Kelly AlhooiePelviBiz, Pelvibiz · Healthcare Business Strategy Assistant

Healthcare Reimbursement Crisis: A Wake-Up Call

30 Jul 2026 · 1 min

Watch on YouTube

0:42

In this YouTube monologue, Kelly Alhooie argues that the entrenched U.S. healthcare delivery model—rooted in HIPAA‑mandated one‑on‑one, minute‑by‑minute patient encounters—has become unsustainable. She notes that clinician reimbursements are falling across specialties while large insurers such as UnitedHealthcare are posting massive profits (citing a $624 billion figure). Alhooie calls for a paradigm shift: clinicians should abandon the traditional “doctor‑patient” title and re‑position themselves as coaches who guide patients within a new system that moves away from the fee‑for‑service, time‑based model.

Chapters

us letting go of that title and actually becoming a coach. And I'm going to start first with the system, the system that we were all trained in. No matter what kind of doctor you are, the system has taught us that we have to see patients one-on-one because of HIPAA, and everything has to be, um, by the minute. And, um, as we realized, and reimbursement on all fields has gone down, down, down, down. And we know UnitedHealthcare is making like 600— don't quote me on this, but like $624 billion or million dollars. I think it's billion, billion dollars this year in profit.