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Good read & agree w/ premise and problem, but solution is more than just downstream administrative costs. Must focus on prevention to 
consumption. Rationing of Health Care in the United States: An Inevitable Consequence of Increasing Health Care Costshttps://jamanetwork.com/journals/jama/fullarticle/2725150 …
I laid out the argument at 2018 @AmerMedicalAssn annual meeting (see on YouTube), but 10% of health is healthcare, 90% is “upstream” eg environment & behavior modification. Best way to healthcare (ie “sick care”) costs is to turn off upstream spigot w wellness. @PublicHealth
This will also help address provider burnout, because fewer sick and repeat patients with preventable/ avoidable visits means more time to spend with the ones who really need it, and better outcomes and patient (and provider) satisfaction.
Dr. Bauchner rightly points out the benefits of going after administrative burdens, but approach must be AND not OR, and we must better balance our focus and resources between the 10% downstream and the 90% upstream.
Many healthcare organizations, and some really innovative companies/ employers are seeing the ROI of addressing the upstream “social determinants” (ie where we live learn work and play) as well as providing better, more convenient care, w less burdens.
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