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> It's broken and I am sure it's killing people. I also don't see a technology fix. Anything that requires more than two or three providers is an edge case, this space is 90% edge cases.

Vertical integration is the biggest hope. With vertical integration, there is no billing.

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i guess Kaiser Permanente is the closest to the vertical integration we're ever going to get here.

I cannot wrap my head around how that would even happen in North East region with fragmented hospital systems. They would need to join together to form a single hospital system, and/or buy out primary care practices, then merge with a large insurance company and PBM.

There’s also no choice or incentive to improve.

There are plenty of incentives to help care and improve: the better healthcare you provide the less they cost you long term. Vertical integration puts preventative care in the scale.

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