Earlier quoted context omitted.
Putting any kind of cap on efficiency of a middle man is asinine. The only outcome is the realization that the only way to make more profits is increase the top line number (i.e. Premiums).
Our government has capped APRs for credit cards. Then, banks added fees, reduced services. Then govt capped fees. Whackamole. Is this a legit analogy? If so, is either side wrong? How would you handle it, if you were King? My only notion for healthcare is to change the incentives. Reward wellness vs treat disease.
That's only a recipe for lobbying over what bureaucrats designate "wellness" and "disease".
The best way to fix healthcare is to cut out more middlemen. The person whose health is being cared for (or their loved ones) needs to decide when another $10k scan or $65k pill regimen is worth it compared to using the cash to pay off their (grand)kids' student loans.
If all of this is filtered through insurers, lawyers, and government officials, there is incentives to meet budgets and increase revenue, but there's no win for the actual people and families all this is supposed to be taking care of.