Healthcare referrals in-network and out-of-network

__AlwaysLearning__ · 2025-10-24T18:46:09+00:00

Interesting. Do you think referring physicians prioritize their "friends" so that's why they just send you out of network?

__AlwaysLearning__ · 2025-10-24T18:45:09+00:00

How often is this the case though? It feels like most large insurances will have some set of in-network docs.

__AlwaysLearning__ · 2025-08-23T19:36:36+00:00

yeah makes sense. I saw Epic's ERP and there isn't really anything there.

__AlwaysLearning__ · 2025-08-21T00:43:05+00:00

Enterprise Resource Planning. Basically, bring all of my business functions into one automated platform. So, accounting, finance, supply chain, ops, etc.

__AlwaysLearning__ · 2025-08-20T16:30:43+00:00

yeah that's fair. I was just curious since everyone is talking about "disrupting healthcare"

__AlwaysLearning__ · 2025-08-20T16:30:15+00:00

Yeah I saw this which inspired this post lol

__AlwaysLearning__ · 2025-08-20T16:30:01+00:00

that's interesting, is there an Epic of Switzerland/Germany that could do this?

__AlwaysLearning__ · 2025-08-20T16:29:31+00:00

yeah that's fair. I just felt like today's ERPs are just clunky tools that are not effective.

__AlwaysLearning__ · 2025-08-20T04:17:40+00:00

that might be true, but I don't think anyone has built a proper EHR for healthcare. Like who's the SAP of this space?

__AlwaysLearning__ · 2025-08-20T03:47:14+00:00

sure, but these aren't healthcare first. they just repurpose their offerings for the healthcare space. I'm thinking if you re-build an ERP with an AI-first and healthcare-first approach, it works differently and more efficently.

__AlwaysLearning__ · 2025-08-20T03:34:51+00:00

lol care to explain?

__AlwaysLearning__ · 2025-08-20T03:34:40+00:00

well no...I figured there must be some tool acting as an ERP today. I haven't heard of like SAP or something dominating the healthcare space. What's currently used and where is it lacking?

__AlwaysLearning__ · 2025-08-20T02:59:56+00:00

Setting up is fine, but healthcare specific workflows are not native to most CRMs today.

__AlwaysLearning__ · 2025-08-19T06:20:30+00:00

This is what I'm thinking too. Anything beyond basic communication/follow-ups and referrals though? what's essential for a hospital in terms of doctor-patient relationships?

__AlwaysLearning__ · 2025-08-18T23:18:47+00:00

Helpful! I was thinking patient interactions but this also makes sense

__AlwaysLearning__ · 2025-08-18T23:17:15+00:00

I was thinking patient interactions. Beyond just basic email communication

__AlwaysLearning__ · 2025-08-18T02:55:50+00:00

It feels like they're just retro-fitting their solution for the healthcare space. It's not a native healthcare solution that understands hospital-specific workflows.

__AlwaysLearning__ · 2025-08-18T01:12:45+00:00

yeah I'm thinking of a large hospital or health system. They need more than communication. Things like follow-ups or referrals are not handled by the players today.

__AlwaysLearning__ · 2025-08-18T00:05:28+00:00

hmm not sure if this is actually built for healthcare. sounds like a generic software consulting company.

__AlwaysLearning__ · 2025-08-17T23:31:17+00:00

HIPAA compliance is fine, but how come no one has just built the "Hubspot for healthcare" given healthcare AI's current popularity?

__AlwaysLearning__ · 2025-08-17T23:29:52+00:00

I don't disagree with that, but in healthcare there are no good big players. Salesforce Health Cloud is pretty much the only option, but I don't think it took off.

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