This is such a great example of the kind of disruptive impact we can expect from LLMs.
It exposes part of how the health insurance industry works:
"Out of roughly 40 denials, she won more than 90% of her appeals, she estimates"
Most people don't have the stamina to dig in when this happens, so my guess is the entire insurance industry is designed around the assumption that a lot of valid claims won't be paid out.
It's obviously disgusting that the industry has incorrect denials baked into their business model.
If we fix that with LLMs, what happens? It's going to have knock-on effects, since it could eliminate the profit margin these companies have right now.
They could all merge into one giant insurance agency, perhaps a National Health Insurance.
Once they eliminate all competition the next target for optimisation is between the company and hospitals. They realise its cheaper, with better margins, to run primary care facilities rather than hospitals. The government see that they are a monopoly and force them to provide coverage for a minimal monthly cost. It seems like such a good idea that eventually the government agrees to give them a set amount each month for universal coverage of citizens.
They rename themselves as the National Health Service.
It exposes part of how the health insurance industry works:
"Out of roughly 40 denials, she won more than 90% of her appeals, she estimates"
Most people don't have the stamina to dig in when this happens, so my guess is the entire insurance industry is designed around the assumption that a lot of valid claims won't be paid out.
It's obviously disgusting that the industry has incorrect denials baked into their business model.
If we fix that with LLMs, what happens? It's going to have knock-on effects, since it could eliminate the profit margin these companies have right now.