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For the hospital and spine service-line team · North Jersey · October 2026

Spine Under Medicare's New Payment Models

TEAM, WISeR and ASM: what each one measures, who carries the risk, and what our spine service line does about it

Aaron Wey, MD, FAAOS, FACS
Adult & Pediatric Spine Surgeon
Literature reviewed through CMS rules, guides and participant files read October 18, 2026
Version 1.0 · Updated 2026-10-18
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Why now

Three programs, all live or arriving within a year

44
New Jersey hospitals in TEAM, all in the New York-Newark-Jersey City area, including every hospital in Bergen and Hudson
TEAM participant list, 2026 Q3 CMS 2026
Why now
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Speaker notes · Why now

Thank you for the time. Three Medicare programs now touch almost every spine patient we see, and they started arriving this year. One of them, TEAM, puts this hospital at financial risk for every spinal fusion episode. One, WISeR, changes how traditional Medicare authorizes spine procedures in New Jersey. And one, ASM, starts measuring spine clinicians individually in 2027.

I have asked to be the physician lead for our service line on these programs. This talk is what I have learned, checked against CMS's own rules and participant files, and what I propose we do. Every fact on these slides links to the CMS document it came from.

References on this slide
None