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1. Over bundling: <\/strong><\/span>In some instances, there is a tendency to create excessively large and complex bundles with the aim of maximizing service delivery<\/strong>. This practice, known as \"over bundling,\" and relying heavily on a single partner can lead to delays in various processes, ranging from the Request for Proposal (RFP) stage to verifications and payments, ultimately resulting in unsatisfactory outcomes. For instance, there have been cases where a contract bundled an overwhelming number of services, such as 14 services in one state, leading to management complexities and disruptions in the entire service cascade. Furthermore, over bundling can disrupt the logical distribution of payments across different deliverables, causing service providers to face challenges in efficiently planning their efforts across multiple tasks. For example, if many deliverables are tied to the early stages of the patient cascade, service providers may allocate most of their efforts to diagnostic and treatment initiation services, which could adversely impact treatment outcomes.<\/p>\n"},"subContentId":"7fc6c0c2-1cc0-4564-a54a-3173a81c850e","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":3.4762456546929315,"y":61.92660550458715,"width":93.85863267670915,"height":27.52293577981651,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

2. Bundling of unrelated or dissimilar services:<\/strong><\/span> It is crucial to bundle activities that are related and require similar staff skills or resources<\/strong>. However, bundling unrelated services, such as combining sample transport services with treatment adherence services, can lead to inefficient outcomes. These services demand different skill sets, with sample transport requiring logistics expertise and treatment adherence requiring counseling proficiency. The mismatched bundling of unrelated services can undermine the effectiveness and efficiency of service delivery.<\/p>\n"},"subContentId":"fc397954-8c84-4f2a-8ede-24e525a15c52","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":4.634994206257241,"y":13.761467889908255,"width":93.85863267670915,"height":25.229357798165136,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

3. Imbalance in the service bundle: <\/strong><\/span>Another challenge arises when there is an imbalance within a bundle of services. For example, if one set of services, like diagnosis and treatment initiation, is linked to payments, while another service within the same bundle, such as treatment completion, is not incentivized with payment, it can create an imbalance. In such cases, the implementing partner may not be motivated to invest sufficient effort in ensuring treatment completion, potentially compromising patient outcomes.<\/p>\n"},"subContentId":"71e4e000-0b81-4438-856d-3ddc46df8b60","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":4.634994206257241,"y":43.57798165137614,"width":95.01738122827345,"height":25.229357798165136,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Addressing these challenges requires careful consideration in the design and management of bundled services.<\/strong> It is essential to strike a balance between the comprehensiveness of the bundle and its manageability, ensuring that related services are bundled together while avoiding the inclusion of unrelated services. Additionally, payment structures should be designed to incentivize the delivery of all services within the bundle, promoting the holistic and effective implementation of the bundled services.<\/p>\n"},"subContentId":"750102f8-8b94-42af-9878-91feb596c980","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}}],"keywordListEnabled":true,"globalBackgroundSelector":{},"keywordListAlwaysShow":false,"keywordListAutoHide":false,"keywordListOpacity":90},"override":{"activeSurface":false,"hideSummarySlide":false,"summarySlideSolutionButton":true,"summarySlideRetryButton":true,"enablePrintButton":false,"social":{"showFacebookShare":false,"facebookShare":{"url":"@currentpageurl","quote":"I scored @score out of @maxScore on a task at @currentpageurl."},"showTwitterShare":false,"twitterShare":{"statement":"I scored @score out of @maxScore on a task at @currentpageurl.","url":"@currentpageurl","hashtags":"h5p, course"},"showGoogleShare":false,"googleShareUrl":"@currentpageurl"}},"l10n":{"slide":"Slide","score":"Score","yourScore":"Your Score","maxScore":"Max Score","total":"Total","totalScore":"Total Score","showSolutions":"Show solutions","retry":"Retry","exportAnswers":"Export text","hideKeywords":"Hide sidebar navigation menu","showKeywords":"Show sidebar navigation menu","fullscreen":"Fullscreen","exitFullscreen":"Exit fullscreen","prevSlide":"Previous slide","nextSlide":"Next slide","currentSlide":"Current slide","lastSlide":"Last slide","solutionModeTitle":"Exit solution mode","solutionModeText":"Solution Mode","summaryMultipleTaskText":"Multiple tasks","scoreMessage":"You achieved:","shareFacebook":"Share on Facebook","shareTwitter":"Share on Twitter","shareGoogle":"Share on Google+","summary":"Summary","solutionsButtonTitle":"Show comments","printTitle":"Print","printIngress":"How would you like to print this presentation?","printAllSlides":"Print all slides","printCurrentSlide":"Print current slide","noTitle":"No title","accessibilitySlideNavigationExplanation":"Use left and right arrow to change slide in that direction whenever canvas is selected.","accessibilityCanvasLabel":"Presentation canvas. Use left and right arrow to move between slides.","accessibilityProgressBarLabel":"Choose slide to display","containsNotCompleted":"@slideName contains not completed interaction","containsCompleted":"@slideName contains completed interaction","slideCount":"Slide @index of @total","containsOnlyCorrect":"@slideName only has correct answers","containsIncorrectAnswers":"@slideName has incorrect answers","shareResult":"Share Result","accessibilityTotalScore":"You got @score of @maxScore points in total","accessibilityEnteredFullscreen":"Entered fullscreen","accessibilityExitedFullscreen":"Exited fullscreen","confirmDialogHeader":"Submit your answers","confirmDialogText":"This will submit your results, do you want to continue?","confirmDialogConfirmText":"Submit and see results","slideshowNavigationLabel":"Slideshow navigation"}}

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Challenges in bundling

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