The Joe Reis Show Holden Karau - Fight Health Insurance
Dec 16, 2024
Holden Karau, an AI engineer and advocate for healthcare reform, shares insights on combating health insurance denials through innovative tech. They dive into the frustrations faced by the trans community and how AI can streamline the appeals process. The conversation highlights the challenges of working with outdated systems while utilizing advanced machine learning models. Karau emphasizes the need for tech professionals to contribute to healthcare reform and navigate the complexities of the insurance landscape.
AI Snips
Chapters
Transcript
Episode notes
Personal Frustration with Denials
- Holden Karau's frustration with health insurance denials stemmed from personal experiences as a trans person in America.
- Even with supposedly inclusive plans, companies frequently denied medically necessary care, requiring appeals and advocacy.
Fight Health Insurance Tool
- Holden Karau created Fight Health Insurance, an AI tool, to automate appealing health insurance denials.
- The tool combines a Python Django frontend, a fine-tuned LLM, and, due to healthcare's reliance on outdated technology, fax modems.
Fine-tuning Process
- Initially, Holden Karau used smaller Dolly models, which were feasible to fine-tune with a few GPUs, but the results weren't satisfactory.
- They then transitioned to Mistral, an open-source LLM, and addressed the data scarcity problem by leveraging publicly available California Independent Medical Review data.