments: Preparing for Downside Risk
TEAM Bundled Payments: Preparing for Downside Risk  Forvis Mazars US
Transforming Episode Accountability Model
From newsletter: The TEAM Bundle Part 1: Where Hospitals Will Win and Lose Under Medicare’s Biggest Surgical Payment Overhaul The TEAM Bundle Part 1: Where Hospitals Will Win and Lose Under Medicare’s...
FY 2026 IPPS Final Rule
From newsletter: The TEAM Bundle Part 1: Where Hospitals Will Win and Lose Under Medicare’s Biggest Surgical Payment Overhaul The TEAM Bundle Part 1: Where Hospitals Will Win and Lose Under Medicare’s...
2% discount applied to LEJR, SHFFT, and spinal fusion episodes and 1.5% for CABG and major bowel
From newsletter: The TEAM Bundle Part 1: Where Hospitals Will Win and Lose Under Medicare’s Biggest Surgical Payment Overhaul The TEAM Bundle Part 1: Where Hospitals Will Win and Lose Under Medicare’s...
Composite Quality Score
From newsletter: The TEAM Bundle Part 1: Where Hospitals Will Win and Lose Under Medicare’s Biggest Surgical Payment Overhaul The TEAM Bundle Part 1: Where Hospitals Will Win and Lose Under Medicare’s...