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New health insurance “transparency data” looks suspiciously wrong

dolthub.com

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Re: New health insurance “transparency data” looks suspiciously wrong

#12
post #11
post #9

Can GPT4 help process this data?

GPT-4 readily hallucinates data[0], so that seems unlikely, though it also appears unlikely that it would make it any worse! [0] https://news.ycombinator.com/item?id=34775853

GPT-4 can write queries if you give it a schema, but I definitely wouldn't rely on it to generate any actual data.

Re: New health insurance “transparency data” looks suspiciously wrong

#14
If anyone is interested, the arm and a leg podcast covers how people leverage transparency data and other strategies to fight hospital bills. Most recently it was covered that so few people take hospitals to small claims court over their billing practices that hospitals can afford exorbitant teams of lawyers to establish more case law that their behavior is legal.

https://armandalegshow.com/

Re: New health insurance “transparency data” looks suspiciously wrong

#15

There are two problems here: 1) Hanlon’s razor 2) The author doesn’t understand health insurance data. I’m not trying to excuse the other bad behavior, but within the data itself, he’s experiencing a combination of health insurers’ incompetence, the kludged up data models they’ve had to build to represent the output of the multiple generations of claims processing systems and other administrative processes, and the g…

But the given examples are basic procedures like “wrist x-ray” or “endoscopy”. Surely they have simpler rate calculations than the potential special cases you mention?

Re: New health insurance “transparency data” looks suspiciously wrong

#16
This paragraph is missing the link at the end:

At DoltHub, where we build databases like codebases, we're running a data bounty, collecting rates for popular medical procedures for all US hospitals. Then we'll release the data under CC. Find out more here.

Re: New health insurance “transparency data” looks suspiciously wrong

#17

Everyone assumed there would be malicious compliance here but it's definitely eye opening just how malicious they made it. Speaks volumes for the perceived risk releasing this data, IMO. Still waiting to hear about someone using this data to negotiate down a hospital bill, seems like it's just insurance companies that can weaponize this data for better rates.

> seems like it's just insurance companies that can weaponize this data for better rates.

That’s because their negotiating power is mainly due to the size of their buying power, not special knowledge or skills. Health “insurance” is basically the lamest, most economically perverted form of collective bargaining ever.

Re: New health insurance “transparency data” looks suspiciously wrong

#18
Imagine a world where one entity received all the peoples medical bills and was incentived to negotiate for the lowest possible rate from each provider. Imagine the savings alone from reducing a massively overly bureaucratic and complicated system down to just one entity negotiating and paying the health service providers. Just imagine in that world this article would have never needed to have been written.

Re: New health insurance “transparency data” looks suspiciously wrong

#20
So not only shouldn’t healthcare be a market good (moral argument), but healthcare profiteers are actively distorting the market and are not taking seriously efforts to provide a modicum of information to participants in this so-called market.
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