“We are in a $5 trillion US healthcare consumer market with no consumer in it… I basically decided we had been surgically removed from the US healthcare system.”
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Chapters:
(00:00:00) Intro: Aligning Financial Incentives in Healthcare
(00:02:41) Mark’s Background: Voice Over IP to Healthcare Tech
(00:04:47) The Early Days of Direct Primary Care (DPC)
(00:09:08) Hacking the HDHP: Saving 32% on Premiums
(00:11:28) Why Brokers & Carriers Hate Cost-Saving Strategies (The MLR Problem)
(00:18:33) Discovering the All-Payer Claims Database (APCD)
(00:21:49) The $1,600 vs. $6,800 Nuclear Stress Test
(00:26:00) Building a Commercial Solution to Fight Lobbyists
(00:29:40) The “Proficiency Score”: Why Price Does Not Equal Quality
(00:31:48) Scraping EOBs to Build a National Price Database
(00:33:27) The White House Meetings & The Transparency in Coverage Rule
(00:43:03) Inventing “Transparency 2.0” and the UAPA (Cash Pay)
(00:51:13) Shared Savings Rewards: Paying Employees to Shop
(00:53:56) The Future: In-App Repricing and “Tap-to-Pay” at the Doctor
(00:57:52) Can We Shop for 70% of Healthcare?
(01:04:18) Using UAPA as a Full Network Replacement
(01:11:19) The Path to an “Amazon-Like” Healthcare Market
(01:15:19) Closing Thoughts: Why 12% of Shoppers Can Change the System
