Section 1: The Evolution of Healthcare. 1. From the 70's to HMOs and the eight stages of healthcare. 2. Accountability Care Organization (ACO. and clinical Integration. 3. Negotiating manage Care Contract.

4. Hospital Supply chain and cost containment. 5. Quality crises. 6. Ethics and Deontology. Section 2: Physician Struggles . 7.

The economics of becoming a doctor in USA. 8. The fear: the financial report. 9. Stark Laws - impact on physicians. 10. Health Care Grade Web Pages interferences. 11.

Health care Impact on physicians: not healthy! Section 3: Broken system .1 2. Health insurance: how to play system for maximum reimbursement - at what cost? 13. Health Care: Who is in charge? Impossible victory. 14. Health Care exclusivity services charges and Reimbursement ratio. 15. Who is controlling the health care? 16.

Healthcare Reform: the never-ending story. Section 4: Corporate Healthcare . 17. Corporation interference and compliance - when we lost health care? 18. Corporation and physician dissociation. 19. Moving out from health care. 20.

Peer review for Physicians. What about the administrators? 21. Big pharma. Section 5: Medicare and Medicaid . 22. The future of the entitlement programs. 23. Medicaid Disproportionate funding.

24. Medicare and Medicaid spending: unify or crushing? A Financial Nightmare. 25. Macra and The Merit - base- Incentive Payment System (MIPS. 26. Will any healthcare plan ever works? Single payer? Section 6: Towards the Perfect System - what needs to be done and where we need to go . 27. Patient Engagement: education and prevention started on the territory.

28. Population health initiatives: The Teens obesity crises. 29. Clinicians involvement in improvement initiatives. 30. Physician involvement in management. 31. The perfect system.