Everybody wants and ever bigger piece of an ever bigger pie. My solution????

Take every healthcare providers last 4 (business) tax returns and write them a quarterly check to cover their overhead based on those returns. Let them know that in two years there will be a 10% reduction in that amount.
What does that do????
*Catches Tax cheaters and screws them .which they deserve
*Eliminates the insurance industry with Instant savings from that "overhead" instant smaller pie. Also reduces staff needs in Medical facilities .smaller pie

*Makes Docs think twice before ordering unnecessary tests, etc. They will have incentive to reduce overhead
(smaller pie") to maximize their "take" of their quarterly check

* Makes Docs think about consolidating services and facilities .instead of an arms race to have the biggest and best office, etc providers will start thinking about reducing costs and sharing expenses

*Establish a system to audit "outcomes" and "output" .maybe a residual of the insurance industry to assure that Docs are doing a similar amount of care for patients and having good results. Maybe reward good outcomes with a smaller reduction and reduce payments for those that aren't producing as much work.

*patients have to have a dog in the hunt.make co-pays high enough that folks thing twice about running to the Doc for the sniffles. Reward Patients without chronic diseases (obesity, diabetes, heart disease, etc) and with healthy "parameters" (BP, BMI, Etc) with lower co-pays

Make the pie smaller and smaller (reductions every couple years) and watch docs scramble to reduce their overhead. Their "take-home" will be predicated on how much they reduce their costs. Smaller and smaller pie.

JMHO..
[Post edited by DonHo-kieHi at 06/29/2017 8:03PM]