Now Comes the Hard Part

Ann Arbor, Mich.

You know more about this than I.

This sounds like whining about the easy part. There is no need to be nice to the insurance companies. Order it done. If it is not, advertise for bids. There are lots of people who would like an income and are good at these tasks. A prime contractor will be easy to find.

Most of the problems are those of risk of payment minimization. Those are gone. Effectiveness can be measured though it has been neglected recently. Safety we already regulate.

If they want to be on the paid list, make them prove the effectiveness of the treatment or procedure.

Set pay scales. The administrator has pricing power and the review power should be public. Professionals will vote with their feet. Watch them.