Milliman Identifies Key Challenges in Bundled Payments—Tendo Care Connect Solves Them

A new white paper from Milliman highlights two major challenges in Direct-to-Employer bundled payment contracts: administering payments for the full care bundle and ensuring providers accurately estimate care costs given patient risk. These are critical barriers to making bundled payments work efficiently for both employers and providers.

Tendo Care Connect directly addresses both challenges, making bundled healthcare contracts simple, transparent, and hassle-free.

Seamless Payment Administration

One of the biggest hurdles in bundled payments is distributing funds across all providers involved in care delivery. Care Connect solves this by administering payments directly back to the facility and ancillary providers, ensuring accurate and timely reimbursement. This eliminates administrative friction and allows providers to focus on delivering high-quality care instead of managing complex payment flows.

Risk-Adjusted, Transparent Pricing

Bundled payments often pose financial risks when providers underestimate the true cost of care for higher-risk patients. Care Connect offers multiple options for risk-adjusted bundles, allowing providers to account for patient complexity when setting rates. By integrating risk adjustments into pricing models, we help ensure financial sustainability and predictability, making bundled payments viable for a broader range of procedures and patient populations.

In addition to administering seamless payments and risk-adjusted pricing, Tendo Care Connect enhances, expands & completes your direct contracting strategy.

Transactable Price Transparency

With Care Connect, employers and employees gain access to a network of local and national providers offering bundled procedures at upfront, all-inclusive prices—no hidden fees or surprise bills. Purchasing and scheduling are seamless, taking the guesswork out of employee healthcare spending.

Guaranteed, Fully Bundled Rates

Care Connect eliminates the complexity of single-case agreements by offering upfront, purchasable bundled rates. This ensures cost predictability and simplifies healthcare contracting for employers.

Comprehensive National Care Network

Give employees access to high-quality care at their preferred local hospitals, ambulatory surgery centers, and free-standing imaging centers across the U.S. Our extensive network supports a range of bundled services, ensuring broad access to quality care.

Seamless Integration for Employers & TPAs

Our curated network portal allows care navigators to easily assist employees in finding the right care at the right price. For seamless integration, Care Connect’s API can be embedded directly into existing benefits platforms and TPA systems, enabling a frictionless experience.

Power Your Direct Contracting Strategy

Care Connect gives you what you need to attract new employer populations and connect employers with your quality care.

• • List procedures in private employer marketplaces with custom pricing for different audiences including self-funded employers, care navigators, TPAs, and alternative health plans.
  • Allow care coordinators and direct contract employees to shop your rates and instantly purchase transparently priced procedures.
  • Easily attract new patient populations.
  • Eliminate geographical limitations by effortlessly leveraging our cross-regional partnerships with multi-site employers.
  • Diversify your patient profile and drive volume via access to large employer populations shopping in our private marketplace.

By solving the biggest challenges in bundled payments, Tendo Care Connect empowers providers and employers with the transparency, efficiency, and flexibility needed to streamline direct contracting. Learn more about how we’re making healthcare pricing work for everyone.