Economic incentives embedded in the healthcare system shape the behaviors of key stakeholders. This course provides an overview and analysis of incentives in the current US health care system for consumers/patients, payers, insurers, and health care providers and implications for health care delivery and outcomes. We then use the lens of incentives to examine the rationale and consequences – both intended and unintended – of major reform models designed to align incentives with improving the quality and experience of care and to contain cost growth.