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I agree with your initial sentiment completely. I joined my current cofounders (from medical/business backgrounds) for a health tech startup, sold on the dream

I agree with your initial sentiment completely. I joined my current cofounders (from medical/business backgrounds) for a health tech startup, sold on the dream of saving lives with technology. If my CEO didn't play the game by the absurd rules that are in place, I wouldn't have enough financial incentive to swallow my idealism and stick around. My point being, there are plenty of smart people in this system building cool features and chalking it up as progress, but we don't have any power to institute any kind of fundamental change. No healthcare leader will ever acknowledge the flaws in the system, because the people who get promoted up the bureaucracy are the ones who know how to play the game. The people at the top are the champions of collecting the maximum amount of money for the minimum amount of care.

gremlinsinc 6y ago
What about an intra-hospital alliance of sorts, basically build a software platform that covers billing/etc and turns your local hospital into the insurer. You pay 5% of your income for example. If you're traveling they pay the other hospital, either at the normal ins. rates or the rates that hospitals... Example: All the hospitals in utah join. I live in a small town with 45k people. Only hospital in the county, which is about 60k people. So the hospital gets 60K * 5% of income - Medicare/Medicaid who would be billed normally. They get this monthly so they could budget their bills by this income. Anyone traveling who gets sick in their location the hospital they are subscribed to pays their bill. Hospitals in the network all agree on pricing schemes that are fair so there's really no gouging or alternative prices. Since the payee is other hospitals and they could be on the other side of the price for patients it makes sense to make it reasonable. Localities could require all residents move to a hospital as insurer model to make the system more streamlined. A tech provider would create software / erp that automatically does the billing so basically you replace billing people on both sides of insurance. There's probably a lot of small quirks I'm unaware of... but this seems like it could work the larger (multi-state/all 50 states) the network as a whole they could even have significant power to bring down drug prices and equipment purchases for MRI machines/etc as basically a big union of healthcare providers. Primary care physicians would basically get a "cut" of the subscription monthly + co-pays. You could pick your "regular" Dentist, PCP, Eyecare, and other "centers" you go to at least a few times per year, and they could divy out funds to them on a recurring basis for the same goal of creating MRR for small healthcare providers locally.

gremlinsinc 6y ago

What about an intra-hospital alliance of sorts, basically build a software platform that covers billing/etc and turns your local hospital into the insurer. You pay 5% of your income for example. If you're traveling they pay the other hospital, either at the normal ins. rates or the rates that hospitals... Example: All the hospitals in utah join. I live in a small town with 45k people. Only hospital in the county, which is about 60k people. So the hospital gets 60K * 5% of income - Medicare/Medicaid who would be billed normally. They get this monthly so they could budget their bills by this income. Anyone traveling who gets sick in their location the hospital they are subscribed to pays their bill. Hospitals in the network all agree on pricing schemes that are fair so there's really no gouging or alternative prices. Since the payee is other hospitals and they could be on the other side of the price for patients it makes sense to make it reasonable. Localities could require all residents move to a hospital as insurer model to make the system more streamlined. A tech provider would create software / erp that automatically does the billing so basically you replace billing people on both sides of insurance. There's probably a lot of small quirks I'm unaware of... but this seems like it could work the larger (multi-state/all 50 states) the network as a whole they could even have significant power to bring down drug prices and equipment purchases for MRI machines/etc as basically a big union of healthcare providers. Primary care physicians would basically get a "cut" of the subscription monthly + co-pays. You could pick your "regular" Dentist, PCP, Eyecare, and other "centers" you go to at least a few times per year, and they could divy out funds to them on a recurring basis for the same goal of creating MRR for small healthcare providers locally.