Bundled payment models are transforming orthopedic reimbursement by shifting from fee-for-service billing to a single payment covering an entire episode of care. While these models encourage better care coordination, cost control, and value-based outcomes, they also increase financial risk when coding, documentation, or post-acute care management falls short. Orthopedic practices must focus on accurate billing, efficient workflows, and strong care coordination to maintain profitability under bundled payment programs. Understanding the challenges and opportunities of bundled payments is essential for improving margins, reducing avoidable costs, and achieving long-term success in value-based healthcare.