Healthcare Operations & Hospital Administration

In the past 30 days, CMS has driven a significant structural shift for hospitals and ACOs with the rollout of the Transforming Episode Accountability Model (TEAM), marking a resurgence of mandatory bundled payments—particularly in surgical episodes—after years of focus on Medicare Advantage and supplemental payments. This transition places operational and financial pressures on health systems, compelling readiness for new episode-level risk arrangements, including 2% discounts for major procedures like LEJR and spinal fusion and a new composite quality scoring methodology that will directly impact hospital margins [racmonitor: Bundled Payments Are Back, Techy Surgeon: TEAM Bundle Analysis]. Meanwhile, despite stronger momentum in value-based care adoption, stakeholders continue to face persistent operational barriers in aligning workflows, data infrastructure, and behavioral change to succeed under tightening financial and quality-based requirements [[Globe and Mail: VBC Adoption Momentum](https://news.google.com/rss/articles/CBMi_wFBVV95cUxPclVQSDVIZ21zczM1d2VIN