Doctor writing prescription For greater opportunities to improve value, brokers and employers can look to chronic conditions for episodes of care payments. (Photo: Getty)

For the past decade, bundled payments and episodes of care have been stymied by the limitations of definitions and the inability of payers to operationalize them. But that’s changing, thanks to collective action.

When most health care professionals, benefits advisors and employer benefit managers think of bundled payments, they look to routine elective procedures. Employee benefit programs could include knee, spine, shoulder or hip replacement bundled payments. In one lesser-known area, gastrointestinal services bundles can be included. Often, these “episodes of care” have a defined beginning point of care and a defined end.

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