What are Bundled Payments?

Bundled payments are a healthcare reimbursement model where providers receive a single, comprehensive payment for all services related to a specific treatment, procedure, or episode of care. Instead of billing separately for each service, hospitals, doctors, and other providers share one payment that covers the entire care episode from start to finish, including complications within a specified timeframe.

Why bundled payments matter

• Encourages care coordination: Incentivizes providers to work together efficiently
• Controls healthcare costs: Creates predictable expenses for specific treatments
• Improves quality: Rewards providers for good outcomes rather than service volume

How Solace can help

A Solace advocate can help you understand how bundled payments affect your care costs, ensure all services are included in the bundle, and address billing issues if providers attempt to charge separately for covered services. Advocates can also help compare bundled payment options for planned procedures.