As life expectancy slips in the US, what can we do differently to improve overall well-being and health? For one thing: start paying for health care differently. Dr. Mai Pham, physician and president and CEO of the Institute for Exceptional Care, talks with Dr. Josh Sharfstein about a new report from the National Academy of Medicine on the opportunity of innovation in payment: What if health insurance covered social needs? What if primary care clinicians were paid for extra time to help those patients who need support the most? What if health care institutions saw their role as broadly promoting health?