This week I was in a collaborative discussion about systemic fixes to healthcare.
- This week I was in a collaborative discussion about systemic fixes to healthcare.
- My conclusion is that it's an absurdly complex area (duh!).
- But two ideas that stuck with me:
- Transparency plus AI.
- First, make risk-adjusted outcome data transparent per provider.
- Second, allow LLMs working on behalf of a given user to research the best provider for them.
- Humans don't have the patience to compare all of the different options, but LLMs do.
- This would lead to competition not on cost per procedure but cost per outcome.
- Allow employees to keep their insurance plan when they move employers.
- Given how often people switch employers, the average length of time people have on a plan is 2-3 years.
- That means that the insurer is structurally incentivized to under-invest in preventative care.
- By the time the condition becomes acute, the user is likely someone else's responsibility.
- Also, users don't really have a choice… it's whatever provider their employer picked, and that's often based on cost, not based on quality of service or outcomes.
- But if users could keep the same plan when they shifted employers, then the average amount of time a given user stays with a plan would go up.
- That would structurally incentivize long-term preventative care more.
- The insurers would then have a longer-term incentive to keep the customers happy and healthy.
- Employers would put whatever budget they would have put into an employee's health plan and pay towards whatever plan the employee picked.