Skip to main content

Two Reasons Why Health Care Costs So Much

The holder of an MBA from Kellogg School of Management, Amir Pirnia is a hands-on manager with over 15 years’ experience in software architecture and information technology. The vice president of engineering at Hixme, Amir Pirnia develops technology strategies to improve the effectiveness and affordability of health care insurance for Americans. 

The United States spends an estimated $3.4 trillion on health care every year. That’s just lower than the GDP of the fourth-largest economy on earth. Why is America’s health care so expensive? Two things may contribute to the problem: health care waste and doctors who do not know the cost of medical procedures. 

It is estimated that up to a third of America’s health care budget is wasted on unnecessary treatments and low-medical-value procedures in addition to under-use of preventive practices. Controlling spending on unnecessary procedures and preventing major illnesses before they occur will reduce health care costs. 

Another solution is educating physicians and patients on the true cost of medical procedures. Often, doctors recommend procedures without knowing their costs. Because these costs are never really “advertised,” they only become evident after a patient is charged and the insurance company pays for them. Hiding these costs kills competitiveness, which is why fees for medical tests and procedures in the country are three or more times higher than in other developed countries. Nobody would pay $25 for a cup of coffee if they knew it cost $2 in the store across the road. Promoting awareness of medical costs will help health care patients make better decisions.

Popular posts from this blog

Hixme Secures Funding and Works to Expand Markets and Benefits Offered

Amir Pirnia serves as engineering vice president with Hixme Insurance Solutions, Inc., and guides the development of an analytics and data science-driven cloud platform that is eminently scalable and flexible. Amir Pirnia and his team help re-envision the way in which employee benefits are packaged and personalized within a competitive marketplace.

In November, 2016, Hixme secured $14.1 million in investment funds through a successful Series B round of venture financing. This money is being utilized in the design of new employee benefits bundles and in driving expansion efforts beyond the core market of California.

The latter effort builds on a WorkPlace Market platform that enables companies headquartered in California to offer employees based out of state ways to efficiently manage health plans. Regions targeted for new marketing campaigns include Atlanta, Dallas, and Houston.

Another aspect of Hixme’s expansion efforts involves the bundling of a wider range of benefits, including ret…

Hixme’s Workplace Market Benefit Platform

Amir Pirnia has a proven track record of helping startups develop from early-stage concepts to respected companies. The vice president for technology at startup Hixme, Amir Pirnia, among others, developed strategies and led implementation efforts in building a scalable cloud platform and backend matching algorithm that is more effective in health insurance plan selection in the individual market.

In traditional coverage, all family members have the same health coverage as a member of the family with a health issue, even if the other family members do not need that coverage. Hixme is out to disrupt this traditional large-employer health-benefits approach. Through its WorkPlace Market Platform, workers undergo a simple online benefit-shopping experience. 

The platform, supported by proprietary algorithm, evaluates the individual needs and preferences of every member of the family. Workers view an easy-to-comprehend comparison of various coverage choices and costs, allowing them to determi…

About Hixme's BundleMe Service

Since 2015, Amir Pirnia has served as as engineering vice president of Hixme Insurance Solutions, Inc., an analytics company that specializes in developing scalable and flexible healthcare coverage solutions. In his work at Hixme, Amir Pirnia has helped develop some of the company’s most innovative platforms, including BundleMe, a tool that uses care and cost data to help determine the future relative value of products.

The BundleMe service provides a comparison of coverages and plan structures on the Hixme WorkPlace Market against more common employer packages. Through longitudinal analysis of health care costs over a year for a wide sample of adults, the service is also able to compare its plans against self-funded plans and other, less traditional health insurance products. Using this technology, companies that partner with Hixme can feel comfortable that they are offering their employees the most comprehensive analysis of available and affordable health coverage possible with very …