How One Rural Hospital Turned Mandatory PROMs and Medicaid…

How One Rural Hospital Turned Mandatory PROMs and Medicaid Quality Measures into a Strategic Growth Engine In 2025, mandatory PROMs THA TKA are no longer optional for hospitals performing total hip and knee arthroplasties. CMS requires submission of patient-reported outcome measures, with penalties looming for non-compliance. At the same time, state-level Medicaid value based hospital […]
Closing the Surgical Safety Gap: How Community Hospitals…

Closing the Surgical Safety Gap: How Community Hospitals Can Cut Post-Op Complications and Boost Functional Recovery Post-operative complications remain a stubborn challenge for community hospitals. Sepsis, respiratory failure, wound infections, and unplanned readmissions not only endanger patients but also drive up costs and erode quality scores. Nationally, surgical complications affect up to 15% of cases, […]
From Bundles to Bedside Data: How Hospitals Can Make TEAM…

From Bundles to Bedside Data: How Hospitals Can Make TEAM 2026 Work for Clinicians, Finance and Quality The CMS TEAM model 2026 marks a pivotal shift in value based care hospital reimbursement. Starting January 2026, selected hospitals will bear full-episode accountability for high-volume conditions including lower extremity joint replacement (LEJR), spinal fusion, sepsis, and stroke. […]
From 3 Stars to 5: How Rural Hospitals Boost CMS Star Ratings Using PROMs & Patient-Reported Outcomes 2026

From 3 Stars to 5: How Rural Hospitals Can Use Patient-Reported Outcomes to Climb the CMS Quality Star Ladder Rural and critical access hospitals face intense pressure to improve hospital star rating performance. With CMS hospital star ratings directly influencing Medicare reimbursement, patient volume, and community trust, a drop from 4 to 3 stars can […]
Winning Under CMS TEAM: How Surgical Hospitals Can Protect…

Winning Under CMS TEAM: How Surgical Hospitals Can Protect Margin on Joint & Spine Bundles Without Sacrificing Outcomes The CMS TEAM bundled payments model launches January 1, 2026—mandatory for selected hospitals across key geographic areas. This five-year initiative holds facilities accountable for the full spine surgery episode of care and LEJR bundle optimization, from procedure […]
From Survival to Strategy: How Rural Hospitals Turn Outcomes Data…

From Survival to Strategy: How Rural Hospitals Turn Outcomes Data into Growth Rural hospitals are at a crossroads. With over 300 facilities at risk of closure since 2020 and margins averaging just 2.4%, survival mode has become the default. Yet a growing number of independent and community systems are flipping the script—using rural hospital outcomes […]
Creating Meaningful Patient Experiences in Joint Replacements

Creating Meaningful Patient Experiences in Joint Replacements Joint replacement surgeries involve complex processes that require intuitive solutions and coordinated care for a seamless patient journey throughout the episodes of care. A comprehensive care coordination solution is dedicated to delivering superior patient experiences in orthopedic surgeries. From giving actionable insights in terms of critical decisions including […]
Reducing Orthopedic Readmissions: 5 Proven Strategies…

Reducing Orthopedic Readmissions: 5 Proven Strategies for CMS Bundle Success in 2025 Hospital readmissions remain one of the biggest financial and clinical burdens in U.S. healthcare—costing systems more than $52 billion annually. In FY2025, CMS’s Hospital Readmissions Reduction Program (HRRP) penalized over 7% of facilities, while orthopedic bundles like the Comprehensive Care for Joint Replacement […]
How Independent Rural Hospitals Turn Outcomes Data…

How Independent Rural Hospitals Turn Outcomes Data Into Their Ultimate Competitive Edge in 2026 In the unforgiving landscape of rural healthcare, independence isn’t just a badge—it’s survival. With over 140 rural hospitals closing since 2010 and consolidation swallowing community anchors, the last standalone facilities in Northeast Texas are fighting to stay local. Titus Regional Medical […]
Building TEAM-Ready Orthopedic Episodes: How Orthopedic…

Building TEAM-Ready Orthopedic Episodes: How Orthopedic Hospitals and ASCs Can Win in the New Value-Based Care Era The CMS TEAM 2026 preparation clock is ticking. Starting January 2026, the Transforming Episode Accountability Model (TEAM) will mandate episode-based payments for lower extremity joint replacement (LEJR) and spinal fusion in selected markets—expanding risk to orthopedic hospitals and […]