Bundled pricing $($paying a single fee for all services$)$ for such services as total hip replacement or coronary artery bypass surgery affects physician$-$hospital relationships by:

A$.$ Reducing the need to devote administrative effort to measuring outcomes and performance indicators.

B$.$ Putting the physician and hospital at each other$$s throat fighting over the distribution of the fee

C$.$ Promoting efforts to collaborate and integrate efforts to provide more efficient care.

D$.$ Guaranteeing that only top quality physicians will be allowed to participate in such programs.