The conceptual model detailed in this Commentary in BMJ Global Health illustrates how payment digitation for health care workers in low- and middle-income countries (LMICs) could help to improve health systems, and incentivize more streamlined, effective patient care. Five of the Commentary authors are Harvard Pop Center affiliates, including former PGDA Fellow Margaret McConnell, and faculty affiliates Sebastian Bauhoff, Kevin Croke, Stéphane Verguet, and Marcia Castro.