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> Many of America’s most critical sectors, such as healthcare, are especially slow to adopt due to a variety of factors, including distrust or lack of understan
by Thrymr 1y ago
> Many of America’s most critical sectors, such as
healthcare, are especially slow to adopt due to a variety of factors, including distrust or lack of understanding of the technology, a complex regulatory landscape, and a lack of clear governance and risk mitigation standards. A coordinated Federal effort would be beneficial in establishing a dynamic, “try-first” culture for AI across American industry.
I'm sure "move fast and break things" will work out great for health care.
And there are already "clear governance and risk mitigation standards" in health care, they're just not compatible with "try first" and use unproven things.
- TZubiri 1y agoWelcome to our pitch for DenyBot.ai Our product automates a lot of the repetitive tasks for health insurance companies and increases reliability of responses and profit margins.
- ausbah 1y agostatic api that just returns “no”
- wredcoll 1y agoIf there's one thing I'm concerned about, it's the profit margin of health insurance companies.
- giantg2 1y agoAren't profit margins restricted by law? Ostensibly, any reduction in expenses should result in some reduction to patients.
- myhf 1y agoThis new AI reduces payouts by $10MM. The licensing fee is $10MM. Profit margins stay within the legal limits.
- TZubiri 1y ago"Just set the AI, KICK BACK and relax." KickBackDeny.ai take notes YC
- mac-mc 1y agoYou increase profits by expanding the amount of money put through the system, leading to a perverse incentive of ever increasing costs.
- jordanb 1y agoThe solution to this is to form a Health Group that combines insurance with a whole bunch of provider services. Then approve those claims that result in you paying yourself.
- giantg2 1y agoThese are terrible. Then you have a very small in network option and get screwed when going anywhere else. This is basically what happens with CVS Caremark drug coverage - any recurring prescription must go through them or they won't cover it. They'll only cover one off prescriptions at competitors. It's really pretty terrible, especially if you need a compounded medication. I'm not sure how such an anticompetive racket is legally allowed to exist.
- Aaronstotle 1y agoThe American Healthcare is so broken already that further breakage could be seen as an improvement.
- davidw 1y agoA lot of people are about to find out with this admin, how things that were certainly imperfect can be so much worse. Building things is tough; tearing them down is relatively easy.
- davemp 1y agoSo much naivety. It’s like the new grad reading parts of a 500kloc project and proclaiming that it can only be saved by a full rewrite.
- joe_the_user 1y agoAmerican Healthcare's "brokenness" involves massive bureaucracy, gate-keeping and processes that pressure providers to limit resources. But it does provide necessary things to people. A system that reduced the accuracy of diagnosis and treatment could still cost many lives.
- QuadmasterXLII 1y agoThat’s the attitude that got us here and I suspect we’ll ride it the whole way down
- horns4lyfe 1y agoIt’s really not, when was the last time anything happened fast in healthcare
- thunderfork 1y ago[dead]
- giantg2 1y agoAI for treatment is rightfully scrutinized. AI for billing or other administrative tasks could be a big cost saver since administrative costs are a huge expense and a major factor of high consumer costs.
- turtletontine 1y agoAI for billing or other administrative tasks could be a big cost saver… You’d hope so, but doubtful. More likely it’ll be health care providers using “AI”s to scheme how to charge as much as possible, and insurers using “AI” to deny claims.
- giantg2 1y agoYeah, I'm sure they'll find a way to fire lots of staff but still charge patients the same. Of course if they use the current data for training, it will result in similarly terrible outcomes.
- creakingstairs 1y ago""" Luminae AI Hack Your Medical Account Receivables Luminae AI accurately predicts your uninsured patient's asset values so that you can quickly write off bad debts and only chase those with high asset values. Luminae AI will increase your net collection rate by at least 15%. "It's a game changer, we've increased our gross collection rate by 30%. We've also started a new business to flip foreclosed homes nearby." - John Smith """ BRB applying to YC
- blitzar 1y agoI LOVE THIS FOUNDER I am a 10 out of 10
- sorcerer-mar 1y agoHere’s how this is working in practice: There’s a fast-growing cottage industry of companies using AI to figure out how to bill insurers “better” And there’s a fast-growing cottage industry of companies using AI to figure out how to deny claims “better” I see no reason to expect improvements to the patient or provider experience from this. A lot more money spent though!
- moomoo11 1y agoMove fast and break things is why we have progressed from chopping off people's limbs and giving them cocaine to now. And healthcare is still far from perfect. Imagine what healthcare in 2500 will be like.
- krapp 1y ago>Move fast and break things is why we have progressed from chopping off people's limbs and giving them cocaine to now No it wasn't. The "move fast and break things" people were selling snake oil and alchemy while the actual science progressed slowly and deliberately, and the regulations around the latter were often written in the blood carelessly shed by the former.
- KidComputer 1y ago> Move fast and break things is why we have progressed from chopping off people's limbs and giving them cocaine to now. This is just false. Healthcare does not move fast.
- y-curious 1y agoAnaesthetics in the form of ether went from official invention to worldwide use (in wealthy countries) in less than a decade. Many other medical inventions followed suit. "The FDA moves slowly." Is a sentence I would agree with
- moomoo11 1y agoThat’s why people can’t get experimental drugs or therapies.
- BobbyJo 1y agoNot anymore, but people were just doing whatever like 100 years ago.
- crystal_revenge 1y ago> I'm sure "move fast and break things" will work out great for health care. Health care is already broken to the point of borderline dystopia. When I contrast the experience I had as a young boy of visiting a rural country doctor to the fast food health care experience of "urgent care" clinics, it makes my head spin. The last few doctors I've been to have been completely useless and generally uncaring as well. Every visit I've made to a doctor has resulted in my feeling the same at the end but with a big medical bill to go home with. At this point the only way I'll intentionally end up in a medical facility is if I'm unconscious and someone else makes that call. Dentistry has met a similar fate as more and more dentists have been swallowed up by private equity. I've had loads of dental work, including a 'surprise' root canal, and never had an issue. My last dentist had a person on staff dedicated to pushing things through on the insurance front and my dental procedure was so awful it boarded on torture. I used to be an annual check + 3 times a year dentist person. Today I'm dead set on not stepping foot in any kind of medical facility unless the alternative is incredible pain or certain death.
- hshdhdhj4444 1y agoI’m sure move fast and break things, now with AI (tm) will reduce the deepening monetization of the doctor-patient relationship that’s the root of your complaints.
- sorcerer-mar 1y agoYep! What ya gotta do when you spot a problem, is just throw whatever objects or topics are immediately at hand at it. Then blame regulation and that pesky Other Side Ta-da! Fixed!
- bko 1y agoSometimes I just need a prescription. I don't know why I have to drive somewhere, fill out a form, wait, see a nurse, tell them what I wrote on the form, wait some more, see a doctor and tell them what I wrote on the form and have him write me a prescription. Why can't I just chat with an AI bot and get my prescription? Much cheaper to administer which helps monetization (!) but much better and cheaper for me. Things aren't slow and wasteful because of monetization. Having all these steps doesn't necessarily mean more profit. I would argue that its deeply inefficient for everyone involved and doctors. For instance, physician salaries have decreased 25% in real terms over the last 20 years. https://www.reddit.com/r/Residency/comments/15cr60z/adjusted_for_inflation_md_pay_decreased_26_from/ https://www.reddit.com/r/Residency/comments/15cr60z/adjusted...
- atleastoptimal 1y agoHealthcare in the US is already in very poor shape. Thousands die because of waiting for care, misdiagnosis, or inefficiency leading to magnified costs which in turn leads to denied claims because insurers won't cover it. AI is already better at diagnosis than physicians in most cases.
- sorcerer-mar 1y agoI will bet $1,000 you don’t work in a clinic and you’re instead spouting press releases as fact here?
- atleastoptimal 1y agoSo you claim that nobody in the US has died due to waiting for care, misdiagnosis, or inefficiency leading to magnified costs which in turn leads to denied claims?
- toofy 1y ago> So you claim that nobody in the US has died due to waiting for care, misdiagnosis, or inefficiency leading to magnified costs i don’t thing they made those claims, at all…
- atleastoptimal 1y agoThe implication was that since I didn't work in a clinic I couldn't make any inferences or reference to facts sourced from the news. If that's the standard for truth then there's no point in making claims since anyone could just say "uhhh you're not a doctor so you can't say that" ad infinitum.
- sorcerer-mar 1y agoNo the implication is that you’re repeating press releases from extremely biased parties as if they are fact. They are not, and this discredits you.
- toofy 1y agoi’m getting super fatigued on this change we’ve had where what used to be beta testing to a closed group of invested parties has morphed into what we have now. from video games to major product roll outs to cars. will all of the knowledge gained from this product research testing of AI on medicine be given away to the public in the same way university research used to be to the scientific community? or will this beta test on the public’s health be kept as company’s “trade secret” if they’re going to “move fast and break things” with the public, in other words beta research on the public, then it’s incredibly worrisome if the research is hidden and “gifted” to a handful of their cronies. particularly so when quite a lot of these people in the AI sphere have vocally many times declared they despise the government and that the government helping people is awful. from one side of their mouth chastise government spending money to boost regular communities of people while simultaneously using it to help themselves.
- DrewADesign 1y ago> I'm sure "move fast and break things" will work out great for health care. And the federal government at large.
- OJFord 1y agoIt's not even true, OpenEvidence is widely used and officially sanctioned.
- terminalshort 1y ago> I'm sure "move fast and break things" will work out great for health care. It probably would if you quantify risk correctly. I'm not likely to die from some experimental drug gone wrong, but extremely likely to die from some routine cause like cancer, heart disease, or other disease of old age. If I trade off an increase in risk from dying from some experimental treatment gone wrong for faster development of treatments that can delay or prevent routine causes of death, I will come out ahead in the trade unless the tradeoff ends up being extremely steep in favor of risk from bad treatments. But that outcome is very unlikely because for this to be the case the bad treatments would have to actually harmful instead of just ineffective (which is much more common). And it also fails to take into account the possibility that there isn't even a tradeoff and AI actually makes it less likely that I will die by experimental treatment gone wrong or other medical mistake, so it's just a win-win. And there is already evidence that AI outperforms doctors in the emergency room. https://pmc.ncbi.nlm.nih.gov/articles/PMC11263899/ https://pmc.ncbi.nlm.nih.gov/articles/PMC11263899/