Historically, the United Stateshas paid for its healthcare under a fee-for-service (FFS) model. Every visit, test, procedure, and consultation receives an individual fee. It incentivizes volume over quality. It discourages integrated care. And it contributes toAmerica’s high health care expenditures. There have been many attempts to reform our payment system – bundled payments, capitation, episode of care payment, comprehensive care payment – but as of 2009, no state has successfully eliminated the FFS system.