natnicnak,The PRY model only works if the doctros can order lots...

natnicnak,
The PRY model only works if the doctros can order lots of tests and studies, to be done in a lab that the company owns. Why would a doctor take home 35c/$ they earn when they can take home 75c/$. The on costs and exposure to create the capital assets to generate that 75c are not all that great if some of these guys are pulling $2+mill.

The maths just do not add up. The only way to increase revenue from the medicos is get more medicos, and if you try to screw the one locked in and put pressure on them, they will seek to depart - or at least undermine the process. There are only so many hours in the day.

Your own calculations suggest that a doubling of revenue is needed and cleaning up the head office will only save a fraction of what is needed. If PRY start getting too hard line, why would any doctor re-sign. Or for that matter sign on!