Most provider networks are currently organized around function at each stage of the care chain – but this makes it difficult to achieve true transparency and effective coordination. In theory, this should allow patients to find the most appropriate treatment setting for their condition, but in practice, this often means each link in the chain is managed separately. As a result, incentives for clinicians at the various levels often conflict.
Sweden’s healthcare, for example, is based on hierarchy and not demand. All patients, no matter their background and status, proceed through the system in the same way, eventually coming to a place where they receive the right diagnosis and treatment.