> The trick is to try to find incentives for the providers that also align with positive results for the patients.

That part is easy.

The hard part is aligning providers, patients, and the payers, since the patients cannot afford to align the providers with themselves. Enter politics, because you are now distributing limited healthcare resources with demand far greater than supply, meaning you have to either pony up more from the payers and/or ration various quality of healthcare to various populations, per their political power.