ˌɛfˌɛfˈɛs ɪz ɐ bˈæɹiɚ tə koʊˈɔːɹdɪnˌeɪɾᵻd kˈɛɹ, ɔːɹ ˈɪntᵻɡɹˌeɪɾᵻd kˈɛɹ, ɛɡzˈɛmplᵻfˌaɪd baɪ ðə mˈeɪoʊ klˈɪnɪk, bɪkˈʌz ɪt ɹᵻwˈɔːɹdz ˌɪndᵻvˈɪdʒuːəl klɪnˈɪʃənz fɔːɹ pɚfˈɔːɹmɪŋ sˈɛpɹət tɹˈiːtmənts.
FFS is a barrier to coordinated care, or integrated care, exemplified by the Mayo Clinic, because it rewards individual clinicians for performing separate treatments.