Are We Paid to Get Results?
7 Mar 2026 · 1 min
0:33
In this brief monologue, Jeff Langmaid questions the future of outcomes‑based care in the United States. He contrasts a potential model where providers are rewarded for demonstrable, high‑quality results with the prevailing cost‑plus (fee‑for‑service) system that simply reimburses each service rendered—x‑rays, exams, adjustments—without regard to outcomes. Langmaid notes that insurers have little incentive to shift to value‑based payments; instead, they tend to raise premiums under the existing structure. He briefly mentions clinically integrated networks as a possible alternative pathway, but emphasizes that the current system leaves providers “stuck” in a volume‑driven model.
