Benjamin Lee

80 posts

Benjamin Lee

Benjamin Lee

@Benjamin_D_Lee

co-founder @davnerhealth | prev @harvard cs, oxford phd

Tham gia Ekim 2015
131 Đang theo dõi87 Người theo dõi
Benjamin Lee
Benjamin Lee@Benjamin_D_Lee·
But they don’t deny care. They refuse authorization because it didn’t meet pre-stated explicit standards for benefit payment. Even the much-hated UHC includes this fact clearly in their denials: “Note: This is a benefit determination, not a medical decision. Only you and your doctor can decide what medical care you need.”
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Mark Cuban
Mark Cuban@mcuban·
If insurance companies can deny care and call it "medically unnecessary", why aren't they required to have malpractice insurance doe when they get it wrong and someone gets sicker or tragically dies ?
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Benjamin Lee
Benjamin Lee@Benjamin_D_Lee·
@josefbender_ To be honest, the advice should be not to run npm install any day. Bun’s defaults are just more sensible in our high risk environment. I wish npm, pnpm and yarn would match Bun’s decision not to allow arbitrary lifecycle scripts. It’s just too dangerous these days
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Josef Bender
Josef Bender@josefbender_·
DONT UNDERSTAND ANY CIRCUMSTANCES RUN NPM INSTALL TODAY
Socket@SocketSecurity

🚨 UPDATE: Mini Shai-Hulud has crossed from @npmjs into @pypi and is still spreading. Newly confirmed compromised artifacts: @​opensearch-project/opensearch: 3.5.3, 3.6.2, 3.7.0, 3.8.0 (1.3M weekly downloads) mistralai: 2.4.6 on PyPI guardrails-ai: 0.10.1 on PyPI additional @​squawk/* packages on npm guardrails-ai 0.10.1 executes malicious code on import. On Linux, it downloads git-tanstack[.]com/transformers.​pyz, writes it to /tmp/transformers.​pyz, and runs it with python3 without integrity verification. The git-tanstack.​com domain displayed a message signed “With Love TeamPCP,” along with: “We've been online over 2 hours now stealing creds Regardless I just came to say hello :^)” The page also linked to a YouTube video and you can probably guess which one.

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Benjamin Lee
Benjamin Lee@Benjamin_D_Lee·
@zilet @aidenybai @sprintoHQ @uglyrobot Oh yes, it’s still quite a bit of work. I just like that Sprinto doesn’t have a single bundled “independent” audit partner like some of the other GRC platforms these days. They make it very clear that they’re not your auditor and you pick on your own.
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Aiden Bai
Aiden Bai@aidenybai·
so who's reputable in the soc 2 ecosystem these days
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Benjamin Lee
Benjamin Lee@Benjamin_D_Lee·
@aidenybai I ended up going for @sprintoHQ after reading @uglyrobot’s blog post. They have real audit independence (didn’t even try to push an auditor on me), a free trial, great pricing, and have been solid so far. CompAI was amateurish and Oneleet doesn’t have SOC 2 Type 2 themselves yet!
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Benjamin Lee
Benjamin Lee@Benjamin_D_Lee·
@anthonygitter @andrewwhite01 Side note: Did NLM change their OG image? I guess they want to make it extra clear they don’t publish the articles. It pains me every time I hear someone say “the NLM published a study…”
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Andrew White 🐦‍⬛
Andrew White 🐦‍⬛@andrewwhite01·
Is there a legit complete IND publicly available on the internet anywhere? Like the 1k page document? It would be really instructive to see what these look like.
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Benjamin Lee
Benjamin Lee@Benjamin_D_Lee·
@ellis_wyattmusk @amimevalepitito @maiamindel Money alone won’t get you in to Harvard. Merit alone will. That’s why the Extension School exists. Every student I’ve met from it has been exceptionally motivated and bright. I’ve yet to meet a Harvard student from any school who was otherwise without merit but had money.
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Maia
Maia@maiamindel·
kim kardashian failing the bar exam so many times that she gives up on being a lawyer is making me realize the american bar association might just be one of like three remaining institutions in the us that won't just roll over and give the exorbitantly wealthy whatever they want
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Fuma Nama
Fuma Nama@fuma_nama·
@schanuelmiller Cool just learned the difference between $ and {$} in file names, it's also possible in Tanstack Start with {$}[.]md.ts
Fuma Nama tweet media
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Fuma Nama
Fuma Nama@fuma_nama·
I am really impressed by Waku.js, all other React.js frameworks needed middleware + redirect. Waku just works, both "/docs" & "/docs.webp" renders correctly, no conflicts.
Fuma Nama tweet media
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Benjamin Lee
Benjamin Lee@Benjamin_D_Lee·
@schanuelmiller @kokaneka @tannerlinsley @tan_stack Is there a world where server functions can have OpenAPI specs? I know Nitro 3 just added beta support (didn’t work with Start when I tested) and there’s always oRPC and Elysia but it would be great to have out of the box
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Manuel Schiller
Manuel Schiller@schanuelmiller·
@kokaneka @tannerlinsley @tan_stack server functions have special serialization that indeed is not that readable. this is necessary to allow serializing much more than what pure JSON supports (e.g. Promise, streams). we are building out devtools for start so you can inspect server function calls and responses there
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Kapeel Kokane - CodeSketched
Kapeel Kokane - CodeSketched@kokaneka·
Hey @tannerlinsley I'm trying out @tan_stack for a personal project. Looking at the API requests in the network tab for debugging purposes is one of my go-to techniques for debugging. Do I need to let go of it if I want to move to server functions? It looks like this rn
Kapeel Kokane - CodeSketched tweet media
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Alem Tuzlak 🇧🇦
Alem Tuzlak 🇧🇦@AlemTuzlak·
A good friend and a contributor to @tan_stack is looking for an internship opportunity. 👀 If your looking for amazing devs as interns who are enthusiastic and love the craft DM @thvdnta! 🚀
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Benjamin Lee
Benjamin Lee@Benjamin_D_Lee·
@Rippling has the most infuriating sales process I've ever seen. I've been bounced between four reps and had three meetings scheduled and then canceled by them... and I still haven't gotten pricing!
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Benjamin Lee
Benjamin Lee@Benjamin_D_Lee·
@battjonesuk @realdocspeaks Not affiliated with them (never used them myself either) but Radiology Assist has self pay MRI pricing and availability listings. For an upper extremity joint MRI in my hometown, it’s less than $500 all in. @realdocspeaks is essentially right on the out of pocket pricing
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Batt Jones
Batt Jones@battjonesuk·
@realdocspeaks I’ve never seen an MRI below $1000 and they average at like $2000 where I’m at, in one of the poorest places in America. I wonder if that’s bc of Medicaid.
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Real Doc Speaks
Real Doc Speaks@realdocspeaks·
You are looking at this the wrong way. MRIs are too cheap to insure, and patients should pay out of pocket for them. In my ZIP code, an MRI of the lumbar spine costs $244.85. Why would we insure something that costs less than $300? A maintenance package on a Honda that includes an oil change, tire rotation, brake inspection, and filter replacement costs the same as the MRI. Insurance should be reserved for catastrophic events.
Benjamin Lee@Benjamin_D_Lee

@realdocspeaks Ultimately there is a finite amount of time on an MRI available and having some friction and utilization management process isn’t necessarily a bad thing to weed out bad actors. If I can find a chiropractor to order weekly MRIs for my sore back, should insurance have to pay?

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Benjamin Lee
Benjamin Lee@Benjamin_D_Lee·
@GeneralChaos42 @realdocspeaks Yes but there isn’t an infinite amount of them. There are only so many MRI scans that can be done in a day. There must be some mechanism for allocating these scans. It would be best if they were used on people who could benefit from them.
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Real Doc Speaks
Real Doc Speaks@realdocspeaks·
The real move would be to eliminate prior authorizations!! We don't need more "tech solutions," we need insurance solutions. We need to minimize the role of insurance and remove it from: • labs • imaging • prescription drugs • physician services • procedures
Office of the National Coordinator for Health IT@ONC_HealthIT

Some doctors’ offices still print records, fax them to health plans, and wait for a response. That’s exactly the kind of friction health IT should eliminate. New standards can help systems talk directly to each other, reducing burden and moving prior authorization closer to real time. #Interoperability #PriorAuthorization @mcuban

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Benjamin Lee
Benjamin Lee@Benjamin_D_Lee·
I agree with this. Insurance shouldn’t be in the business of deciding whether a $300 procedure is necessarily for the same reason they shouldn’t be paying. But what about much more expensive procedures? It’s the same problem again. A few bad actors can force PAs on everyone.
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Benjamin Lee
Benjamin Lee@Benjamin_D_Lee·
@nurees1987 @ONC_HealthIT @mcuban Faxes are actually much better than portals for just this reason. 100% interoperability and backwards compatibility. Multimodal AI agents can handle faxes as inputs with no problem but you can always fall back to a human easily.
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Nurees
Nurees@nurees1987·
@ONC_HealthIT @mcuban Multiple point solutions already exist in the market that support this operability including the use of agentic AI. The issue is adoption. Practices don't have time to utilize yet more portals. Slap a page in the fax and done.
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Benjamin Lee
Benjamin Lee@Benjamin_D_Lee·
@DougAlfordMD1 @realdocspeaks It is ridiculous but automation can help immensely. There’s no reason why a human has to sit on hold or copy data into a payer portal. We have AI doing this for MRIs on a daily basis and it works exceptionally well.
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Doug Alford
Doug Alford@DougAlfordMD1·
All day long prior authorizations and pre-certifications. Having to have a full-time employee in primary care just to do prior authorizations and pre-certifications is totally insane and a waste of money. This has got to end at some point. I don’t own an MRI and I have no financial incentive from prescribing the best medicines. Please help primary care physicians with this burden.
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Benjamin Lee
Benjamin Lee@Benjamin_D_Lee·
@w_milczynska @doctorbhargav The privacy/compliance isn’t an add on though. OpenAI isn’t disclosing patient information regardless of whether a HIPAA BAA is in place. Not every doctor can sign a BAA depending on where they work but for those who can, they can fully comply with HIPAA.
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Wiktoria Milczyńska, MD
Wiktoria Milczyńska, MD@w_milczynska·
@doctorbhargav agreed, spot on list! just finding it v weird that they made HIPAA compliance an optional part. you can't build for healthcare and treat patient privacy as an add-on
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Bhargav Patel, MD, MBA
Bhargav Patel, MD, MBA@doctorbhargav·
OpenAI just made ChatGPT free for clinicians. Most people will see this as a product update. They’re missing the real shift. AI isn’t replacing doctors. It’s taking over the highest-friction work: * Documentation * Literature search * Prior auth * Patient comms That’s how adoption actually happens.
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Benjamin Lee
Benjamin Lee@Benjamin_D_Lee·
@DrDiGiorgio A lot of the copy-pasting would be fixable if EHRs weren’t blocking write access from third parties. The 21st Century Cures Act only mandated read-access, so chart review automation is doable (my startup does this) but no luck for getting rid of copy-pasting for now
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Khám phá

@josefbender_ @zilet @aidenybai @sprintoHQ @uglyrobot @anthonygitter @andrewwhite01 @ellis_wyattmusk