What Are Bundled Payments?

Bundled payments are a reimbursement model where a single, all-inclusive price is paid for every service related to a specific medical procedure, like a knee replacement. Instead of separate bills from the hospital, surgeon, and anesthesiologist, one "bundled" payment covers the entire episode of care.

Why They Matter

This model encourages providers to work together efficiently and improve quality, as they are rewarded for good outcomes, not the volume of services. For patients, it creates more predictable healthcare costs for planned procedures.

How Mira Mace Can Help

If your procedure is covered by a bundled payment, your advocate can ensure all services are correctly included in the bundle. We help resolve billing issues if a provider tries to charge you separately for a covered service, a practice often related to balance billing.