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Health AI Startup Has Helped Reverse Denied Health Insurance Claims

20 points by pir8life4me

by wizeyone

0 subcomment

Arms race framing misses it. Insurers have used algorithmic denial scoring for years (ProPublica/Cigna-EviCore, StatNews/UnitedHealth-NaviHealth). Denial works because appealing is expensive for patients and near-free for insurers. Claimable inverts that cost. End state isn't that insurers pay more. It's more like "insurers deny less aggressively up front."

by randycupertino

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Isn't this just going to become an arms race... one side's AI denies the claim and provides justification, the other side's AI drafts a rebuttal, and so on and so on.

by hbcondo714

0 subcomment

This is for Claimable:
We make it easy to appeal denied health claims
https://www.getclaimable.com

by garbawarb

2 subcomments

It's amazing how so much of healthcare tech is designed to plug holes in a healthcare system that's very specific to the US.
Personally I'd be worried about growth if I were a founder: can this expand to other countries? What if the US moves to a public healthcare system one day?

by heathrow83829

1 subcomments

reversing denied health insurance claims only changes who pays for it (end of the day premiums will probably go up proportionatly), it does nothing to reduce the overall cost which is a much bigger problem.

by ijustwantrx

0 subcomment

0 subcomment

by danny_codes

1 subcomments

These tech solutions for social/political problems are astonishingly wasteful.
Capitalism is so ridiculously inefficient