What is one of the main objections to the current fee-for-service system?

One of the main objections to the current fee-for-service system is the lack of financial rewards for coordinated care. This system typically compensates providers based on the volume of services they deliver rather than the quality or effectiveness of those services. As a result, there can be insufficient incentives for healthcare providers to work together or coordinate treatments across different specialties and settings, which can lead to fragmented care for patients. In a well-coordinated system, care transitions smoothly from one provider to another, improving patient outcomes and potentially reducing costs. However, the existing fee-for-service model often fails to adequately recognize or financially support these vital collaborative efforts, which is a significant drawback.

The other options do not accurately capture the fundamental critique of the fee-for-service system. For example, a focus on preventive care is generally considered a positive aspect rather than an objection, while the claim of insufficient payment for surgeries does not address the broader systemic issues regarding care coordination. Lastly, an excessive emphasis on patient outcomes, while important, is often not a criticism of fee-for-service itself but a goal that many hope to achieve through reforming payment models.