Geisinger's truth about health care's status quo

Geisinger Medical Center, a hospital, in Pennsylvania.
Geisinger Medical Center in Danville, Pennsylvania. Photo: Lisa Lake/Getty Images

There's some noteworthy language in a recent financial report from Geisinger, the large Pennsylvania system that owns hospitals, doctors' practices and a health insurance company: "Geisinger seeks to grow high-acuity, fee-for-service business by increasing penetration for these services in Geisinger's expanded service area."

The big picture: Former President Barack Obama once hailed Geisinger as a model for health delivery reform. But Geisinger's embrace of "fee-for-service" — a scorned phrase in health policy circles that describes providers getting paid for every treatment and procedure — indicates health care may not be fundamentally changing.