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Medisolv Blog Medisolv Launches ModelIQ for CMS Payment Models

Medisolv Launches ModelIQ for CMS Payment Models

Medisolv Launches ModelIQ for CMS Payment Models

The first model-specific solution, ModelIQ for TEAM, gives hospitals a monthly view of financial exposure, quality performance and projected reconciliation.

Columbia, MD, September 14, 2026 - Medisolv, Inc., a national leader in healthcare quality data management, today announced the launch of ModelIQ, a new model intelligence solution designed to help hospitals understand and manage performance across evolving CMS payment models.

The first model-specific solution, ModelIQ for TEAM, supports CMS’s Transforming Episode Accountability Model by giving participating hospitals a monthly operating view of episode spending, quality performance, financial exposure and projected reconciliation. ModelIQ for CJR-X is planned next, with additional CMS payment models to follow.

As CMS expands payment models that connect quality, cost and financial accountability, hospitals need more than retrospective reporting. Quality performance can directly affect the financial result. ModelIQ brings those elements together, giving hospital teams a clearer view of where performance stands, what is driving the result and what could affect projected reconciliation.

Model intelligence built for financial accountability

ModelIQ turns complex CMS model data into a shared operating view for finance, quality, value-based care, operations and care management teams.

ModelIQ for TEAM helps hospitals answer four key questions:

  • How exposed are we?
    See historical, year-to-date, and projected TEAM performance by episode category, including
    target price versus actual episode spend and financial risk.

  • Where is performance off?
    Identify over-target episodes and the areas contributing to variance.

  • What is driving the variance?
    Analyze provider, procedure, post-acute, readmission, and physician follow-up patterns.

  • What could change the result?
    Model spend, volume, target price, and quality assumptions before reconciliation is final.

ModelIQ for TEAM also shows hospitals how Composite Quality Score performance can affect projected reconciliation, making the financial impact of quality easier to understand.

“CMS is changing not only how hospitals are paid, but how teams must work together to understand performance,” said Dave Lucey, CEO of Medisolv. “ModelIQ brings finance, quality, operations and care management into one shared view, giving leaders the intelligence to make informed decisions before reconciliation. TEAM is the starting point for a broader approach to payment model intelligence within QualityIQ.”

 
Available now

See ModelIQ in action

ModelIQ for TEAM is available now.

Readiness check
Learn more about ModelIQ and assess your hospital's TEAM readiness.
Assess TEAM readiness
Live webinar
Quality Is the Gateway to Cost Control: What TEAM and CJR-X Signal for Hospitals
Wednesday, September 16 at 1PM ET.
Register for the webinar
 
About Medisolv

Medisolv is a healthcare quality performance company helping hospitals, health systems, payers and value-based care organizations turn trusted quality data into better performance. Medisolv brings together quality measurement and reporting, quality intelligence, AI-assisted abstraction, performance analytics and improvement capabilities to help healthcare organizations measure and report with confidence, understand where performance is headed, and focus action where it can still change the result.

For more than 25 years, Medisolv has helped healthcare organizations navigate complex quality and regulatory requirements with accurate, defensible data and deep healthcare quality expertise. Medisolv solutions support more than 1,800 healthcare organizations and 100,000+ providers nationwide.

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