ɪnðə dʒˌæpənˈiːz hˈɛlθ kˈɛɹ sˈɪstəm, ˌɛfˌɛfˈɛs ɪz mˈɪkst wɪð ɐ nˈeɪʃənwˌaɪd pɹˈaɪs sˈɛɾɪŋ mˈɛkənˌɪzəm ˈɔːlpˈeɪɚ ɹˈeɪt sˈɛɾɪŋ tə kəntɹˈoʊl kˈɔsts.
In the Japanese health care system, FFS is mixed with a nationwide price setting mechanism (all-payer rate setting) to control costs.