One subscription. Better outcomes.
Add post-acute home care to your bundled payment program. $59 per patient per month. 90-day episode. Reduce readmissions and episode cost.
A populated example of what one BundledCare episode looks like, end to end. Drop-in pricing for a CJR-X joint replacement.
Bundled payment programs reward health systems for outcomes across the full care episode. Home care is the last mile — and the highest-risk window for readmissions.
We deploy a W-2 care coordinator to the patient home within 48 hours of discharge. Daily check-ins, vitals tracking, and physician escalation pathways built in.
Structured protocols for wound change, pain escalation, and fall risk. Every escalation documented and transmitted to the attending via FHIR-compatible feed.
All care coded in the Omaha System — the same taxonomy your quality reporting requires. Data flows directly into your EHR, no manual abstraction.
CMS proposed mandatory nationwide joint replacement episodes in 2025. The TEAM model expands bundled payments to five surgical categories. BundledCare is designed to operate inside both structures.
Comprehensive Joint Replacement — Expanded
Transforming Episode Accountability Model
The Strategic Position
“Home care is the post-acute lever that most bundled payment programs have not yet operationalized.”
The highest-cost events in a 90-day episode are unplanned readmissions. Structured in-home follow-up reduces the most common causes.
Daily wound inspection and documented care protocol with escalation pathway to attending
In-home medication reconciliation and adherence monitoring at every visit
Home environment assessment and fall prevention protocol within 48 hours of discharge
Coordination of outpatient follow-up appointments and transportation barrier identification
avg. cost of an unplanned readmission
CMS claims data
joint replacement patients readmitted within 90 days
NEJM bundled payment studies
per patient cost of home care coverage
BundledCare subscription
What home care costs versus what a readmission costs. The math is straightforward.
Fragmented post-acute. No eyes in the home.
$59/patient/month. 90-day episode. Fully documented.
The Business Case
Preventing one readmission in a 100-patient cohort saves $15,000 in episode cost. BundledCare costs $17,700 to cover that same cohort for the full 90-day episode. One avoidable readmission prevented funds the program.
Three steps from discharge to active home care coverage.
Your care coordinator identifies eligible patients at discharge. We receive a referral — name, diagnosis, discharge date, and attending. No integration required to start.
A W-2 care coordinator contacts the patient within 24 hours. In-home assessment completed within 48 hours. Episode documentation begins immediately.
Weekly structured reports delivered to your care team. Full FHIR-compatible data export available. Outcomes tied to CJR-X and TEAM quality metrics.
Enter your joint replacement program data to see the financial impact of reducing readmissions with co-op.care.
Get a customized analysis for your program, including CJR-X readiness and CMS bundled payment strategy.
We work with health system administrators and care coordinators to design home care coverage that fits your episode structure and quality reporting requirements.
Response within one business day
A member of our clinical operations team will respond to confirm your inquiry and schedule a discovery call.
Episode cost analysis
We will prepare a customized episode cost model based on your patient volume, procedure mix, and current readmission rate.
Integration assessment
We will review your EHR and quality reporting requirements to confirm FHIR compatibility and data return format.
Pilot design
For qualified health systems, we can design a 90-day pilot with a defined patient cohort and measurable readmission endpoints.
Prefer to reach us directly? Send inquiries to partnerships@bundledcare.com or visit harnesshealth.ai/health-systems