[Verse 1] From London's NHS to Singapore's blend Fee-for-service battles capitation trends Medicare Parts A through D decode the maze While Medicaid expands through ACA's phase Commercial payers negotiate each claim As hospitals dance this reimbursement game [Chorus] Access, quality, cost - the iron triangle holds Every policy choice leaves some story untold EHRs talking to AI in digital streams Healthcare's transformation rewrites all our schemes Triangle, triangle, three points that collide Where ethics and economics coincide [Verse 2] Pharma pipelines stretch from lab to shelf Phase trials burn through investor wealth Orphan drugs demand premium pricing power While generics flood when patents devour Formularies gatekeep what patients receive As PBMs negotiate what insurers believe [Chorus] Access, quality, cost - the iron triangle holds Every policy choice leaves some story untold EHRs talking to AI in digital streams Healthcare's transformation rewrites all our schemes Triangle, triangle, three points that collide Where ethics and economics coincide [Bridge] Telemedicine bridges rural divides While algorithms predict who survives DRGs bundle payments tight As ACOs share risk day and night Global health scales from village clinic small To WHO coordination spanning all [Verse 3] Hospital margins squeeze between fixed beds And emergency rooms where no one getsreds Payer-provider contracts shift the game From volume rewards to value-based aims Bioethics question every business choice When profits and patients both need a voice [Final Chorus] Access, quality, cost - the iron triangle spins Every healthcare dollar shows where loss begins From EMR data to machine learning dreams Management navigates these complex schemes Triangle, triangle, balance never lies Where healing meets the bottom line's disguise
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