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December 12, 2024 • 37 mins

Did you know that your ability to get surgery could depend on an AI algorithm with a 90% error rate? Three seismic events in healthcare this week expose a system at its breaking point - but also reveal opportunities for innovative solutions.


In This Episode:

  • The real story behind UnitedHealthcare CEO's tragedy and why physicians' reactions signal a deeper crisis
  • How insurance algorithms are affecting patient care and what it means for healthcare providers
  • Why Anthem BCBS's attempted anesthesia policy reveals cracks in our healthcare system
  • Personal insights from both sides: as a practicing clinician and patient navigating the system
  • The FDA's Red 3 ban and what it teaches us about adapting to change in healthcare
  • How healthcare innovators can turn these challenges into opportunities

Key Takeaways:

  • Understanding the impact of AI in healthcare decision-making
  • Why transparency matters in insurance practices
  • How to build sustainable healthcare solutions
  • The importance of multiple stakeholder perspectives
  • Steps for creating positive change in healthcare

Major Discussion Points:

  • The Healthcare Breaking Point 
  • UnitedHealthcare's 33% claim denial rate
  • Impact of AI algorithms on patient care
  • Physician frustration and system failure
  • Insurance Industry Wake-up Call 
  • Anthem BCBS anesthesia policy attempt
  • Provider and patient impact
  • Industry response and policy reversal
  • Lessons from FDA's Red 3 Ban 
  • Industry adaptation requirements
  • Parallels to healthcare innovation
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