Impact Report
Inside 721 Hospitals: A Financial Field Guide for the First Mandatory Surgical Episode Model

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$1.2M average projected Year-1 loss. 30% of Medicare revenue at risk by PY5.
We read the rules so your C-suite doesn't have to. Rainfall Health released a first-of-its-kind Impact Report breaking down what CMS's Transforming Episode Accountability Model (TEAM) means for your hospital's bottom line — the projected losses, the deadlines, and the plan to protect your Medicare revenue. It's all inside.
Authored by Rainfall's VP of Clinical AI Strategy, Christina Keny, PhD, MHA, RN, CPHQ, this report is a field guide for hospital leaders entering the Surgical Reform Decade: a fundamental shift to value-based payment driven by a fast-growing population of patients 65 and older with increasingly complex care needs.
Inside the report, you'll find:
- Which 721 hospitals are mandated under TEAM, and the per-procedure dollars at stake
- The full penalty and incentive structure, year by year through PY5
- Real financial exposure modeled across 17 California health systems
- A clear roadmap to protect — and grow — your Medicare revenue