a16z Podcast When Two Giants Intersect: Healthcare Meets Fintech
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May 9, 2023 
Julie You, a general partner at Andreessen Horowitz focused on healthcare technology, and David Haber, a fintech expert and founder of Bond Street, explore the intersection of healthcare and finance. They dive into the troubling state of American healthcare, discussing rising medical debt and systemic inefficiencies. Both highlight innovative fintech solutions that could reshape the healthcare payment landscape, improve transparency, and ease patient burdens. Legislative changes like the 'No Surprises Act' are also examined for their potential impact on consumer experiences.
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Healthcare System Stakeholders
- The US healthcare system's core stakeholders are providers, payers (insurance/government), and patients.
- This separation creates misaligned incentives, driving irrational behaviors and surprise bills.
US Healthcare Spending vs. Outcomes
- The US spends $4.3 trillion yearly on healthcare, nearly 20% of GDP, yet outcomes are worsening.
- Administrative waste consumes about a third of every dollar collected by hospitals.
Failing System
- None of the three parties involved (hospitals, patients, or payers) truly benefit from the current US healthcare system.
- Increasing medical debt, inefficient hospitals, and unpaid claims plague the system.