TEAM Beneficiary Notification Letter

Your team of healthcare providers is working together to give you the best care

This notification is from the Centers for Medicare & Medicaid Services (CMS) to inform you that the hospital, Reid Health, has been selected to participate in a mandatory program called the "Transforming Episode Accountability Model" (TEAM). A CMS model is a trial program, and a way of testing how health care can be improved for people with Medicare and Medicaid. In this model, selected hospitals (referred to as "TEAM participants") will coordinate care for beneficiaries like you with original Medicare, who are undergoing certain surgical procedures included in the model. TEAM participants are accountable for the cost and quality of care from surgery through the first 30 days after you leave the hospital.

TEAM participants can choose to work with health care entities, such as skilled nursing facilities, home health agencies, doctors, and other healthcare workers or organizations who are also helping Medicare patients. These helpers are called "TEAM collaborators". TEAM participants can set up financial arrangements to share extra money they get from Medicare with TEAM collaborators.

Medicare believes that when hospitals and other healthcare entities work together, patients get better care. This teamwork can also help save money, for example, by helping patients avoid going back to the hospital when it's not needed.

You can find the list of healthcare entities working with Reid Health as TEAM collaborators here:

What do I need to know about TEAM?

TEAM aims to improve the patient experience from surgery through recovery by supporting the coordination and transition of care between providers to reduce avoidable hospital readmissions.

The five surgical procedures in the model are:

• Lower extremity joint replacement
• Surgical hip femur fracture treatment
• Spinal fusion
• Coronary artery bypass graft
• Major bowel procedures

You will have all the Medicare benefits, rights, and protections

Medicare will continue to cover all your medically necessary services. However, individual beneficiaries cannot opt out of the model when they receive hospital services from a TEAM participant, such as Reid Health. As a Medicare beneficiary you will keep your freedom of choice and may seek care with a different hospital that is not a TEAM participant .

Health care providers and suppliers who are enrolled in Medicare and are TEAM participants will submit their Medicare claims as they always have. Even though Medicare may provide additional payments to a hospital that is a TEAM participant, the amount you pay will not change.

Information sharing helps coordinate your medical care

Your medical records and Medicare claims data, such as Medicare Beneficiary Identifier, date of birth, name of the provider, date of service, diagnosis, and procedure codes, may be shared with your health care team to provide you with better, safer, and more coordinated care. When all your doctors and clinicians in the hospital and/or clinics you visit can see the same test results, treatments, and prescriptions, they can work together to support your health goals. More coordination helps prevent medical errors and adverse drug interactions. You may save time, money, and frustration by avoiding repeated tests and appointments.

Medicare will always protect the privacy of your health information. Your information is kept private by law.

Reid Health has an electronic health information system with a "Patient Portal" that provides you with easy online access to your medical records. The instructions for access are provided below:

How do I set up a MyReid account?

There are two ways:

• You can set up a MyReid account by entering an activation code on this page. If you don't have a code, you can still self-register by visiting this page. If the information you enter matches health records we have on file at Reid Health, a MyReid account will be created automatically. If not, you'll need to call the MyReid Help Line at (765) 935-8831.
• You can ask the staff at your Reid Health provider's office to start the account setup process for you during your next visit.

If you have concerns or complaints about your care, you can:

• Talk to your doctor or healthcare provider.
• Contact your local Quality Improvement Organization (QIO). The QIO program is dedicated to improving health quality for Medicare beneficiaries. To get your QIO's phone number, visit Locate Your QIO. (https://qioprogram.org/locate-your-qio).
• Call the 1-800-MEDICARE (1-800-633-4227) helpline 24 hours a day.

Where can I learn more about TEAM?

Visit the TEAM web page to view the list of hospitals participating in the model (the TEAM participants), details about the model design, and Frequently Asked Questions (FAQs).

https://www.cms.gov/priorities/innovation/innovation-models/team-model