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Value-Based Care
1 posts about Value-Based Care. Every summary links to the original.
Winning under CMS TEAM: Building the learning health system to realize success in VBC today and tomorrow
CMS’s Transforming Episode Accountability Model (TEAM), beginning January 1, 2026, requires selected organizations to manage total cost and quality across five surgical episode categories and a 30-day post-discharge window. The post argues that retrospective dashboards and delayed claims data cannot support intervention or prepare hospitals for downside risk, especially amid complex integration across EHR, claims, post-acute, social-determinants, and provider data. It proposes a modern, cloud-native lakehouse foundation with unified data, operationalized AI/ML, embedded clinical workflows, and scalable architecture. Recommended capabilities include risk stratification, next-best-action decision support, post-acute optimization, provider benchmarking, and predictive performance alerts. In a composite 500-bed medical-center example, the approach is associated with 15% lower SNF costs, 8% better risk-capture completeness, and 12% fewer readmissions.
Kayla Grieme, Benjamin Goldsteen, Shankara Ettigi
