Changing how we pay for healthcare to promote high-quality care, eliminate waste

The following is an opinion piece by Suzanne Delbanco, executive director of the Catalyst for Payment Reform, Maclaine Lehan, project and research assistant, and Roslyn Murray, senior project and research manager.

Fee-for-service — where insurers pay providers for each covered medical service or procedure a patient receives — has served as the backbone of the U.S. healthcare system’s payment model since its implementation. Unfortunately, its presence creates perverse incentives for providers to increase the volume of services, especially specialty or high-tech services, resulting too often in potentially harmful and wasteful care for patients.

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