ATLANTA: Enlace Health, the industry’s leading platform for designing, scaling and administering prospective and retrospective episode arrangements, announces the expansion of its platform to enable full support for Center for Medicare and Medicaid Innovation (CMMI) new TEAM episode initiative. Leveraging its extensive experience managing episodic care, Enlace Health will expand full capabilities to support all participating health system organizations implementing the Centers for Medicare and Medicaid (CMS) Transforming Episode Accountability Model (TEAM). Enlace’s solutions currently enable some of the industry’s largest specialty episode value-based care programs, administering multi-specialty episodes spanning 15 types and serving over 112 million members.

Launching with an analytics period in 2025 and the program risk period beginning in January 2026, TEAM is another step toward CMMI launching programs that drive quality improvement, cost containment, and streamlined care coordination for Medicare beneficiaries undergoing specific surgical procedures. TEAM builds on the success and learnings from CMS predecessor BPCI-A program to put health systems at the center of the risk initiative. The program will be a game changing initiative for episode adoption as TEAM provides a launch pad and test ground for future health system centric episode programs that have lacked adoption historically.

“The industry has done well to launch and gain adoption of episode programs with stand-alone physicians and BPCI served as a catalyst for that years ago. Enlace feels the TEAM initiative is an opportunity for the industry to engage health systems in the adoption of episode initiatives which will help episode growth for all the industry,” said Bill Nordmark, President and CEO of Enlace Health.

Used by some of the largest health plans and major health systems in the industry, Enlace Health has expanded its proprietary platform to provide turnkey solutions for health systems who not only need to understand where they stand but to also execute participation which will drive success in all aspects of the TEAM program. Beginning with early insights into the dynamics of TEAM, Enlace will design and administer the program for its health system partners ensuring all participants – surgeons, primary care providers, and collaborative care partners – are operationally and financially integrated into the overall success of every TEAM episode.

Enlace Health’s extensive experience in episodic care is the foundation on which hospitals and health systems will not only navigate the new program but also leverage TEAM as another important building block in their broader value-based care initiatives. Creating the most effective program will require in-depth knowledge of provider incentives and contracts as well as the operational clarity needed to drive adoption and scale. Together, Enlace’s financial expertise and Provider Network and Enablement Solutions will help systems create and deploy an end-to-end ecosystem that supports the high standards set by the CMS TEAM model.

“Our DNA at Enlace Health is not only about driving innovation in specialty care but getting adoption of TEAM program participation which achieves outcomes and success for better quality care at a lower cost,” said Bill Nordmark, President and CEO of Enlace Health. “With CMS TEAM, we see an opportunity to provide hospitals and health systems with actionable intelligence, operational efficiencies, and the clear support needed to help them succeed under this model.”

About Enlace Health

Enlace Health™ is a tech-enabled services company focused on transforming specialty healthcare through evolved economic and delivery models that support the development and scale of value-based programs. With over a decade of experience helping payers, health systems and providers optimize cost and quality, Enlace is a leader in specialty value-based care. The Enlace solution is powered by in-depth specialty analytics that serve as the foundation for development and maximization of best-in-class provider networks. The Connected World of Enlace™ aligns incentives, streamlines care, and drives down cost while ensuring patient care and quality are delivered throughout the entire patient journey.

Enlace is Sustainable Healthcare, Delivered.

Fonte: Business Wire