| > Helping patients select the right doctor. Currently most people use Yelp or through referrals. The problem is that Yelp has little correlation to quality of care. It's very difficult for patients to evaluate a doctor - usually what they end up doing is evaluating the customer service aspect of the doctor (did they speak to me nicely, did they make me wait for an appointment, etc.) but no one is able to evaluate doctors based on the quality of care. We actually explored this for a startup idea. The problem is that it is difficult to find a group of people who can do the evaluations in a truthful and holistic way: * Hospitals will never want to give out outcome data because outcome data will be used against them for ratings by people who don't understand it (for example, some community hospital in Montana may be rated higher than Mass General because of case complexity issues). Or worse, it will be used by people who DO understand it :D * We explored having doctors rate other doctors in a variety of ways (which I think would reflect the "truest" measure of quality). Residents and fellows could rate attendings, but they might not know how attendings in their hospital compare to attendings in most other hospitals. Additionally, attendings or hospitals might apply pressure to these groups to provide good ratings. Specialists could rate other specialists in their field, but then you might see collusion, false negative reviews, or retaliation. How you would avoid these problems is not immediately clear to me. * As you point out, patients are really only able to evaluate bedside manner and not quality of care. One way we thought about it is having a rating system which would have public profiles for physicians and anonynmous reviews from other physicians and members of the care team. Ratings coming from other physicians in the specialty and providers at their institutions would be weighted more than ratings from other physicians. The highest rated physicians would also have more weight within their specialty than an average rated physician. You could bootstrap the system by asking specialists to provide the names of the top X people in their field. These people would automatically be rated highly. Patients could log in and provide comments about patient experience; hospitals could log in and provide outcome data if they wanted. I am not entirely sure how you would really monetize it. It's the equivalent of the dating app problem; the better you are at matching, the less money you make as users exit the platform. I do agree that it would be great if osmeone could solve this problem though. > Helping doctors and patients estimate costs - Neither doctors or patients understand costs. it is very routine for a doctor to suggest getting a lab test from X place because they have experience working with the center. They have no idea that for your specific insurance plan this will cost you 2x another place and so you with an unhappy patient who blames their doctor for ripping them off. There should be tools to patients and doctors estimate costs. We had a startup that came at this in an indirect way. We were trying to make it easier for labs and other providers to perform eligibility checks and facilitate prior auths in real time. Our proposed solution would have involved running the check during ordering, and then having the phlebotomist or lab tech at the hospital doing the sample collection contact the doctor and inform them that something would or would not be covered by insurance. The provider could then talk to the patient about out of pocket costs etc. I think this actually could have worked; our team imploded before we could prototype it however :( While I like the other ideas, glhf trying to get people to practice lifestyle management or be adherent to a treatment regimen XD |
As an example, look upon the bloodied corpse of the failed startup Remedy, which was actually doing something really good -- helping users find billing errors and getting money back for them on bad charges. But incredible amounts of pushback stymied them:
https://www.fastcompany.com/40483774/remedy-wanted-to-cut-pe...