Listen now | The U.S. spends $280 billion annually on healthcare billing! It's an irrationally complex and outdated system in which most claims are adjudicated manually, resulting in massive inefficiencies and bogus claim rejections. Why is it so broken? How do we fix it? And what would healthcare look like if it functioned properly?
Excellent interview, but I would add a note of caution regarding the closing remarks about outcome-based care. The pharma companies want constant streams of revenue, meaning people who need prescriptions that are taken for life. This means that they want to treat symptoms, not actually cure people. I am 70 years old, in good health, and take no prescription meds. I realized that from a pharma company's perspective, I am just a "useless mouth", since I don't take anything that adds to their bottom line.
Any company that honestly works to improve the health of their clients and provides incentives to clients and providers to promote better health will quickly find themselves in the crosshairs of very wealthy companies whose business model demands chronically ill patients who depend on their products.
Excellent interview, but I would add a note of caution regarding the closing remarks about outcome-based care. The pharma companies want constant streams of revenue, meaning people who need prescriptions that are taken for life. This means that they want to treat symptoms, not actually cure people. I am 70 years old, in good health, and take no prescription meds. I realized that from a pharma company's perspective, I am just a "useless mouth", since I don't take anything that adds to their bottom line.
Any company that honestly works to improve the health of their clients and provides incentives to clients and providers to promote better health will quickly find themselves in the crosshairs of very wealthy companies whose business model demands chronically ill patients who depend on their products.
You certainly can’t get any less sexy than healthcare billing.