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CareLedger (YC S15) Aims to Provide Free-to-Employees Medical Care

32 pointsby katmalmost 10 years ago

5 comments

MJRalmost 10 years ago
How are you going to compete with insurance companies who have all of the data, existing relationships will their entire networks of providers and pre-existing negotiated rates with providers? Insurers are already creating local provider specific networks to serve this type of need and they have the largest incentive to drive procedure costs down - because it allows them to drive their rates down, increasing business or accounting for the losses they&#x27;re suffering due to the ACA.<p>How will you protect your business when they decide to cut out the middle-man(you) and begin working with their networks directly to renogotiate procedure costs and kick-back discounts to employers for using these selective Cost+Quality networks? Truth is they&#x27;re already doing this.<p>EDIT: My points may be moot - Are you only working with self-insured companies? That&#x27;s the only thing that makes sense here given that you&#x27;re splitting costs with the employer.
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yummyfajitasalmost 10 years ago
Here&#x27;s why I&#x27;d be skeptical of using this service if I were a large, self-insured employer. If I understand right, the model consists of making it easy for employees to find cheap medical providers. However, am I right in understanding that it also makes it easy for employees to actually find those providers?<p>I.e., absent this service, would employees find it considerably more difficult to get treatment? (The article doesn&#x27;t exactly say this, but hints in that direction.)<p>If so, I&#x27;d be concerned that it induces employees to consume more medicine. So while one might save money on cost per procedure, the # of procedures would go up.<p>(Due to RAND&#x2F;Oregon, we also know it&#x27;s unlikely that marginal increases in medical consumption would improve health, so regardless of how much I might care about my employees, this would be a bad thing.)
reach_kapilalmost 10 years ago
Are there any hidden costs? I mean how would you make money?
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thetakachalmost 10 years ago
Hey All! Co-founder here. Would love any and all feedback, and here to answer any questions you might have.
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radleyalmost 10 years ago
Where is your list of providers? That&#x27;s usually the first thing I&#x27;d need to check when considering a new insurance plan.<p>My current insurance only has a small list of specialists in my area, and only one who was actually accepting patients and didn&#x27;t have a 3 month wait list.