I've thought deeply about trying to "fix" healthcare to make it less expensive through open source software and vertically integrated healthcare. (Kaiser + Software). For me, It would have to be a b-corp, not a non-profit for this reason.https://twitter.com/paulg/status/1124254508232663040 …
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If you like open source and HC, you'll love this https://motherboard.vice.com/amp/en_us/article/xwjd4w/im-possibly-alive-because-it-exists-why-sleep-apnea-patients-rely-on-a-cpap-machine-hacker?__twitter_impression=true …
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Do conceptually what JPM and Amazon are doing but with YC companies
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The issue of software in HC is that it is still monolithic. In order to break in, your software needs to do everything that the incumbent does (and better). There are no Slack like (bottom-up) opportunities and then integrations with APIs and webhooks.
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Part of the problem is, of course, lack of standards. Much harder to homogenise healthcare data (much of which is inherently unstructured text, also due to outdated ways of working) than spreadsheets with casflows.
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Incidentally, Kate Gleason might have insights about that.
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I do... I think you could start with a private practice / small clinic and not accept private insurance in a big enough city, and basically serve underinsured people with a "health maintenance" plan where you get x doctor visits per year.
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Every time I think about starting this startup I get excited, but then I am like *ugh this would be... a real slog.* and I get schlep blindness.
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To democratize access to information, we needed to first create public access points and public protocols before hosting the content and then creating applications from it. I think there are some key steps around protocols that need to occur in healthcare before $ making apps
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that's the perfect way to think about it and exactly what we did with healthcare eligibility
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