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Launch HN: Evry Health (YC W18) – Better health insurance for companies

evryhealth.com

71–76 of 76 posts

Re: Launch HN: Evry Health (YC W18) – Better health insurance for companies

#71

Earlier quoted context omitted.

> We think its the best solution to the employer demanding positive ROI on the disease management and telehealth based solutions Just rereading this one line - again, I'm pretty sure your motives are noble, and perhaps you can move the needle a bit. But... why should employers be demanding positive ROI on something that isn't their core business? "Employers" as a whole, having to learn about various 'insurance' optio…

You nailed it on the head. Employer based insurance is at the core a monstrosity. I hope these founders make a dent in cost but ultimately i dont see how any ROI will translate to lower industry costs, especially since outcomes-based billing is just another more confusing way to ration care and squeeze independent doctors to work for larger systems that can do the accounting. And squeeze the little guys, and everyone…

Hi Mark here - Just to be clear we are not using ROI, but rather clinical impact. The expectation being that the expense of encouraging better care through facilitating coordination, clinical teaming, and incentives addresses issues of access, transparency, and engagement/compliance. We are looking to change the healthcare experience from being confusing, disjointed, costly, and wasteful.

As for employer-based insurance, it is the market that more than 50% of all people get their insurance from currently [1]. Is it the best way to make sure people get access to care? No, its just a convenient way to pool risk, and there are significant tax and regulatory support structures in place to prop it up. No private enterprise is going to change this and it is unreasonable to expect that outside of massive political and regulatory changes. And when that revolution happens, our technology and infrastructure will be able to continue delivering the same positive benefits to the disaggregated community because quite frankly we are agnostic to whether 50,000 people are insured by us through 250 employers or as individuals - we are still treating the issues being faced by the people in the community.

[1] KFF Data https://bit.ly/3IFQkoB

Re: Launch HN: Evry Health (YC W18) – Better health insurance for companies

#72

Earlier quoted context omitted.

Hi - Mark here - I'm curious to know what you get for your $500 monthly premium. Do you get anything else of value, any incentive programs, knowledge support, coaching, etc. I am assuming you get free access to telehealth. I would like to know if you use any of these other things

I'm not the OP, but my insurance program (BCBSNC) offers some things. I get * a 'wellness portal' (which... doesn't open anything when I click on it) - nope - goes to 'werally.com' * a 'nurse support program' - which seems to be a bullet point list of things they say they help me with, but... no call to action, or phone number, or.. anything actionable. * 'Behavioral Health Support' - which takes me to quartethealth.…

Sounds like each one of those "integrated" components are actually separate things and each has an expense to you. And theres noone at the plan to help you navigate or coordinate what you access or why you should. All up to you. Our approach is to make these types of things to be inside the benefit plan (e.g. no copays, no deductibles for telemedicine solutions), and support you with care guides and incentives. I hear your pain though - its why we are trying to do this. Better access, easy as well as affordable.

Re: Launch HN: Evry Health (YC W18) – Better health insurance for companies

#73
post #70

Earlier quoted context omitted.

Hi - Mark here - I'm curious to know what you get for your $500 monthly premium. Do you get anything else of value, any incentive programs, knowledge support, coaching, etc. I am assuming you get free access to telehealth. I would like to know if you use any of these other things

They do have free teleheath and I do appreciate that. If I don’t absolutely need to be seen in person, I use the telehealth option. No other features, tbh. It’s a bronze ACA plan in the NY State exchange. The yearly out of pocket maximum is about $7000 so it’s essentially only for catastrophic situations. I just wish there were a cheaper option. At this point, I’d take a plan with a much higher deductible/ out of poc…

Now I am curious why you buy health insurance. Are you insuring against the risk of a high cost claim, like a heart attack or premature baby, cancer or transplant? Is it just something you think you should have (but from your comments, dont really use the healthcare system very often)?

Re: Launch HN: Evry Health (YC W18) – Better health insurance for companies

#74
post #63

The phrase "technical solutions to social problems" comes to mind. Read Kenneth Arrow's 1963 paper Uncertainty and the Welfare Economics of Medical Care to understand why health care is a market good, and private sector solutions are not up to the task of providing adequate health care to all. The solution is for the government to provide health care to all. You are trying to fix things it is only within the governme…

And for those of you willing to stick it out and help make change happen here, we are hopeful that our differentiated product, use of technology, and processes will stir dialog and stimulate change. There is a saying "eat the mammoth one bite at a time" or something like that - basically when a problem is so big the best you can do is take it in bite sizes pieces. We - by ourselves - cannot change how everyone gets access to healthcare. We can start small and build from there. Our objectives are achievable and objective in the near term, aspirational in the long term. Thanks for contributing your thoughts to the debate!

Re: Launch HN: Evry Health (YC W18) – Better health insurance for companies

#75
With many new disruptions in the private medical sector for example CostPlus bringing prescription drug costs down considerably, do you see any opportunities for collaboration between these newer startups in adjacent industries? If so can you speak to some that could benefit me as a customer in addition to the standard insurance that is provided?

Re: Launch HN: Evry Health (YC W18) – Better health insurance for companies

#76

With many new disruptions in the private medical sector for example CostPlus bringing prescription drug costs down considerably, do you see any opportunities for collaboration between these newer startups in adjacent industries? If so can you speak to some that could benefit me as a customer in addition to the standard insurance that is provided?

There are a lot of opportunities to partner with other innovators / startups. We are always looking for ways to do things differently. For you, it translates into a different experience with greater access and more convenience. It should also mean lower cost because of the shift to virtual and at-home care.

As for who - its a big universe. There are innovations in primary care, gut biome / nutrition, biometrics, physical therapy / activity, sleep, mental health, fertility / family planning, cancer, community resources / counseling, and so on. We have a running list of over 300 companies we have reviewed and have considered in terms of how to include. The hard part is to sponsor a mix that does not overlap too much. We've done that work.

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