the oecd work published in oecd reviews of health care quality korea raising standards b recommended that policy makers seek out desirable models of what uniquely korean approaches to primary health care services should look like and support them this section builds on the broad approach outlined in the earlier report by providing some potential paths to scale up primary care in korea given korean interest in the us health system it is surprising that there has been limited interest in moving towards a model of integrated care where an organisation receives a capitated payment from the national health insurance to manage all of the care of the patients this type of reform provides incentives for big hospitals to restructure their service delivery model to include stronger primary care this would require comparatively simple changes to payment methods or at least experimentation to allow some big hospitals to receive a capitated payment