Getting timely, accurate data from the insurance companies on this intuitively feels hard. What are the guarantees around those APIs? There are so many path-dependent factors, like outstanding claims, readjudication of old claims, or "revenue optimization" games on the backend.
How do you handle the interaction with insurance plan information like accrued deductible? Certainly aims to guarantee the patient responsibility, right?
Love to see innovation in this space!
The challenge of not knowing what other services might end up being done seems daunting from a UX perspective. Hopefully you guys can find a solution.
(I was early on the Data team at Oscar Health, so have more than my fair share of experience with thorny health care pricing data.)
You are actually largely in agreement with the author of the article. It just takes a a while to get there (and criticizes those conclusions from a slightly different angle).
You can get to big numbers on global capital markets, for sure. I was wondering whether you a consulting/VC-style estimate given how specific the statements was: "Smart Markets hold the potential to eliminate that loss" of "at least a trillion dollars annually".
How do you think about it? Let's say we expect half the benefit to come from equities.
>> 0.5T / 125 T = 0.004
>> Smart Markets would need to raise portfolio returns by an average of .4% (net of trading costs) annually.
> Today's market structure costs institutional investors (and by extension households) at least a trillion dollars annually (and Smart Markets hold the potential to eliminate that loss).
How does one get to this estimate? That is ~5% of US GDP. Everything else was easy to follow - this seemed high, at least intuitively.
Happy to connect if it would be helpful for you!