We just need to spend more money to cut costs, LOL!
Check this out:

The Department of Health and Human Services revealed on Wednesday a plan to spend up to $7 billion to find ways to reduce spending under the Affordable Care Act while maintaining or improving the quality of health care. The solicitation for bids for this wide-ranging project appeared today on the Federal Business Opportunities website:

“The purpose is to develop a Research, Measurement, Assessment, Design, and Analysis (RMADA) IDIQ [Indefinite Delivery, Indefinite Quantity] to respond to expanded needs of the Patient Protection and Affordable Care ACT (ACA) and Health Care reform ACT (HCERA).