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Health AI Startup Has Helped Reverse Denied Health Insurance Claims
- deleted 6mo ago[deleted]
- hbcondo714 6mo agoThis is for Claimable: We make it easy to appeal denied health claims https://www.getclaimable.com https://www.getclaimable.com
- danny_codes 6mo agoThese tech solutions for social/political problems are astonishingly wasteful. Capitalism is so ridiculously inefficient
- QuarterReptile 6mo agoCompared to what, and measured by what?
- danny_codes 6mo agoIn this case, socialized medical insurance, like all other developed countries have.
- randycupertino 6mo agoIsn't this just going to become an arms race... one side's AI denies the claim and provides justification, the other side's AI drafts a rebuttal, and so on and so on.
- ijustwantrx 6mo ago"oh this is a great idea!" > visits claimable website > my condition isn't on there > I click "I cant find my denied care" > Get a form to request a new treatment > I have to pick the treatment from a pre-filled dropdown list > it's not there boneheaded design, how am I going to request a new treatment if i have to pick from your supported treatment list. Slop
- heathrow83829 6mo agoreversing denied health insurance claims only changes who pays for it (end of the day premiums will probably go up proportionatly), it does nothing to reduce the overall cost which is a much bigger problem.
- adampunk 6mo agoI can imagine one person in this arrangement who cares quite a lot about who pays.
- wizeyone 6mo agoArms race framing misses it. Insurers have used algorithmic denial scoring for years (ProPublica/Cigna-EviCore, StatNews/UnitedHealth-NaviHealth). Denial works because appealing is expensive for patients and near-free for insurers. Claimable inverts that cost. End state isn't that insurers pay more. It's more like "insurers deny less aggressively up front."
- garbawarb 6mo agoIt's amazing how so much of healthcare tech is designed to plug holes in a healthcare system that's very specific to the US. Personally I'd be worried about growth if I were a founder: can this expand to other countries? What if the US moves to a public healthcare system one day?
- QuarterReptile 6mo agoOn the other hand, healthcare administration headcount has grown over 1000% since 1970, and few things grow as fast. Feels like plenty of runway.
- Dieselroar88 6mo agoThis ^
- Dieselroar88 6mo agoHealth Tech Product Builder here - thinking about expansion outside of the United States is a champagne problem that they can solve later and also: lol on public option. We are barely keeping the lights on at the FDA, CDC and VA. The administration is trying to defund every public service it can think of.