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CMS is gearing up for the first mandatory bundled payment program in 2026 – is your organization ready for a bundled payment future?
As the U.S. healthcare system continues its shift away from fee-for-service (FFS) toward value-based care (VBC), the prevalence of advanced alternative payment models is increasing. Bundled payments are attracting significant attention as healthcare delivery organizations (HDOs) and stakeholders understand how bundles improve care quality and reduce the total cost of care.
What is a Bundled Payment?
A bundled payment is an alternative payment model to traditional fee-for-service. It includes a fixed price for a pre-defined episode of care, commonly consisting of a procedure for all related services or all care for a medical condition, such as a total knee replacement or arrythmia.