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I doubt this simply because of the inertia of medicine. The industry still does not have a standardized method for handling automated claims like banking. It ge
by biophysboy 9mo ago
I doubt this simply because of the inertia of medicine. The industry still does not have a standardized method for handling automated claims like banking. It gets worse for services that require prior authorization; they settle this over the phone! These might sound like irrelevant ranting, but my point is that they haven't even addressed the low-hanging fruits, let alone complex ailments like cancer.
- KittenInABox 9mo agoIMO prior authorization needing to be done on the phone is a feature, not a bug. It intentionally wastes a doctor's time so they are less incentivized to advocate for their patients and this frustration saves the insurance companies money.
- biophysboy 9mo agoHeard. I do wonder why hospitals haven't automated their side though. Regardless, the recent prior auth situation is a trainwreck. If I were dictator, insurance companies would be non-profit and required to have a higher loss ratio. 2 quibbles: 1) a more ethical system would still need triage-style rationing given a finite budget, 2) medical providers are also culpable given the eye-watering prices for even trivial services.
- KittenInABox 9mo agoI would love to know how much rationing is actually necessary. I have literally 0 evidence to support this but my intuition says that this is like food stamps in that there is way less frivolous use than an overly negative media ecosystem would lead people to believe.