3 ms·
The value-add would be getting my insurance to approve me to go see a "specialist" (the urologist) immediately rather than forcing me to schedule an appointment
by nerdsniper 1y ago
The value-add would be getting my insurance to approve me to go see a "specialist" (the urologist) immediately rather than forcing me to schedule an appointment with my primary-care doctor first, paying $200 for the office visit, and delaying care by 2 weeks.
So, a technical solution to a bureaucratic problem.
Also, even when I'm on a PPO plan instead of HMO...I know when I have a yeast infection. I don't want to pay $100 to tell a doctor that I have a yeast infection. They don't even look at my genitals - they just take my word for it. But I can't buy fluconazole without a prescription. Such a waste of everyone's time and my money.
So again, a technical solution to a bureaucratic problem.
- trollbridge 1y agoGet a PPO plan, then? I can go directly to any specialist I want, although I find it’s better to always talk to my PCP first, who then makes a referral and often recommends the specialist she prefers. (If your HMO charges $200 for a PCP visit - wow, I’d look for a different plan.)
- nerdsniper 1y agoMy second example was specifically called out as an example of an issue even with PPO's. Also, not everyone (including myself) can easily change jobs or get insurance that simply isn't even offered by the employer. Worth noting that in my state for example, none of the public ACA health insurance options are a PPO.
- trollbridge 1y agoYeah, it's true that a lot of ACA plans are quite poor right now. The subsidy often isn't really worth it compared to a non-ACA plan.
- slg 1y agoThat isn’t value created by the AI, it is valued bestowed on it by your insurance company. They could bestow that same value on a Google search or a call center worker in Southeast Asia and it would provide you the same value. The AI is just making an already convoluted system more convoluted.