No, hospitals don’t need to become nonprofits. All hospitals, nonprofit or for-profit, would be paid standardized rates through a national system. Profit margins may shrink. Efficient, high-quality hospitals would be just fine without billing chaos.

The lack of billing chaos would be a BFD. Medical providers could order tests, medicines and procedures without worrying a desk jockey without a MD would tell them they are wrong and won't be paid. Billing staff would be cut to nearly nothing. The savings would be immense.

Things like billing and prior authorizations take an enormous proportion of resources.

Prior authorizations are a huge disrupter of for profit health insurance. Not trusting the patient or doctor.