It's medicare "milking." Providers lobby to get more opportunities for milking built in. It is working well for them so long as they can pass on the paperwork cost, and they can!
The only good thing I see coming from this is that the greed of providers will accelerate the absurdities, making it possible to eventually pass single-payer over Republican Insurance Industry and Democrat Big Pharma milkers. Of course it goes without saying our eventiual U.S. single payer system will be uniquely American, and therefore the most expensive, and least efficient, and most profitable in the world! And of course there will be a cut-out for the health insurance companies. Somethings will not be covered, it will still be an 80/20 system so there will be a nice profitable market for supplemental insurance! 20 % of 100K for three days in the hospital is still 20K! (Naturally you need a little co-pay to prevent patient abuse, but it could be capped at some reasonable amount. I won't be, because that would hurt insurers.) Our nation is a profits forward "institution," and we don't discriminate. So we won't discriminate between profits from smart TVs and profits from dialysis. As long as it is a profit, it is equally good no matter the source! This principle is even more American than Apple Pie. America, What a Great Country! Got to Love it!