While movement toward shared savings, shared risk and shared responsibility is paving the way for bundled payments, early adopters in the practice and ASC market have found that moving from concept to execution is extremely complicated. No matter how many bundles are put together, the next one created will still be complicated, and uniquely so, because the components change every time, the participants are different, the patient population is different and the risk factors are different. The good news is that, today, we know a lot more about what all the pieces of the puzzle should look like and can assemble them much more efficiently than in the past to achieve better results.