There is a lesson here for public policy generally, including health care. No centralized government expert predicted the vast expansion in energy supply from hydraulic fracking. It was produced by decentralized specialists in firms subject to market competition.
Just as Friedrich Hayek taught, no central planner can know or foresee enough to produce the beneficial results regularly produced by competition in free markets regulated in accordance with the rule of law. And no central planner can accurately predict the course of innovation that can be achieved in decentralized markets. That's something you might want to keep in mind when someone tells you that Medicare costs can be controlled by 15 members of an unelected board created by Obamacare. Better results and lower costs can be expected with the kind of market competition set up by the 2003 Medicare prescription drug law.