Solutions by Pain Point
Solutions
Pre-built Playbooks. Proven results. Deployed in days.
Use a pre-built Playbook
or we’ll configure a custom one for you
Identifying interventions for cost and quality is a plan. Our TEAM-Playbook library contains dozens of best-practice care coordination programs — each one an enterprise process that spans the clinical, financial, and administrative systems already running in your organization. We connect them. Your teams use the systems they know. TEAM-Win orchestrates the handoffs.
Solutions for ACOs
Five Pain Points. Five Playbook Bundles.
01
Reduce Hospital Admissions & ED Utilization
High-Risk Patient Management · Chronic Condition Management · Closed-Loop Referral · Annual Wellness Visit · Encounter Notification Response · Post-Discharge Management · Post-Acute Facility Integration · Patient Goal Management · Preventative Health Integration.
02
Chronic Disease Management
Condition Program Enrollment · At-Risk Population Registry and Intervention · Condition-Specific Key Success Factors · Closed-Loop Referral · Self-Management Evaluation · Deterioration Response Protocol · Patient Goal Management.
03
Post-Acute Facility Integration
Service and Site Selection · Integrated Care Planning · Integrated Discharge Planning · Deterioration Response Protocol · Closed-Loop Communication · Post-Discharge Management.
04
Reduce Network Leakage
Condition Program Enrollment · Encounter Notification Response · Discharge Planning · Transfer Facilitation · Closed-Loop Referral · Post-Discharge Management · Post-Acute Facility Integration.
05
Improve Quality Measures
Preventative Health Integration · Chronic Disease Management · Integrated Care Planning · Integrated Discharge Planning · Deterioration Response Protocol · Closed-Loop Communication.
Solutions for Health Systems
Beyond Pre-Built Playbooks
TEAM-Win is a flexible platform for building and deploying process excellence between departments, services, hospitals, and partners. Our leadership also provides consulting in healthcare operations, utilization management, and regulatory compliance — including expert witness litigation support.
Utilization Management: Expert Witness
Dr. Thomas McCarter, our Chief Medical Officer, is the country’s leading physician expert witness for consulting, medical expert reports, and testimony on medical necessity.
Risk Adjustment Compliance & RADV
HCC coding has become risky for Medicare Advantage plans. A TEAM-Playbook coordinates the work between providers, health plans, and coding vendors: automated steps flag priority codes, identify gaps, and assign follow-up across all parties — improving accuracy, improving compliance, and reducing audit cost.
Value-Based Care Contracts
Financial performance, quality measurement, and compliance improve significantly with tighter workflow coordination between payers and providers. We’ve improved risk adjustment, increased quality scores, reduced compliance risk, and lowered audit costs.
Proven Results
Real Programs. Real Numbers.
$100M
Hackensack Alliance ACO
Medicare Shared Savings over four years — 4 hospitals, 24 practices, 100,000+ patients across 5 ACO contracts.
$30M
Inland Empire Foundation for Medical Care
From HCC recapture, with 20%+ RAF improvement three straight years across 96 practices managing D-SNP patients.
8 State ACO
Multi-State MSSP Rescue
When an ACO management company failed, we picked up 80 practices across 8 states — 137 practices, 4 hospitals, 78,000 patients. 100% of required quality metrics submitted.
Trusted by Leading Health Systems and ACOs
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