Econ with Sarah, PhD
Region: US
Wednesday 30 September 2026 00:39:01 GMT
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Elise :
Yep! I am a medical coder who works for Mercy hospital in Missouri and they just fired a bunch of coders and the billing department so they can outsource to AI in the Philippines and India.
2026-09-30 02:48:25
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thecassmith :
We can stop all this by making healthcare not for profit.
2026-09-30 02:48:45
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monsters.never.die.15 :
I’m a private practice PCP in OR and have seen a dramatic escalation in insurance and prior authorization (for rxs and imaging orders) denials for no reason or actual errors/nonsense reasons - all suspected to be from undisclosed AI integration at the insurance companies. It’s been a living nightmare this year.
2026-09-30 17:54:04
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Megan Stroop :
I get so into your videos and this one is something that I have intimate knowledge of. I've worked in rev cycle for 20+ years in a variety of roles, my background is in medical coding, I'm a recognized SME in OB/GYN coding, and currently work for Anthem. While there are issues with some of the things insurance companies do, providers and hospitals don't hire people to meticulously code their notes anymore, they hire rev cycle companies who pay someone to just press ok on the codes the provider selected in the EMR — even if that means incorrect coding — which increases healthcare costs for the patient, their employer (if employee sponsored), and the provider because they have to pay someone to fight in support of the very wrong coding the doctor selected. I'm not excited to see how AI impacts the quality of coding.
2026-10-18 20:17:33
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Marissa :
I wish people over profit existed.
2026-09-30 00:50:44
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A.Lo :
They tied non-procedural reimbursement to proof of complexity documentation and buried us to attrition over the past two decades with charting demands and RVUs and now that we can achieve those demands I would bet a visceral organ they are going to change to a capped rate where they put us out on a low monthly reimbursement unrelated to what or how many patients we see. I loathe production driven reimbursement but if you will never make more than X per month there’s literally nothing to incentivize this burned out work force to see any more than the minimum number of patients per month. And the insurance industry can go back to blaming providers for being lazy.
2026-09-30 03:58:51
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FlockOfDeagles :
My response when the billers call me, “you cannot bleed a turnip”.
2026-09-30 12:52:28
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Dr. Hoodie Feedbag | psych :
My initial thought as a provider was this was primarily an anti-automatic-insurance-denial practice. I'm salaried so I don't have any direct impact other than insurance wasting my time, but I want my patients to get their necessary care. If AI helps my patients and saves me time, then I'll use it to jump through the necessary administrative hoops that delay or deny care. Otherwise, AI doesn't help me do my patient care.
2026-10-04 23:09:50
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Jess_b.side :
Meanwhile your tech is getting $20/hr and has 10 patients. Your nurse is getting $45 and has 5 patients. The people caring for you are costing you $11/hr
2026-09-30 02:46:46
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calebwtfff :
studying healthcare economics in the US must be the most frustrating thing ever
2026-10-16 12:40:55
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catzinatrenchcoat :
and we are not being asked if we even want ai in the room. they just do it. I get that its probably buried in the tos but there is no easy way to opt out
2026-10-15 15:48:55
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jzsharp22 :
The foremost problem in our healthcare system is that we shifted the market from a first-party payer system to a third-party payer system, completely distorting what insurance is as a product. That alone is responsible for (a) the dilemma of adverse selection and the subsidization trap, (b) the moral hazard dilemma and the incorporation of cost-sharing, and (c) the bureaucratization of the industry to mitigate fraud, resulting in the absolute moronic coding system, which destroyed the service component of healthcare, while forging the massive administrative cost within the system from both public and private actors. We need to reconsider the Bismarckian notion of income-to-income services in light of the last 143 years of information.
2026-10-07 05:01:04
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DannyandGoose :
Just had insurance deny my PNS implant bc I had improved too much with occipital nerve blocks to be considered a failure…the day after my appeal was denied for the nerve blocks bc I maxed out my improvement trend and they don’t cover maintenance. How can you have it both ways 😭
2026-10-15 13:13:38
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amgregerson :
This is so sad and frustrating and alll of the things. But it does make me think… maybe AI is finally billing the complex way that the insurance companies have made it be? So many issues with AI in general
2026-09-30 03:39:29
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@ryno37 :
We all gotta cut our insurance loose. It's clear they are making more off us than we are by using them. Eat the medical expenses in the short run to crash the entire insurance industry in the long run. My medical costs are lower without insurance than they were with it.
2026-09-30 02:54:55
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dondon :
McDonald’s and hotels are doing the same thing, using AI to figure what people are willing to pay and adjust prices daily
2026-09-30 04:43:13
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Commenter :
It’s not “AI” (as in the current zeitgeist term). This has been going on for yeaaaaars. It’s why RCM and payment integrity have been big business for a long time.
2026-09-30 02:02:40
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Scrollin down a River :
Never trickling down to providers
2026-09-30 12:52:00
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Patrick :
It's all about the money. Period. And the incentives are all backwards. The rich just take more and more from us all with no regard to improved health outcomes. It's disgusting and it needs to end.
2026-09-30 13:09:24
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Chip Ward :
This is called disruption and will work its way out.
2026-09-30 11:02:27
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Dan :
Medical profiteers have no motivation to competstively provide better service at lower cost. We need to provide a public option (devoid of profiteers) to force an actual market with real market competition.
2026-10-01 23:04:07
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Petty finger :
I work in healthcare I wish more people would point out that insurance companies are incentivized to provide bad service, not just denials for perfectly good claims but slowing down the process for approval but using ai for customer service that sends you into doom loops.
2026-10-15 15:31:43
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patrick.dominics :
Under republicans healthcare always gets more expensive, along with everything else
2026-09-30 09:38:29
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Patrick :
Why does it feel like every single company of size is running a scam? Granted, this administration has made it abundantly clear that scams will not only be tolerated but actually encouraged (if not crafted) by the White House. This is CLEARLY an area in need of government oversight, not self-policing.
2026-09-30 00:58:18
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caitsith :
It’s almost like…. They could both just stop and avoid this all together.
2026-10-18 20:57:14
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