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In fairness, I think of EMR/EHRs as thin wrappers over insurance automation to begin with.

Most of them sell to the C-suite first (money, reports, and compliance) and due to that those areas often get the most focus. I believe it's why a large portion of EMR's suck balls.

So yea, teh central question in most systems isn't "Is this patient getting better" it's "Can I bill this visit?"

I’d actually love to hear more—can you expand on this point here?

Not sure if you are familiar with payor systems or not, but an EMR/EHR basically gathers all the information sent to a payor system and prepares it in the format the payor wants.

A good EMR/EHR does the same thing with referrals and authorisations, and bigger hospitals will have direct real time links to insurers to approve those referrals. Most of them happen instantly. The ones that aren’t require manual review from a medical practitioner who workers for the insurer.

I do not understand how a cobbled-together LLM based system will do this better than the existing EMRs.

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