TEAM offers nursing homes increased negotiating leverage with Medicare Advantage plans and other payers.
Negotiating power with Medicare Advantage (MA) plans may become easier as nursing homes explore participation in bundled payment options such as the Transforming Episode Accountability Model (TEAM), which enables following patients through an entire episode of care.
It’s a lever available to participants and collaborators to forge new contracting strategies with their MA plan and other health plan partners, said Brian Fuller, managing director of value-based care design and delivery at ATI Advisory.
And, post-acute care is very important in most episode-based care models, he said. It’s going to be the key to success for the TEAM model.
Stulick, A., (2024, September 7). TEAM model gives nursing homes another lever for Medicare advantage negotiations. Skilled Nursing News. https://skillednursingnews.com/2024/09/team-model-gives-nursing-homes-another-lever-for-medicare-advantage-negotiations/
Improve Medicare Advantage reimbursements with payer contract management that puts payer rules in the hands of clinicians & billers.
