CMMI Mandatory Transforming Episode Accountability Model (TEAM) Initiative

March 3, 2025

Stephanie Carlton
Acting Administrator
Centers for Medicare & Medicaid Services
Department of Health and Human Services
7500 Security Blvd
Baltimore, MD 21244

RE: CMMI Mandatory Transforming Episode Accountability Model (TEAM) Initiative

Dear Administrator Carlton,

We are writing to ask that CMS immediately stop implementation of the mandatory Transforming Episode Accountability Model (TEAM) initiative finalized by the Biden Administration as part of the Fiscal Year 2025 Medicare Inpatient Prospective Payment Systems Regulation (CMS-1808-P) because of the negative impact it would have on the nearly 2 million Medicare beneficiaries who suffer osteoporotic fractures each year. We have previously joined with other national patient advocacy and physician organizations in submitting comments to CMS asking the agency to address the significant care gap in secondary prevention of osteoporotic fractures by improving access to a widely adopted post-fracture care coordination model known as Fracture Liaison Services (FLS).

Click here to read the full letter.