Boy those are dumb bureaucrats. An insurance company is regulated because it promises to late pay for something for you that it does not have. This MD in fact is an MD, so he certainly can provide care.
It is the MD’s business how he prices his services. He can in fact deliver these services. Thus he is not insuring patients, he is merely selling his services using a two part pricing scheme.
"Show me just what Mohammed brought that was new, and there you will find things only evil and inhuman, such as his command to spread by the sword the faith he preached." - Manuel II Palelologus
But he’s bypassing the insurance companies, and that chain of money up to and including kickbacks to politicians. How could they possibly let his scheme of not including payoffs stand?