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On Tuesday, November 9 Axios' Caitlin Owens and Sam Baker hosted a conversation on the future of health care payments, featuring New Enterprise Associates Head of Global Healthcare Mohamad Makhzoumi and Cedar Co-founder and CEO, Florian Otto.

Florian Otto discussed the obstacles to creating a seamless health care payment system and the systemic problems that challenge American health care.

  • On the scope of medical billing's communication problem: "Millions of patients have the same problem: they don't understand the medical bills, they don't get the medical bill, and they land in collections for no real reason. It's really interesting to see that out of the 50 million people and have a bad credit score because of medical debt.
  • On the three key issues in the American healthcare system: "The first big problem is that patients don't really know what they are owed before the visit...The second is the tools and systems that these health care systems use...The third is all this insurance eligibility, determining the co-payment, the coinsurance and the deductible."

Mohamad Makhzoumi discussed how the health care has been impacted by COVID-19 and its acceleration of trends across the industry.

  • On how the pandemic has changed health care: "It's advancing a lot of the trends that have that had been growing but not penetrating health care to a large extent. You think about virtual care and you think about virtual pharmacy, you think about tech disintermediation inside of health care. You think about consumer choice and advocacy."
  • On disruption in the healthcare system: "Primary care is the front door for health care. It's how most of us as Americans access downstream health care, how we get to specialists...That is a part of the healthcare continuum that had yet to be disrupted."

Axios co-founder and CEO Jim VandeHei hosted a View from the Top segment with Waystar CEO Matt Hawkins, who unpacked simplifying health care payments and his belief in positively changing the industry.

  • "There are a lot of smart people focused on improving the way health care is administered in the United States. And as we all have seen, there's a lot of private equity and venture capital investments being made in transforming health care as it exists today. So I'm confident that we're going to make tremendous progress more than we've ever made in the next three to five years."

Thank you Waystar for sponsoring this event.

Go deeper

Dan Primack, author of Pro Rata
Jan 21, 2021 - Economy & Business

COVID-19 vaccine: Private companies step in to fill logistics vacuum

Illustration: Annelise Capossela/Axios

Last year we wrote several times about how VC-backed companies were helping to fight the COVID-19 pandemic, including vaccine development and innovative testing solutions. Now the same thing is happening when it comes to vaccinations, a process beset by logistics and planning problems since the jump.

Driving the news: Carbon Health, a tech-enabled healthcare startup that recently raised $100 million in Series C funding, is now the primary back-end for vaccinations in the City of Los Angeles, including a massive drive-up program that just launched in the parking lot of Dodger Stadium.

Florida requiring proof of residency to get coronavirus vaccine

A man receives a COVID-19 vaccine from a health care worker at a drive-thru site at Tropical Park on Jan. 13 in Miami. Photo: Joe Raedle/Getty Images

Florida's surgeon general issued new guidelines on Thursday requiring people seeking COVID-19 vaccines to provide proof of permanent or seasonal residency.

Driving the news: Of the more than 1 million people who have received the first dose of the vaccine in Florida as of Wednesday, over 39,000 reside out of state, per data from the Florida Department of Health. The number and reports of out-of-state recipients have caused concern over what many have described as "vaccine tourism."

Updated 9 hours ago - Politics & Policy

U.S. sounds alarm on Ukraine

Conscripts line up at a Russian railway station yesterday before departing for Army service. Photo: Sergei Malgavko/TASS via Getty Images

The Biden administration is "deeply concerned" by new intelligence — detailed for Axios and other outlets — showing Russia stepping up preparations to invade Ukraine as soon as early 2022.

Why it matters: Most of this was known from public sources and satellite imagery, but the administration is sending a stronger signal by releasing specific details from the intelligence community.