Bundled payments in orthopedics may not directly influence medical technology companies yet, but the smart firms are paying attention. The process will very likely soon be used in procedures beyond hip and knee, such as spine surgeries and neurosurgery, and future iterations of the program could include commercial risk-sharing. It is the future of many surgical procedures, and it brings new challenges that medtech companies may not have considered. Dr. Ira Kirschenbaum, chair of orthopedics at Bronx Lebanon hospital in New York and expert in bundled payments reviews the details of the bundled payments program today, and where it is headed.