Contact UsCMS's mandatory TEAM Program holds hospitals accountable for surgical costs 30 days post-discharge. Magister Health's virtual Command Center is purpose-built to help you meet every requirement — and experience a positive financial return.
Contact UsParticipating hospitals bear 30-day episode accountability for all costs from surgery through 30 days for 5 surgeries — joint replacement, hip fracture, spinal fusion, CABG & major bowel.
Performance on both cost, quality and a mandatory primary care referral can result in up to a ±20% reconciliation payment based on the track when the program is fully implemented.
Nurse-led 30 day Care Management Program delivered via an intelligent AI Command Center — offering real-time monitoring, proactive interventions, and uninterrupted support tailored to every patient's post-discharge needs.
AI-powered coordination seamlessly bridges the hospital-to-home transition — the highest-risk period for avoidable readmissions — while ensuring patients receive care in the most appropriate setting.
Automated referral workflows fulfill TEAM's mandatory primary care connection requirement, supporting accountable care relationships.
The personalized program integrates all aspects of post-discharge care: monitoring, coordination, patient education, escalation protocols, and outcome tracking.
Failing to manage post-acute care under the TEAM program exposes hospitals to significant financial penalties and inefficiencies.
Average cost of a single readmission in a TEAM episode
Of mandatory TEAM hospitals already underperforming top-quartile benchmarks
Average post-acute care utilization rate — a top driver of excess episode spend
Of pre/post-surgical coordination time lost to manual admin tasks
Potential savings per episode by shifting IRF to home-based care
Average SNF length of stay (days) — top quartile is under 24.9
If episode costs exceed CMS target prices, hospitals owe money back. Track 3 carries up to 20% downside risk per episode. With readmissions averaging $15,100 and orthopedics comprising ~85% of episodes, care coordination is no longer optional — it's your margin strategy.
Speed to operational readiness
Protection against the #1 financial risk driver - managing post-acute spending
No capital expenditure - no fixed liability
Nurse-led AI-powered Command Center - Clinical expertise with real-time episode surveillance 24/7
White-labeled brand continuity drives patient engagement
Preferred Post-Acute Care Network support
Scalability as CMS expands TEAM
Consistent outcomes for every patient across the episode of care
"Care doesn't stop at discharge. Neither do we."Magister Health · Virtual Command Center · Nurse-Led · AI-Powered
TEAM makes your hospital accountable for what happens after the patient leaves — in the SNF, at home, in the ED on day 22. Magister Health extends your reach into those moments.
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