[bandrami]

This is inevitable when doctors bill per service. When they are paid by capitation that incentive disappears

[WalterBright]

Nobody has ever devised a bureaucratic rule that cannot be gamed.

Here, the test providers get paid by the test. Easy enough to kick back test payments to the doctors.

As for paying by capitation, why would they work extra hours to serve more patients? Or just see fewer patients and relax?

[bandrami]

That's generally what happens, yes. Good, fast, cheap: pick two