Perinatal Bundle

Your feedback is requested on the Bree Collaborative’s draft addition to the Perinatal Bundled Payment Model. Our workgroup will review all comments before submitting a final draft for review and approval by the Bree Collaborative. Please read the draft materials then take our survey, here: We estimate that this survey will take 10-15 minutes to complete. The deadline for feedback is 5pm Monday, December 28.

Read the Report

Take the Survey

Upcoming Meetings

Zoom Meeting:
Phone Number:1 720 707 2699 US
Meeting ID: 359 817 9708

Date Time Materials
Tuesday, January 5 9:00am – 10:30pm Agenda 01/05/21
Minutes 10/27/20
Draft Maternity Bundle w/ Peds
Public Comments.

Read our Maternity Bundled Payment Model
(Adopted January 2020)

The United States has a high maternal mortality rate with high racial disparities. Various bundled payment models, one payment for care during pregnancy that includes the birth and care after delivery, are being used to address preventable complications. This workgroup developed a bundled payment model for maternity care that includes pre- and post-natal care, addresses disparities, and includes relevant metrics. The workgroup met from January 2019 to January 2020. Meetings were reconvened in July 2020 to discuss adding pediatric care coverage to the bundle.

Previous Meeting Materials

Date Materials
October 27 Agenda October 27
Minutes September 22
Draft Maternity Bundle w/ Peds
September 22 Agenda 09/22/20
Minutes 08/25/20
Draft Maternity Bundle w/ Peds
August 25 Agenda 08/25/20
Minutes 07/28/20
Draft Maternity Bundle w/ Peds
July 28 Agenda 07/28/20
Maternity Bundle Final
Newborn Care Bree Proposal
Perinatal Bundle Review
January 7 Agenda 01/07/20
Minutes 10/10/19
Draft Maternity Bundle
Minutes 01/07/20
October 10 Agenda October 10
Minutes September 12
Draft Maternity Bundle
ACOG Postpartum Care Plan
September 12  Agenda September 12
Minutes August 8
Draft Maternity Bundle
August 8 Agenda August 8
Minutes July 11
Draft Maternity Bundle
July 11 Agenda July 11
Minutes July 9
Draft Maternity Bundle
June 6 Agenda June 6
Minutes May 9
Draft Maternity Bundle
May 9 Agenda May 9
Minutes April 11
Draft Maternity Bundle
Literature Review
ACOG Optimizing Post Partum Care
April 11 Agenda April 11
Draft Minutes March 14
March 14 Agenda March 14
Draft Minutes February 14
HCP LAN Establishing Maternity Episode Payment Models
February 14 Agenda February 14
Minutes January 8
HCP LAN White Paper Maternity Bundle
January 8 Agenda January 8
Presentation Slides
Maternity Bundle Charter and Roster
Bree Process Infographic
HCP-LAN Maternity Clinical Episode Payment Model
AJMC Bundled Payments for Maternity Care
Conflict of Interest Form
OPMA Training Roster

Workgroup Members

Member Title Organization
Carl Olden, MD (Chair) Family Physician  Pacific Crest Family Medicine
Andrew Castrodale, MD Family Physician Coulee Medical Center
Angela Chien, MD Obstetrics and Gynecology EvergreenHealth
Neva Gerke, LM President Midwives Association of Washington
Molly Firth, MPH Patient Advocate
Lisa Humes-Schulz, MPA/
Lisa Pepperdine, MD
Director of Strategic Initiatives/ Director of Clinical Services Planned Parenthood of the Great Northwest and Hawaiian Islands
Rita Hsu, MD, FACOG Obstetrics and Gynecology Confluence Health
Dale Reisner, MD Obstetrics and Gynecology Swedish Medical Center
Janine Reisinger, MPH Director, Maternal-Infant Health Initiatives Washington State Hospital Association
Mark Schemmel, MD Obstetrics and Gynecology Spokane Obstetrics and Gynecology, Providence Health and Services
Vivienne Souter, MD Research Director Obstetrics Clinical Outcomes Assessment Program
Judy Zerzan, MD Chief Medical Officer Washington State Health Care Authority