[david_l_lin]

Healthcare is notoriously slow with adoption of new technology. IMO this is because healthcare is fee-for-service, which is basically incompatible with prevention. A movement to value-based care would vastly improve adoption of preventive and personalized healthcare.

[lordgrenville]

The HMO model was basically designed to bring in an element of value-based reimbursement. For example, the CMS capitation payments to Medicare Advantage plans are weighted by (inter alia) health outcomes.

[wtch98]

OK that explains a few countries which have a fee-for-service model, what about those countries incentivized to prevent problems? Do they take new technology on faster?

[nasmorn]

Austria has a single payer system but each part of that system still charges via fee for service.

Innovation does not get injected top down by the omniscient insurance system but bottom up from research clinics and forward thinking doctors.

People engaging the insurance directly with an efficiency play almost always fail here. There are even some vaccines against transmissible diseases that you have to pay for as an adult. I always wonder how that can make any sense. Either the value of delivering the vaccine is less than the 10 euros they are charging me (which probably means it is not very important for me to get it) or the insurance makes a colossal mistake. Especially since most vaccines are only individually unimportant since everyone else has them.