It ' s like a puzzle with missing pieces and the box is thrown away . <| sep |> i sincerely believe it would be far less complicated than what is in place now . periodic audits with large monetary penalties would take care of much of the bureaucracy . There are also other legit reasons for price differences that need to be accounted for . Once all this is done , massive bureaucracy is likely needed . actually , the coding system now is pretty robust . i have the feeling it would be rather easy to coopt that into something like what I ' m talking about . The government would need access to all records and hopefully have them scrubbed of PII . during an audit , a service provider would need to generate reports of service codes and costs . i have worked in scripting EDI for insurance brokers , and it wouldn ' t actually be that hard to generate such a report . certainly more simple than 99 % of the reports that are currently generated .