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by jedgardyson
1575 days ago
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Congrats on the launch! This seems like a great beachhead / GTM strategy for an insurer to get off the ground. Curious about the footnotes you mentioned: "Thirty-five cents of every dollar spent goes to clinical waste, unnecessary services, administrative bloat, or fraud. (We could give footnotes, but doubt anyone needs convincing.)" Is there any one good source, or a few good sources, on this breakdown? |
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https://pubmed.ncbi.nlm.nih.gov/31589283/
The waste usually comes down to (1) variation in clinical approaches, like a heart patient being treated differently by several different doctors, (2) administrative inefficiency, such as transposing from paper or using fax machines, and not working collaboratively, (3) abuse and fraud, like we saw in the news recently.
Here’s another one along the same lines about clinical variation
https://www.bcbs.com/the-health-of-america/reports/study-of-...