Bundled Payments & Episodes
Expert articles and analysis related to bundled payments & episodes.
AI Summary — Last 30 Days
Mandatory episode-based payment is moving from concept to operational readiness as hospitals prepare for CMS’ TEAM downside risk beginning January 1, 2027, with providers increasingly formalizing governance, data infrastructure, surgeon alignment, and value-based enterprise structures to manage episode economics and compliance. The emerging CJR-X discussion signals that CMS under the Trump administration, with Administrator Dr. Mehmet Oz and CMMI Director Abe Sutton, is continuing to use mandatory bundles as a lever for cost accountability—creating tension between proponents of standardized episode discipline and critics who argue models like CJR-X may misalign incentives or constrain clinical flexibility. Strategic positioning is shifting toward specialty-specific performance management, as seen in UCHealth’s TEAM-focused surgical analytics partnership, and toward enterprise-level readiness playbooks for mandatory bundles and risk sharing (Hall Render on TEAM readiness; Forvis Mazars on CJR-X governance).
Related Articles
Turning TEAM Risk into Opportunity: The Case for a Value-Based Enterprise
CJR-X: Establishing Effective Governance Structures
CJR-X: How to Succeed in CMS’ Mandatory Bundled Payment Model
A Healthcare Finance Model for the United States: A Conceptual Workflow for Episode-Based Pricing, Risk Sharing, and Value-Based Accountability Using Bundled Payment as the Core Mechanism
A Healthcare Finance Model for the United States: A Conceptual Workflow for Episode-Based Pricing, Risk Sharing, and Value-Based Accountability Using Bundled Payment as the Core Mechanism Cureus
UCHealth Partners with Avant-garde Health to Strengthen Surgical Performance Under CMS TEAM
UCHealth Partners with Avant-garde Health to Strengthen Surgical Performance Under CMS TEAM Business Wire
CJR-X: How to Succeed in CMS’ Mandatory Bundled Payment Model
CJR-X: How to Succeed in CMS’ Mandatory Bundled Payment Model Forvis Mazars US
Opinion: Good riddance to bundled ‘global’ maternal care billing
New maternal billing codes should create a transparent system where both patients and clinicians can thrive, ACOG writes.
CJR-X gets value-based care wrong
CJR-X gets value-based care wrong Washington Times
CJR-X: Establishing Effective Governance Structures
CJR-X: Establishing Effective Governance Structures Forvis Mazars US
Transforming Episode Accountability Model
Transforming Episode Accountability Model The American College of Surgeons