Is this what BetterHealth does? I haven't used it, but I hear a ton of ads for it on podcasts.
Launch HN: Legion Health (YC S21) – Smarter Staffing for Mental Health
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Re: Launch HN: Legion Health (YC S21) – Smarter Staffing for Mental Health
#12Earlier quoted context omitted.
Great question, and I really appreciate you bringing that up. This is one that we get from many of our customers. First, we have consulted with experts from across health care to implement the most rigorous quality standards for the professionals in our network. Not only do our clinicians have to pass tests of baseline quality (background check, licensure check, etc.), but they are also directly assessed based on the…
I don't know about this. Most psychiatrists I've known have always recommended to meet in person rather than holding something over call. Always set up extra appointments and made time for them at no expense. The ones who would do anything lower than that would come off to me as sub par (and I've had online psychiatrists too, and all of them were subpar).
Furthermore, psychiatrists who take insurance or who are affiliated with a hospital/telehealth/other health care institution (i.e. not in private practice, plus these are the health care companies that are our customers) are more likely to bill for extra appointments because rates are lower than in private practice (although equal regardless of in-person or over video due to government mandates) and because the customer is less price-sensitive anyway as insurance is footing some of the bill. Therefore, these (still high-quality) folks just have different behavior patterns based on payment and based on response to COVID. I hope that helps.
Re: Launch HN: Legion Health (YC S21) – Smarter Staffing for Mental Health
#13Hey Yash & team, just wanted to say looking forward to what you guys accomplish! This is great to see. Legion Health's business model is interesting & cool to see because the current company I work for, the business is basically the same but we're just in the manufacturing & logistics industries. Supply side: Operators aka independent contractors who are looking for flexible work in the manufacturing & logistics spac…
Re: Launch HN: Legion Health (YC S21) – Smarter Staffing for Mental Health
#14How are you going to handle billing, stark law, and anti-kickback?
Re: Launch HN: Legion Health (YC S21) – Smarter Staffing for Mental Health
#15Earlier quoted context omitted.
Great question, and I really appreciate you bringing that up. This is one that we get from many of our customers. First, we have consulted with experts from across health care to implement the most rigorous quality standards for the professionals in our network. Not only do our clinicians have to pass tests of baseline quality (background check, licensure check, etc.), but they are also directly assessed based on the…
Do you have a triage system in place where you have a phd level provider that diagnoses and funnels to the appropriate level person to do ongoing treatment? Also why would Good provide join your team what are you offering that makes you competitive to a provider.
Currently, we don't have such as system in place, but our customer might! In that case, a customer might use a PhD or mD from us to provider higher levels of care and then a social worker or nurse to provide ongoing higher-touch treatment. We are simply providing the health care professionals (and their time) to augment a health care organization's existing staff.
Per your second question, that's actually one of our competitive advantages! Right now, we are finding that many awesome providers who are already reputably employed at a hospital, at the VA, etc are looking to make more money (by the way, the fact that they are already reputably employed is a good screen for quality too). They would like to work an additional 10-40 hours on top of their main job in the mornings, evenings, days off, and weekends. That is a large source of potential supply that is going unused and that could help so many people! Simply put, we offer these providers a chance to make more money by using their expertise to see more patients whenever they want. We provide the patient volume and the competitive rate. All providers have to do is show up and provide the excellent care that they already do.
Re: Launch HN: Legion Health (YC S21) – Smarter Staffing for Mental Health
#16I don’t understand why anyone won’t want to get cut rate mental health treatment when they don’t pay for it. In the us folks are not price conscious for health care so why pick the minimum qualified person to provide care?
And you have good intuition about most of the US health care system, but mental health has some nuances that should be shared. First, many mental health practitioners do not take insurance (only 56% of psychiatrists, for example, take insurance). That makes patients more price sensitive. It's hard to pay $350/hour for help. Secondly, and more importantly, there is a massive shortage of these clinicians relative to demand. Wait times to see a psychiatrist in rural areas can be up to 6 months. That's a big part of the issue that we want to solve: i.e. how can we use our solution to really expand access to the services people need?
Re: Launch HN: Legion Health (YC S21) – Smarter Staffing for Mental Health
#17I may be a customer if the price is right -- but I'm wondering how this actually fits as a standalone product. My customer cost and your profit are hard to mentally balance in my mind. And maybe I've been wrong in evaluating these markets, but recruiting for a Telehealth offering is tablestakes, and a core competitive advantage to this space. Also to echo Jommi's comment, these aren't plug-n-play relationships from w…
Regarding continuity of care: these providers mostly have recurring availability, which makes it very easy to schedule them in advance for CBT or other types of recurring visits. We lean into continuity, rather than trying to avoid it with async approaches.
Regarding folks going around our platform to see our providers: frankly, that would more a liability to our customers than it would be to us, because they are the ones trying to maintain patient stickiness. Oftentimes, these services are employee benefits, so there's less problem here with patients trying to go around the platform. But the long term answer is we want to make it SO much easier for providers to see patients via our channels that they don't have any reason to go around us (and have to deal with malpractice insurance, payments, scheduling, and video infrastructure on their own).
Re: Launch HN: Legion Health (YC S21) – Smarter Staffing for Mental Health
#18I may be a customer if the price is right -- but I'm wondering how this actually fits as a standalone product. My customer cost and your profit are hard to mentally balance in my mind. And maybe I've been wrong in evaluating these markets, but recruiting for a Telehealth offering is tablestakes, and a core competitive advantage to this space. Also to echo Jommi's comment, these aren't plug-n-play relationships from w…
Thank you for the interest. You're right that there are many providers interested in telehealth, but filtering for quality folks and keeping them from churning is a non-trivial problem. In addition, it is a very supply-constrained vertical in medicine, so these problems are especially pressing. Part of the reason our current partners use our solution is because we do the upfront filtering, and we de-risk churn to a l…
I poorly rephrased the continuity of care in the third paragraph... I highly doubt someone is going to circumvent an EMR/scheduling platform to go see the provider direct, but I've been wrong about worse things. The comment was just to say I believe you'll want to invest in those predictive analytics down the road to make sure continuity is paramount.
What is more interesting in what I'm seeing you guys write is maybe you're going for acute and crisis care... which is smart.
Re: Launch HN: Legion Health (YC S21) – Smarter Staffing for Mental Health
#19The idea that Nurse Practitioners and Social Workers "do almost everything that psychiatrists do but (for historical reasons) charge lower rates" doesn't feel like a fair characterization. I have worked with many excellent NPs and Social Workers, and have a tremendous regard for their work, but the level of training is - objectively - much different.
Here's an infographic comparing training, which is more or less accurate, but there's some variation between programs: https://i.redd.it/ixgg0l7v6lv51.jpg
Re: Launch HN: Legion Health (YC S21) – Smarter Staffing for Mental Health
#20Earlier quoted context omitted.
Thank you for the interest. You're right that there are many providers interested in telehealth, but filtering for quality folks and keeping them from churning is a non-trivial problem. In addition, it is a very supply-constrained vertical in medicine, so these problems are especially pressing. Part of the reason our current partners use our solution is because we do the upfront filtering, and we de-risk churn to a l…
Very cool and good luck! I poorly rephrased the continuity of care in the third paragraph... I highly doubt someone is going to circumvent an EMR/scheduling platform to go see the provider direct, but I've been wrong about worse things. The comment was just to say I believe you'll want to invest in those predictive analytics down the road to make sure continuity is paramount. What is more interesting in what I'm seei…