In 4 of 1,539 TEAM hospital and surgery pairs, the stay alone costs more than the target
Kent Applied estimate of the share of each hospital's 2026 TEAM target its 2024 Medicare stays use, in five surgeries
About the data
- Sources
- Kent Applied, TEAM position report and methodFig. 1, its table and How we count the stay
- CMS, TEAM PY1 preliminary target prices (opens in a new tab)Preliminary target price by region and MS-DRG
- CMS, Medicare Inpatient Hospitals by Provider and Service, 2024 (opens in a new tab)Discharges and average Medicare payment by hospital and MS-DRG
- CMS, TEAM episode construction specifications (opens in a new tab)how episode spending is added up, in standardized dollars
- CMS, payment standardization method (opens in a new tab)what standardization keeps and takes out
- Method
- This is a Kent Applied analysis of public CMS files. Each dot is one hospital in one surgery: its 2024 Medicare inpatient stays, counted the way TEAM counts them in CMS standardized dollars, moved to 2026 prices and divided by CMS's 2026 preliminary target price for the hospital's region and mix of cases. Hospitals need at least 11 stays in a surgery for a dot. The data below are the per-surgery summary; the CSV on the TEAM report page has the numbers for every hospital with a dot.
- Published
- Updated
Free to share and embed with credit to Kent Applied (CC BY 4.0). The source data keeps its own terms.
Facts from this chart
4 of 1,539
hospital and surgery pairs where the stay alone exceeds the target
In 4 of 1,539 TEAM hospital and surgery pairs, the hospital stay alone costs more than the 2026 target price, according to Kent Applied's analysis of CMS files.
Source: TEAM position report: where each hospital stands in CMS's TEAM model.
KentApplied38%
of the 2026 target used by the stay
At the median TEAM hospital, the hip or femur fracture stay uses 38% of the 2026 target price, according to Kent Applied's analysis of CMS files.
Source: TEAM position report: where each hospital stands in CMS's TEAM model.
KentApplied
Related charts
- From the blog
At the median TEAM hospital, the hospital stay uses 38% to 70% of the target, by surgery
Kent Applied, TEAM position report and method; CMS, TEAM PY1 preliminary target prices; CMS, Medicare Inpatient Hospitals by Provider and Service, 2024; CMS, TEAM episode construction specifications; CMS, payment standardization method; CMS, TEAM model page - From the blog
A TEAM hospital in Track 3 can owe CMS up to 20% of its total target price in a year
CMS, TEAM Model Overview slides (updated September 2026); 42 CFR 512.550, TEAM reconciliation (eCFR) - From the blog
Billing and scheduling were the fastest-growing hospital uses of predictive AI in 2024
ASTP, Data Brief No. 80: Hospital Trends in the Use, Evaluation, and Governance of Predictive AI, 2023-2024 (September 2025) - From the blog
Payers initially denied nearly 12% of hospital and physician claims in 2024
Kodiak Solutions, press release on 2024 initial denial rates (May 21, 2025)
Sources for the figures above: 42 CFR 512.550, Reconciliation process and determination of the reconciliation payment or repayment amount (opens in a new tab); ASTP, Data Brief No. 80: Hospital Trends in the Use, Evaluation, and Governance of Predictive AI, 2023-2024 (September 2025) (opens in a new tab); Rate of initial denials of medical insurance claims continued to rise in 2024, Kodiak Solutions proprietary data show (opens in a new tab).
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