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Knowledge Expansion

Making a bundle: Unpacking the reality of commercial bundled payments

Insight Article

Reimbursement

Contracting

A year ago, a large number of medical practices wondered what commercial bundled payments would look like, with some rough assumptions about how bundlers and conveners would negotiate with various specialties for prices on procedures and services for a specific patient case.

As it turns out, the reality of how commercial bundled payments have rolled out in the past year doesn’t match those expectations, according to Penny Noyes, CHC, president, Health Business Navigators. Working with other providers in a given market to assemble a bundled payment program while taking on risk has proven to be a tall task for some groups.

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