I totally tie in with your thoughts Maggie. Bundled payment is the novel trend in healthcare in the United States. It is an innovative and cost-effective manner to keep healthcare costs down. However, CMS should definitely expand their pilot program of Bundled Payments for Care Improvement initiatives and their comprehensive care for joint replacement model not only limited to Medicare beneficiaries’. Also, it would also seem fitting for the reform to embrace this concept of outpatient and in-patient surgeries. Also, with medical institutions cultivating women-centered relationship, the patients from the Hospital for Women and Winnie Palmer Hospital for Women and Babies in Central Florida would reap the benefits if the government would develop