Bundled payments settle against a target price. Run yours here — target methodology, risk corridor, quality, and reconciliation, every lever live. No login required.
Your realized average cost per episode. Not a benchmark — your data.
Case volume (episodes)500
Reconciliation terms
Risk corridor band (±%) ?20.0%
Quality (CQS) withhold ?5%
Quality score earned90%
Reconciliation period
Net reconciliation payment
$0
$0 per episode
The Bearing
—
—
Upside0.00
Downside0.00
Consequence0.00
Reconciliation waterfall
Sensitivity — across case-mix scenarios
Net reconciliation as realized episode cost shifts with case mix. A heavier-severity mix runs cost up. Your base case is highlighted.
Case-mix scenario
Actual / episode
vs target
Net reconciliation
How this settles: Expected = target price × cases. Realized = actual cost × cases. The difference is the gross reconciliation — positive means the provider earned, negative means the provider owes. The risk corridor caps that difference at a percent of expected on both sides. On a positive reconciliation, the Composite Quality Score withhold is earned back per the quality score; quality does not add to what a provider owes. The result is the net reconciliation payment for the period. This is a planning model, not a contract; final settlement follows your executed agreement and CMS reconciliation files.
Sourced to a published referenceAMBER — no public benchmark; negotiated or program-specific
Compass is a free planning tool. It does not store your inputs, give legal, actuarial, or accounting advice, or substitute for your executed agreement and CMS reconciliation files. The Bearing is a directional read of the modeled contract — it plots best-case upside against worst-case downside corridor exposure and is illustrative, not a recommendation.