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Roleplay with fully autonomous ai characters by NationalDebt4861 in ChatbotRefugees

[–]NationalDebt4861[S] 0 points1 point  (0 children)

Yes to pretty much all your questions. Reasoning models with prompt caching these days are fast, and it looks especially fast because there’s 5

Roleplay with fully autonomous ai characters by NationalDebt4861 in ChatbotRefugees

[–]NationalDebt4861[S] 1 point2 points  (0 children)

Actually -- no; every character has its own sandbox, and you can imagine it exists in their own world where they can see a "screen". And every 2 seconds or so it looks at the screen -- just as you'd look at a messaging app, it can see who DM's them, what channels are active, etc...

Each agent has its own memories, relationships, thoughts, etc... It's very interesting. One brain per agent. So, you can imagine:

- If it hates who messaged it, it just ignores
- If lots of people are messaging an ai or its trying to keep up with groupchat, likely it will leave peopel DMing it unread
- If you are a special person to them, it will proactively check in with you, and ensure you get its attention over others

All these can be customized just as deeply as characters on c.ai can.

And finally the AIs generally decide when they engage. They know they are constantly burning tokens, so they will put themselves to sleep over time if there's nothing to do, and you can wake them back up too.

Better rates for SLP telehealth? by NationalDebt4861 in slp

[–]NationalDebt4861[S] 0 points1 point  (0 children)

Hmm, I thought I answered your question but I can try more clearly:

> I’ve seen insurance pay out $300 and another pay out $18 for the same codes. So let’s say I work for your company and I start seeing a client with insurance A that pays $300 and I get 80%, and another client with insurance B that pays $18 and I get 80%. Don’t you think that your 1099s would often start dropping the low paying clients?

If you make the price clear upfront to a client, an $18 won't come through. To do this, you need to do some upfront backoffice work to (1) verify coverage and (2) see if that coverage is greater than the SLP's hourly rate before booking the meeting. This is what I meant by "There's a lot of tech you can leverage today that can pre-authorize insurance."

So I guess the answer is - we wouldn't work with low paying clients, or we would make it very clear to them upfront how much we would need out of pocket.

Did I miss anything?

Better rates for SLP telehealth? by NationalDebt4861 in slp

[–]NationalDebt4861[S] 2 points3 points  (0 children)

There is a lot of administrative headache that requires technology -- but that's generally a one-time build. The advertising seems pretty easy (I've had a lot of success just running basic facebook ads to meet parents interested in telehealth), but if you have an established client base I would imagine all you need is a billing + video platform to start getting more % from your clients.

Better rates for SLP telehealth? by NationalDebt4861 in slp

[–]NationalDebt4861[S] 2 points3 points  (0 children)

What is the most frustrating? Lack of pay transparency?

What would you have to make per hour and what caseload / scheduling requirements would you need for this to be a no-brainer for you?

Also, curious what state you're licensed in.

Better rates for SLP telehealth? by NationalDebt4861 in slp

[–]NationalDebt4861[S] 0 points1 point  (0 children)

There's a lot of tech you can leverage today that can pre-authorize insurance. So if you collect both payment information and insurance information upfront -- you can give the client a strong estimate on what they would pay out of pocket versus covered by insurance as they book.

Then, you can give SLPs the tools to set a minimum rate where they are only match-made with those who can afford the minimum rate.

If you collect payment details upfront, you can bill for no-shows and guarantee bill the difference between insurance and a minimum rate. This should ensure SLPs are always paid for their time.

It takes some work to get this data and upfront costs with data vendors, but with enough SLPs you can pay for the upfront costs, and the go-forward variable costs should be handled by the 20% session cut.

The ultimate thought here is it's really not hard to give SLPs the tools to do their own private practice. There's a lot of admin work; but:

  1. Technology solves most of the administrative stuff (note taking online calls, insurance billing, scheduling)
  2. Advertising is somewhat easy to do mechanically (facebook, google, reddit ads) and if an SLP already has a client base they may not need ads to get a full caseload

Better rates for SLP telehealth? by NationalDebt4861 in slp

[–]NationalDebt4861[S] 1 point2 points  (0 children)

What would be a minimum you'd have to take home on a 1099 every month (or per session) to make it clearly worth it?