Solutions for
Medical Groups

If your group is part of a TEAM episode, your performance is now tied directly to the hospital's reimbursement and your own reputation. Rainfall Health gives medical groups a clear path to certification, real-time visibility into outcomes, and a way to stand out as a partner hospitals want to work with.

When your group is part of a mandated episode of care, your performance is already being measured, whether or not anyone's told you yet.

Increase Reimbursement Through Better Outcomes
Build a Reputation  Hospitals Notice
Automate Your Path  to Certification
Strengthen Your Community Reputation

How Medical Groups are Affected by the TEAM Model

When you're part of a mandated episode of care, your outcomes and the hospital's reimbursement are now connected. CMS TEAM covers five specific surgical procedures — lower extremity joint replacement, spinal fusion, CABG, major bowel, and surgical hip and femur fracture — and watches the full 30-day episode, not just the procedure itself. That means cost containment, care coordination, and quality outcome measures all fall within your group's sphere of responsibility.

Surgeons want privileges at hospitals that perform well, and hospitals want to work with medical groups who help them get there. Rainfall Health gives your group real-time visibility into outcomes and a clear path to R.A.I.N. Compliant™ certification, so you can prove you're the kind of partner hospitals want to keep.

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A New Standard: R.A.I.N. Compliant™

R.A.I.N. Compliant™ is the only recognized certification for Medicare-mandated compliance, validated by an executive advisory committee of senior health system leaders who’ve put their reputations behind it. It’s how your group proves it’s ready.

The numbers behind the mandate:

Quality Upside10%
Maximum positive reconciliation adjustment tied to your composite quality score across all TEAM risk tracks.
Centers for Medicare & Medicaid Services
Quality Downside-15%
Steepest quality-based penalty under Track 2, a risk physician groups can share if they hold downside exposure.
Centers for Medicare & Medicaid Services
Annual Dollar Impact5
CMS quality measures that make up the composite score determining your payment: readmissions, patient safety, falls, respiratory failure, and patient-reported outcomes.
eCFR.gov
Financial Risk100%
Gainsharing payments to physician groups can’t exceed the hospital’s own reconciliation payment.
AAHKS

One platform.
Every piece of the mandate.

Explore how Rainfall Health handles compliance, care coordination, and financial performance, all in one place.

AI Care Coordination

Stay connected with the hospital, skilled nursing, and rehab teams handling the rest of the patient's recovery, so nothing gets lost in the handoff.

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R.A.I.N. Compliant Hospital System Partners

“Even with our resources at UPMC, we will be looking to entities such as Rainfall Health for some guidance – checking to make sure we’re thinking about this the right way, and considering what other things we need to account for.”
Dr. Rob Bart
Chief Medical Information Officer, UPMC
“A platform like Rainfall is ideal for this because you cannot expect busy orthopedic surgeons to manually collect patient-reported outcomes, you have to find a way to make that easier for the surgeons.”
Dr. Scott Cooper MC, FAAOS
Orthopedic Surgeon, Mercy NW Arkansas