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Any fee structure will have certain incentives; it's unavoidable. The trick is to try to find incentives for the providers that also align with positive results for the patients.

Having the actual results align with the intended ones is easier said than done, as anyone who has ever tried to design and administer any kind of measurement-based compensation or bonus plan will tell you.

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> The trick is to try to find incentives for the providers that also align with positive results for the patients.

That part is easy.

The hard part is aligning providers, patients, and the payers, since the patients cannot afford to align the providers with themselves. Enter politics, because you are now distributing limited healthcare resources with demand far greater than supply, meaning you have to either pony up more from the payers and/or ration various quality of healthcare to various populations, per their political power.

Yes you are right - And we recognize this as part of our outreach and contract development efforts. Our collaboration seems to be working and we are getting great reaction from physicians. We believe in a simple approach to keep it understandable and easy to administer to build that relationship

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