Understanding Medicare’s new TEAM experiment: Better care for seniors after surgery

As a senior on Medicare, you might worry about what happens after a major surgery'like a hip replacement or heart bypass. That's where Medicare's new Transforming Episode Accountability Model, or TEAM, comes in. Starting this year, TEAM is an experiment designed to make your care smoother and safer by holding hospitals responsible for your entire recovery journey.

Medicare's main goals with TEAM are to end fragmented care, where different doctors and services don't communicate well, and to reduce unnecessary emergency room (ER) visits and avoidable hospital readmissions. Fragmented care can leave you feeling lost, with mismatched medications or delayed follow-ups. By focusing on teamwork, TEAM encourages hospitals to coordinate everything from your surgery to 30 days after you go home. This includes follow-up visits, rehab, home health aide, and even skilled nursing if needed. The result? Fewer surprises, like rushing back to the ER for pain or infection that could have been caught early, and lower costs for Medicare overall.

Imagine you're an 75-year-old widow recovering from a knee replacement. Without TEAM, you might leave the hospital with confusing instructions, struggle to get physical therapy scheduled, and end up in the ER with swelling because your primary doctor wasn't looped in. With TEAM, the hospital assigns a care coordinator who checks in regularly, arranges home visits, and ensures all your providers share notes. This means quicker healing at home, less stress, and avoiding that scary readmission'just what you need to get back to enjoying time with grandkids.

About 741 hospitals across 188 areas nationwide are required to join this mandatory program. It runs for five years, from January 1, 2026, to December 31, 2030, giving Medicare time to test if this approach really works.