Winning under CMS TEAM: Building the learning health system to realize success in VBC today and tomorrow

Starting January 2026, hospitals must manage total cost and quality for five surgical episodes under the CMS TEAM program, requiring modern data infrastructure to enable proactive intervention rather than reactive monthly reviews.

• •Unified cloud-native data lakehouse platforms integrate clinical EHR, claims data, post-acute care, and social determinants across the enterprise
• •AI/ML models continuously learn from outcomes to improve risk stratification, intervention recommendations, and complication prediction with real-time deployment
• •Key operational capabilities include next best action decision support in clinical workflows, coordinated post-acute care pathways, and provider-level benchmarking across surgeons
• •Real-world case study of a 500-bed academic center achieved 15% SNF cost reduction, 8% risk capture improvement, and 12% readmission reduction within six months