It's not really HIPPA. I think it's more things like a lack of price transparency, the 'customers' of health care being disconnected from the users of health care and so on. Kind of like how B2B software is often horrible because the customers are disconnected execs and the users (employees) pay the price. This goes into more detail:

http://abovethecrowd.com/2017/12/18/customer-first-healthcar...