[Eridrus]

It's really hard to design a not game-able metric. The problem here seems to be that doctors are under-provisioned for some reason, and so long wait times are a form of load shedding for the system. Without addressing this core issue, which individual clinics have little control over because they are generally boxed in by regulations over who can administer medical care, except to rush appointments (which they're probably already doing), there's not much they can do to solve the problem, so all they can do is try to game the rules or not get the bonuses.

[closeparen]

Doctors don’t get to bill for idle time. Being less than fully utilized is leaving money on the table. The idea here is presumably to compensate them for leaving gaps in their schedules.

[Eridrus]

What you're describing is effectively what doctors did: they left their entire calendar free until the last moment and only took appointments then.

It turns out this is not actually what people want; people want this availability to exist, but also do not want to be turned away if they book ahead of time, which points to this being a capacity problem, not a scheduling problem.