CMS TEAM Analyzer
Built for TEAM Readiness
Bundle Economics Before Reconciliation
CMS TEAM Analyzer prices surgical bundle economics on Medicare CCLF or commercial claims and shows where each episode lands against its regional benchmark before you're locked into anyone's price.
- Price all five CMS TEAM surgical bundles on the claims you already have
- Benchmark each episode against public regional target prices out of the box
- Turn raw episode outputs into dashboards, driver analysis, and operational worklists
Bundle Explorer
Compare bundle-level performance, monthly trends, spend components, top drivers, and pathways to review.
Driver Explorer
Rank surgeons, sites, post-acute partners, and discharge patterns by unfavorable variance contribution.
Care Pathway Explorer
Visualize discharge-to-post-acute flows and see which pathways are running favorable or unfavorable to target.
Action Center
Focus on the drivers and open episodes with the clearest operational upside for the current quarter.
Episode Detail
Drill into episode-level detail with discharge destination, post-acute partner, status, variance, and exportable rows.
Who This Is For
- Selected TEAM hospitals that need to monitor exposure before official CMS reconciliation.
- Health systems outside mandatory TEAM regions that want to understand surgical bundle economics before risk lands in a contract.
- ACOs using CCLF to monitor attributed beneficiaries and coordinate care across settings.
- Commercial contracting teams that need episode-level cost data for bundled-payment and payer negotiations.
What Do You Get
- Episode logic for all five TEAM categories: LEJR, surgical hip/femur fracture, spinal fusion, CABG, and major bowel.
- Regional benchmark scoring so teams can see which episodes, bundles, sites, surgeons, and pathways are favorable or unfavorable.
- Interactive dashboards for bundle trends, variance drivers, care pathways, action lists, and episode-level drilldown.
- Warehouse-native dbt models that run on top of Tuva without moving PHI into a separate vendor application.
- Analyst-ready outputs for BI, CSV export, and operational workflows.
Program Note
CMS TEAM Analyzer is for directional monitoring and modeling, not the official CMS reconciliation payment number. CCLF and CET TEAM files represent different populations, so CCLF should be used within its permitted care-coordination, quality-improvement, and population-health purposes. Commercial episode analytics run on commercial claims, with Medicare regional targets used as reference points rather than official commercial targets.