1. Abandon "fee for service" and its "perverse incentive" to see patients as units of income, making it lucrative to see more people instead of taking enough time with each one;
2. Get creative, look to other models, think about where the incentives go.
And this is a very interesting experiment!
Were Gaul being paid by the number of patients he sees, as most doctors are, it might not have been worthwhile for him to sit and listen at length to his patient. But Gaul and all the other doctors at the Eagan clinic are now on salaries and feel more at liberty to consult with each other about patients.
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