Rainfall Health is the end-to-end, AI-enabled compliance platform built for CMS TEAM, CJR-X, and the Medicare-mandated models that follow. We help CEOs and CFOs quantify, capture, and maximize TEAM incentives across five surgical episodes and a mandatory 30-day post-discharge window.
Download the Impact ReportRainfall Health is the only at-risk compliance solution built for Medicare's mandatory episode models.
Our AI-powered platform handles everything from compliance automation to real-time care coordination, so hospitals can focus on delivering great care and capturing the revenue tied to doing it well.
We cut through thousands of pages of CMS guidance and map it to the exact steps your team needs to take.
We bring your entire post-acute network onto the same page, in real time, so no episode gets left unattended.
We deliver personalized care journeys for every episode, powered by AI that flags what matters before it becomes a problem.
We go at-risk alongside every partner and only collect when your hospital sees results.
Potential penalty on Medicare reimbursements for non-compliance.
CMS FY 2025Hospitals currently mandated under CMS TEAM.
Centers for Medicare & Medicaid ServicesPotential new Medicare revenue available through compliance per system.
Rainfall Health Impact ReportCare and cost of each episode that happen outside the hospital's four walls.
Purpose-built for the demands of Medicare-mandated episode models.
Ask Nimbus anything about your episodes and get data-backed answers — plus automated checkins, translation, and compliance audits along the way. Unlike general AI tools, it won't guess: if Nimbus doesn't know, it says so.
Ask our AI anything about your TEAM performance. What's driving your highest spend this month? Which SNFs are underperforming? It pulls from your actual episode data and gives you specific, actionable answers.
Our AI sends automated messages to patients throughout their recovery. If a patient flags that they need help, it escalates immediately to the care coordinator and care team based on the severity of the need.
Nimbus calls patients on behalf of care coordinators post-discharge, checking in on recovery and answering questions within safe parameters. Patients can call back too. No medical advice — but clear, helpful guidance on next steps.
Our AI responds in the patient's language. For care coordinators working with non-English speaking patients, it translates in real time, in both directions.
When documents are uploaded to the R.A.I.N. platform, our AI does a first-pass audit for compliance, flagging issues before a human reviewer has to find them.
As the population of older adults grows faster than the workforce available to care for them, hospitals can no longer manage surgical quality and safety with conventional methods. Medicare's response is a wave of new value-based care mandates, starting with CMS TEAM and expanding through CJR-X, that tie hospital reimbursement directly to outcomes.
Rainfall Health is built to meet that moment, turning compliance from a burden into a real, measurable advantage.
Becoming R.A.I.N. Compliant™ means your hospital has gone through a structured, audited process — built by Rainfall and shaped by an executive advisory committee from UPMC, Kaiser, Sanford, and Mayo Clinic — that gives you a verifiable standard to stand behind. For CEOs, it answers the board's question of why you chose this partner. For CFOs, it means the compliance work is documented, audited, and defensible. And for your team, it means a clear roadmap instead of thousands of pages of CMS guidance to navigate on your own. Most hospitals complete it in 8 to 16 weeks.
“Even with our resources at UPMC, we will be looking to entities such as Rainfall Health for some guidance – checking to make sure we’re thinking about this the right way, and considering what other things we need to account for.”
Dr. Rob Bart
Chief Medical Information Officer, UPMC
For Hospital Systems
Most hospitals have less than 30 days of cash on hand, and new Medicare mandates put up to 20% of reimbursements on the line.
Rainfall Health is the only end-to-end partner that handles compliance, coordinates care across your post-acute network, and helps you capture the revenue tied to doing it well.
Explore hospital systems solutions
For Medical Groups
When you’re a part of a mandated episode of care, your patients’ outcomes and your hospital partner’s performance are more connected than ever. Rainfall Health helps coordinate care across the full surgical journey, so nothing falls through the cracks.
High-performing groups may also be eligible for gainsharing arrangements, getting rewarded for the same outcomes that help your hospital partners succeed.
Explore medical group solutions
For Vendor Partners
Hospitals can’t meet new Medicare mandates alone. They need a coordinated network of post-acute partners they can trust. Becoming R.A.I.N. Compliant™ puts your organization in front of hospitals that are actively building that network, and gives them one less reason to look elsewhere.
Explore vendor partner solutionsRainfall integrates directly with the EHR platforms hospitals rely on most, so your existing infrastructure stays exactly where it is. Read the EHR data integration guide for FHIR, HL7v2, and security details.
“In the next five years, we're going to require a lot of change because a lot of systems aren't set up to be accountable in a value-based model.”
Dr. David Shulkin
Ninth Secretary, US Department of Veterans Affairs
“A platform like Rainfall is ideal for this because you cannot expect busy orthopedic surgeons to manually collect patient-reported outcomes, you have to find a way to make that easier for the surgeons.”
Dr. Scott Cooper MC, FAAOS
Orthopedic Surgeon, Mercy NW Arkansas
“Improving healthcare access is a patient-centric priority and obligation to improve healthcare outcomes and reduce overall costs.”
Dr. Manu Nair, LLM, MBA
LLM, MBS, Chair, Corporate Development, Mayo Clinic
We'll perform a free analysis of your 2025 Medicare billings and build an individualized view of your potential upside and downside under TEAM.
How much of your 2025 Medicare payments are projected to be impacted by the TEAM mandate
What new revenue is possible per year based on your hospital's episode volume
What the potential downside looks like per year if you don't perform well under the program
Hospital-by-hospital breakdown for health systems with multiple locations
We read the rules so your C-suite doesn't have to. Rainfall Health released a first-of-its-kind Impact Report breaking down what CMS's Transforming Episode Accountability Model (TEAM) means for your hospital's bottom line — the projected losses, the deadlines, and the plan to protect your Medicare revenue.
Read more: Inside 721 Hospitals: A Financial Field Guide for the First Mandatory Multi-Procedure Surgical Episode Model
Blog PostWhy did CMS TEAM turn mandatory? Dr. David Shulkin on the 2030 value-based care deadline, Medicare trust-fund math, and what CEOs must do before 2027 downside risk.
Read more: Why Did CMS TEAM Turn Mandatory? A Former VA Secretary Explains the Calendar and the Math
Press ReleaseAI platform will support care coordination and compliance efforts for a participating Florida health system under CMS's Transforming Episode Accountability Model.
Read more: Rainfall Health Announces New Health System Customer to Support CMS TEAM Model ImplementationCMS TEAM, Medicare reimbursement, and the safety-net hospital perspective — Dr. Sandra Scott, CEO of One Brooklyn Health, joins Rainfall Health founder and CEO Ahmed "Eddie" Qureshi.
Read more: From the ER to the C-Suite: Dr. Sandra Scott on Leading a Safety-Net System Through CMS TEAMSee exactly what your hospital stands to gain and lose.
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