better coordination between care providers is seen as desirable because it can improve patient care and outcomes andor because better coordination can help to generate efficiency gains and overall cost savings this review shows how payment is used to encourage greater coordination and integration of care across different levels of care in france and in germany they were made available to three different types of multidisciplinary primary care facilities maisons de sante multiprofessional medical home poles de sante multiprofessional medical facilities and centres de sante traditional health centre aiming to enhance the organisation of care and providing new services to patients and give a financial incentive for collaborative working structures centres de sante have been in operation for decades and mainly serve underprivileged urban areas