Hacker News new | past | comments | ask | show | jobs | submit login

What sort of incentive were you thinking of? KP is one of the largest Epic customers. They don't have claims as such, but still have similar internal processes to prevent waste and determine how much to charge their customers.



I was thinking about incentives around cost of care.

KP could switch from Epic to an alternative if it enables deep learning that reduces costs in the long run. Reducing costs is aligned with KP’s incentives because they are not only the provider but also the payer for medical care. This is different from most medical providers which OP suggests have an incentive to be “cost maximizers” to increase reimbursements from payers.


> KP is one of the largest Epic customers. They don't have claims as such

Yes, they do (whether you are talking about KP-as-provider-network submitting claims to non-KP insurers, or KP-as-insurer adjudicating claims from non-KP providers.)


I was addressing the comment from @divbzero about integrated systems. Out of network claims are a separate issue.




Guidelines | FAQ | Lists | API | Security | Legal | Apply to YC | Contact

Search: