The APWCA contributed to the comments recently contributed by the Alliance of Wound Care Stakeholders to the Physician- Focused Payment Model Technical Advisory Committee (PTAC) regarding a proposal regarding “Bundled Payment for All Inclusive Outpatient Wound Care Services in Non Hospital Based Setting” that was submitted by Seha Medical. The comment letter expressed concern regarding one all-inclusive payment as it would negatively affect the care that providers would be able to deliver. The fear that one all-inclusive payment could also limit the care that patients receive was shared. The letter pointed out that the proposal did not require the provider to adhere to a particular care model, follow a particular set of national guidelines or established protocols in order to achieve the desired cost and utilization objectives. Furthermore, the point was made that chronic ulcer patients often have multiple co-morbidities requiring treatment to optimize ulcer care, and this proposal did not account for that. The Alliance letter concluded with a request to not implement the proposal as written and an offer to serve as a resource to the PTAC if it wants to consider a bundled payment for wound care services.