The payment model is not "built for AI"; it's incentivized to drive costs down for chronically ill patients (and likely other high utilizers), which matters because a small number of patients (and end-of-life care) represents the bulk of costs. That means automation, ideal for SaaS.

Remember: this is just v1. In theory Medicare Access will learn to weed out the bad actors and get better at focusing on progress that matters and can't be faked, and the AI companies will get better at reaching more people.

This kind of work is profoundly unrewarding: hand-holding chronic patients and sorting out medical and personal logistics is no one's calling.

Right now Pair Team has 3 engineering positions (~170K), but 14 for case workers that get to work from home for ~$50K (outside the bay area).

I could see them pivoting to social services, with health care being just one aspect.

(As a reminder, the homeless problem is driven by mental health issues blocking people from adapting economically, for which social services cannot keep up. I'd love to see a program offering free phones for daily AI discussions that surface some cheap partial solutions.)