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  • Washington Highlights

    AAMC Submits Comments on New CMMI Mandatory Specialty Care Model


    Michelle Spafford, Health Care Affairs
    For Media Inquiries

    The AAMC, as part of its response to the FY 2025 Hospital Inpatient Prospective Payment System (IPPS) proposed rule, submitted a June 10 comment letter to the Centers for Medicare & Medicaid Services (CMS) on the Transforming Episode Accountability Model (TEAM), a new mandatory episode-based payment model. TEAM episodes included are coronary artery bypass graft, lower extremity joint replacement, major bowel procedures, surgical hip/femur fracture treatment, and spinal fusion. 

    In its comment letter, the AAMC noted the necessity of mandatory models for the CMS to meet its goal of 100% of Medicare beneficiaries in accountable care relationships, but recommended that the agency: 

    • Reduce the discount factor and include more extensive variables to the risk adjustment. 

    • Align health-related social needs data collection with requirements established in the Hospital Inpatient Quality Reporting program. 

    • Increase guardrails for safety-net hospitals.  

    • Include additional quality measures to create alignment across programs. 

    If finalized, TEAM would start Jan. 1, 2026, and end Dec. 31, 2030.