Catalyst for Payment Reform

Vendor Bundled Payment Reform Evaluation Framework

Vendor Bundled Payment Reform Evaluation Framework

Looking to evaluate your vendor’s bundled payment program?

This Reform Evaluation Framework (REF) evaluates the impact of a vendor-administered bundled payment program. For the purpose of this tool, a vendor-administered bundled payment model is a program under which episodes of care are carved away from the purchaser’s primary health plan/third party administrator (TPA), and assigned to a vendor who pays providers a lump sum for the duration of treatment. Impact is measured by comparing members who received care through the bundled payment vendor to a group of plan members who received the same type of care outside the vendor’s program. This report allows the purchaser to select from 7 of the most commonly bundled episodes of care.


  1. Definitions: Provides definitions of terms, cost and quality measures
  2. Bundle Report – Purchaser and Book: Worksheet for evaluating impact of the bundled payment program on purchaser’s members, and for the vendor’s book of business

By using this tool you will learn:

How cost, quality and experiential outcomes compare for the following groups:

  • Members who undergo an episode of care through a vendor-administered bundled payment program
  • Members who undergo an episode of care through the purchaser’s primary health plan/TPA
  • The vendor’s population/geographically-adjusted book of business
  • The estimated savings that accrue from avoidable procedures (if vendor offers a separate bundle for evaluation/2nd opinion services)

Type: Evaluation Framework



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