2/ If rich countries can teach us anything, it’s that how you pay for care has big implications on the health system, from who gets care, to where they get it, to the quality of care and the patient experience.
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3/ Pay per treatment? Get lots of treatments. Pay for metrics? You get those metrics. Pay private private providers? Guess what, you get more private providers. Eventually, almost everything is impacted in some way by how it’s paid for.
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4/ Health insurance isn’t glamorous, but chances are it’s how most countries will eventually achieve universal health coverage. I don’t think there’s one country that has achieved universal coverage without a national insurance system.
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5/ To add icing on the cake, health insurance is a great software problem. Software is far from a silver bullet, especially given global health’s IT graveyard. But few aspects of healthcare lend themselves to software as well as insurance.
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6/ Insurance is mostly about moving money and data around at scale according to a set of rules. That’s what software does best! All else equal, I’d pick an insurance company that runs entirely with code rather than with people.
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7/ We’re at a unique moment in time where, in the next decade or so, most countries will implement national health insurance systems. After that, the greenfield opportunity is gone forever, and it’s a legacy systems / software problem.
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8/ Blows my mind there aren’t more ppl in this space. If you’re looking for what’s next, consider starting a company to compete with us or join our team. The work isn’t easy, but there’s a path to helping hundreds of millions of people access better care:http://watsi.org
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