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Health insurers just published close to a trillion hospital prices

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Re: Health insurers just published close to a trillion hospital prices

#21

Say someone ingests this data and clean it up make it usable, who's the customer for that service? What would they want to know from it?

I think that there is opportunity for some neat visualizations with map overlays, average costs of various categories of procedures, etc. As for the customer, I wouldn't know.

Re: Health insurers just published close to a trillion hospital prices

#22
post #19

Say someone ingests this data and clean it up make it usable, who's the customer for that service? What would they want to know from it?

I want to be able to visit a website, select my hospital, the procedure, and my insurance, and see what it will cost. Next to the result, please show me how much the same procedure would cost with the same insurance at other hospitals near my location. You will literally save American lives.

Turqoise health kinda does this now, not as robust yet but I have been using it to check out prices. Hopefully, your use case becomes a reality soon.

Re: Health insurers just published close to a trillion hospital prices

#23
post #16

Earlier quoted context omitted.

Yep, we have built this database at Turquoise Health. I agree, the data is massive - and don't forget that it is all refreshed monthly!

Is that from the hospital side or the insurer side?

We have built databases for both and can compare between them.

Re: Health insurers just published close to a trillion hospital prices

#24
post #19

Say someone ingests this data and clean it up make it usable, who's the customer for that service? What would they want to know from it?

I want to be able to visit a website, select my hospital, the procedure, and my insurance, and see what it will cost. Next to the result, please show me how much the same procedure would cost with the same insurance at other hospitals near my location. You will literally save American lives.

Restoring sanity and making it like any other product or service.

Re: Health insurers just published close to a trillion hospital prices

#26

I wonder what percentage of work in the US healthcare system is completely unnecessary from a general perspective but made necessary deliberately to justify the unethical system that allows millions to die unnecessarily.

Judging by the US's price/outcome ratio compared to other developed nations, a little over half[1].

[1]https://www.pgpf.org/blog/2022/07/how-does-the-us-healthcare...

Re: Health insurers just published close to a trillion hospital prices

#27

Seems like every week there's a new massive scale DB project or company getting announced on HN. If they're looking for projects that create public value and demonstrate the power of their products at scale, digitizing this and making it searchable may be a good marketing project that's appealing to certain kinds of customers.

It would appear us SQLite zealots have encountered the final boss.

Petabytes uncompressed would be tricky if you need to slice those columns. SQLite caps out at ~281 terabytes of storage before it can't track any additional pages.

None of this is to say you couldn't partition the data across a lot of SQLite instances in varying ways. I will probably take a shot at it this weekend. Looking to see just how unlimited my AT&T fiber connection is anyways.

Re: Health insurers just published close to a trillion hospital prices

#28
post #10

Seems like every week there's a new massive scale DB project or company getting announced on HN. If they're looking for projects that create public value and demonstrate the power of their products at scale, digitizing this and making it searchable may be a good marketing project that's appealing to certain kinds of customers.

Figuring out the size of this data was part of the research phase for doing just that: building out that database. I'm curious to know if other people are already working on it (maybe Turquoise Health?)

Very cool. Who do you see as the likely users of that database? Is it primarily for researchers/data journalists, or is there a commercial value to it?

I'd be very curious to read more about the data cleaning phase when you get there. Specifically, how hard it is to combine this data and construct good schemas.

Re: Health insurers just published close to a trillion hospital prices

#29
post #10

Earlier quoted context omitted.

Figuring out the size of this data was part of the research phase for doing just that: building out that database. I'm curious to know if other people are already working on it (maybe Turquoise Health?)

Yep, we have built this database at Turquoise Health. I agree, the data is massive - and don't forget that it is all refreshed monthly!

It's cool seeing that Turqoise Health exists. One of my first programming projects back in the day (when I was trying to get a jr role in 2014) involved building a simple version based on data.gov medicare data. The inputs were terrible and tiny (e.g. chest pain at hospital X costs ~$60k on average across 5 patients), so I was always curious what a real world version might look like.

edit: As I reflect, I'm amused to recall that this was early enough in my path that I didn't know about DB indexes, so I was very proud that I figured out how to basically roll my own indexes by pre-sorting the columns by lat and lon. I don't remember whether my solution actually prevented a full-table scan, but it felt like a major breakthrough at the time.

Re: Health insurers just published close to a trillion hospital prices

#30
post #27

Seems like every week there's a new massive scale DB project or company getting announced on HN. If they're looking for projects that create public value and demonstrate the power of their products at scale, digitizing this and making it searchable may be a good marketing project that's appealing to certain kinds of customers.

It would appear us SQLite zealots have encountered the final boss. Petabytes uncompressed would be tricky if you need to slice those columns. SQLite caps out at ~281 terabytes of storage before it can't track any additional pages. None of this is to say you couldn't partition the data across a lot of SQLite instances in varying ways. I will probably take a shot at it this weekend. Looking to see just how unlimited my…

> It would appear us SQLite zealots have encountered the final boss.

That's cute. :)

There isn't much value in feeding it all into a conventional RDBMS. OLAPs and columnar stores are what is needed here. But first it will need a great deal of grooming and ETL work.

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