That's a really good question. Pay attention to the Naylor report that Dr. Tholl also mentioned. That's going to be released soon. I think they're still working on that committee.
There is some work that's coming out, mostly from the U.S., the U.K., and the Netherlands. I believe they have thought about using bundled payments. Bundled payments and mixed payments pay for episodes of care. You wrap the bundle of payments around the episode of care. I think this works really well for defined cases, such as a hip replacement, where you know what some of the costs are going to be. What you do is that the payment pays for all the providers who would take care of that patient for that episode of care.
What it does is it helps people to collaborate across the different sectors, the acute care sector and the community sector, and there are agreements that are worked out that can then.... There is the risk-sharing across the places of care. As well, there could be gains if the care goes well for the patient. That's one thing. Bundled payments may not work as well in terms of episodes of care in a place like primary care, but they could work well in terms of thinking about paying for a year-long bundled payment to primary care, extending the time out 60 or 90 days.