Why bundled payments are no longer optional
In January 2026, CMS launched the Transforming Episode Accountability Model (TEAM), making bundled payments mandatory for hospitals in roughly a quarter of U.S. markets across five high-cost surgical episodes. The Comprehensive Care for Joint Replacement – Expanded (CJR-X) model, proposed with a target start date of October 1, 2027, would extend joint replacement bundles to every eligible acute care hospital nationwide if finalized.
The hospitals that win under these models won’t be the ones with the best clinicians alone. They’ll be the ones that can see the episode (every dollar, every handoff, every quality measure) before CMS does.
See your episodes the way CMS sees them
MedInsight Bundles turns raw CMS claims into the views you need to manage performance and audit reconciliation, from the high-level episode mix down to the operating physician.
Built for the model you’re actually in
| If you’re a… | You’ll use Bundles to… |
|---|---|
| Hospital CFO | Forecast TEAM and CJR-X exposure, model downside scenarios, and prioritize post-acute spend reductions |
| VBC / population health leader | Compare provider and skilled nursing facility (SNF) performance against regional benchmarks to prioritize savings opportunities |
| Chief Quality Officer | Track Composite Quality Score components and target outcome interventions |
| ACO or CIN administrator | Aggregate episode data across the network and standardize post-acute pathways |
What makes MedInsight different
Risk analysis is the foundation, not an afterthought
Our benchmarking and financial projections are built on Milliman’s actuarial expertise. We apply industry-leading risk management capabilities to managing episodes.
Ten-plus years of bundled payment expertise
Our team is led by multiple former CMS employees with deep programmatic understanding. For as long as CMS has been running bundled payment programs, we have been building reporting interfaces to support participants.
CMS-replicating logic
We don’t approximate reconciliation. We replicate it, so the number you see is the number CMS will use.
User-friendly by design
Easy-to-use dashboards surface opportunities quickly, so your team spends time acting on insights rather than hunting for them.
Data confidence built in
Greater alignment and adoption combine with accelerated efficiencies and insights, so every stakeholder can trust the numbers they’re acting on.
