Comment by dcow | Hacker News Reader

Comment by dcow | Hacker News Reader

Parent Full thread

Totally agree. For people who are proactive, I’ve found One Medical is excellent.

However, if you’re not keeping your own tabs on your, or someone you love’s, health, it’s easy to fall through the cracks. I wish they would improve on actual active management of subscribers‘ health. I’ve had or discussed many experiences where people expect follow ups that never come. Have an uncommon condition? Make sure you keep bugging someone to schedule the visits and lab work you need to maintain good health. With a $200/yr subscription on top of any insurance you pay I feel like these type of maintenance tasks should be handled for you. It feels more like each visit is an IT ticket/case which gets resolved shortly after your visit. It would be nice if it felt more like One Medical were managing a personalized care plan for your health profile.

Active management is expensive. I've seen it for $1800/yr and the rate of followup was still poor. If you want a doctor to take care of you like family the rate seems to be $7500-30000 annually depending on what's wrong with you. Seems like it might be cheaper to hire a healthcare advocate though most of them are more about geriatric and end of life care.

Seems like an industry ripe for disruption (:

I probably assumed OneMedical did more of this than it intends to based on previous experiences and the subscription fee. Like I’ve had good care, nice offices, etc. in the past why should it now cost $200/yr?

i think that's a valid take, but i have the inkling that One Medical is prioritizing making the most common use case (just going in to see a doc for a temporary ailment) as great as possible. likely this is one of those things where you might be better served by another company that's targeting your use case?

I think it’s more that I’ve had better, more attentive, care without the $200/yr (and certainly not 1800-30k/yr as the sibling comment suggests). But that was when I lived in the less dense Midwest. Personally I’m fine and I take time to research and followup myself if needed. I’ve seen friends struggle to make sense of their own health and because they didn’t get a followup weren’t aware they needed to continually monitor or schedule specialist visits etc. It makes sense to me if they need to prioritize other things first. I hope that one of the advancements they can make is better management of cases because technology should make that possible.

Reply on news.ycombinator.com