[jmye]

> I don't mean to be a downer on this, and I do think there are solutions... but I think 90% of the problems in healthcare aren't technological ones but are navigating large, entrenched systems that have very little incentive to change.

Having led provider operations and data systems in various settings for the last decade, this is absolutely true. I find a lot of the 'healthcare is ripe for disruption' comments miss that most of the work isn't going to be fixed by some neat javascript or whatever.

To your note on CPT codes, I'd also bet that, if a given provider is seeing ACA or MA patients, their billing systems and payer interactions will also be more complicated, in terms of coding (diagnosis and procedure), in order to satisfy risk adjustment needs. It's effectively impossible to incent a provider to use two entirely different systems, depending on who the patient is.