As a healthcare founder, I’m at the stage where the most statically likely outcome for me is a mid-level executive job at some soulless oligopoly. Outpacing this fate is a massive motivator for me lately.
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Replying to @pitdesi
I bet most of those rail-cars sit +90% of the time. Would be cool to rent one for a trip. Could be a fun side gig to make this into a bookable experience.
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I'm psyched to announce that @photonhealth is working with the team at @costplusdrugs to help patients save money.
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I'm seeing a lot more gatekeeping in the health-tech community lately. I'm not here to call anyone out, but underscore that we all started as naive outsiders. Knowledge sharing and cooperation is the only way we'll fix healthcare.
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Replying to @DivaBiotech
Imagine waking up on the street, in the rain, likely in withdraw, and watching healthcare-suits milling about. Who is really unsafe here? Who is profiting from the same type of greed that fueled the opioid crisis? Amazed that more of us don't see the irony! SF needs your love...
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Digital-health is boring. But all the people are goofy. Let's bring more of that weird, innovative energy to the surface y'all. That's what it's gonna take to get more outsiders excited to build in this space.
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Yo, I’m down like change healthcare.
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Founders are bad at posting jobs. If you wanna work somewhere, just email a founder and tell them why.
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65% of calls to a doctors' office are from a pharmacy. Wouldn't it be cool if there was a product to reduce those?
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In most industries they call it “corruption,” in healthcare it’s tradition to say “misaligned incentives.”
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Baby’s first conference sponsorship. @photonhealth
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Your boy is about to call it like he sees it...
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Breaking: Adobe to acquire Humana
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700 people are registered for the meetup Photon is cohosting at JPM. The bar fits like 100 people. 😳
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Photon is planning to sponsor a *free* space for HTLH attendees to take meetings and network - no ticket required. Like or comment if you'd like an invite or want to co-sponsor.
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The @photonhealth team is in the city for our quarterly onsite. We found some time for a quick sail around the harbor.
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Had a blast hosting the second-annual @photonhealth hlth afters. 🍾 So grateful for this community and for all who stayed up late with us. 🙏
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The DoorDash app shows that a Sweetgreen on South Congress is out of Honey BBQ Dressing before ordering - why cant pharmacy work this way?
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Would love to see more talks/panels discussing actual /tech/ at #hlth - we hear the buzzwords on the 10 panels where VCs each describe the market in different ways. There is a revolution happening in digital-health infra and care automation right now, let’s talk about it!
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Feedback from a patient who got their Rx via @photonhealth
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Will sleep softly tonight knowing that Epic is keeping my healthcare data safe within it's siloed infrastructure.
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A team full of pirates! ☠️ Go @photonhealth!!
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The era of the overfunded product team with (over)build-in-house mentality is over. Resource constraints mean folks gotta pick where they innovate and buy/partner elsewhere. Good for b2b software.
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An unexpected and emotional lesson from year-one as a founder: I can just be myself.
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In SF for JPM, but only willing to take meetings from the hot-tub table at Kozy Kar.
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As a startup founder, it’s a major competitive advantage to genuinely enjoy what you do.
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Charging for a BAA is such a red flag.
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Excited to work with @joinsummer to help parents navigate the complexities of getting medications during a shortage.
Replying to @joinsummer
Summer Health is currently partnering with @photonhealth to prescribe medications like Tamiflu and amoxicillin at a time when the FDA is declaring shortages of these drugs. If you need access visit summerhealth.com.
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Replying to @tjparker
We need modern software companies running critical infrastructure.
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An individual should have the right to scan and understand their biology and even self medicate. But if you want your insurance to pay for it, a doctor should be ordering. It’s that simple.
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Dad said I should use twitter more. Also dad(s) on twitter: @cwhogg @StuartBlitz
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A stranger just stopped me on the street in SF to ask me what I do. He recognized me from a JPM party and said I’m a character. Ha! Turns out he runs a care platform with three thousand doctors. Hope to do a deal. The lesson: be myself.
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Startups are forged more than they are founded, really. In the mythology of it, founders ought to be recognized more for staying the course amid pressure rather than starting something.
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Founders should take vacations. A few extra “productive” days in a year shouldn’t be what gives your company an edge.
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Surprise visit from @ellenjdasilva at @photonhealth HQ today. Psyched to rep some new @joinsummer swag.
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Leading indicator of enterprise sales traction – installing MS Teams.
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Had a blast at the @photonhealth x @candid_health ViVE afters. Thankful for this incredible digital health community!
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I heard the phrase "Pharmacy 3.0" today for the first time and I screamed. Can we just not...
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Now that crypto is done can all the smart people work on real problems again... like climate, healthcare, or eduction?
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One day in SF and I’ve overheard one too many ridiculous ChatGPT conversations.
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Before founding a co, read all the VC blogs, thesis, and memos. It’s only way to know what to build.
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Sun for JPM. A good omen.
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We'll ship it in Q5...
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RIP 💀 TJ Parker 2013-2023
Parker whiled away the hours between tech jobs heliskiing and working on his family's farm trib.al/G7mUqw6
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If only there were a prescription network that gave patients cash-pay options … the PBMs are robbing Medicare and SureScripts is driving the getaway car!
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Selling a pair of eclipse glasses, used only once.
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Every year when my toenails grow back fully, I know it’s time to buy my Ikon Pass. 🎿
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Our boy @fakemichaelrado lives for Thursdays at the @photonhealth x @notationcapital office.
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Life lesson: Run the damn ball.
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Replying to @chrissyfarr
Just build a product that’s actually good. Policy follows product market fit.
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I bet faxes outlive NFTs
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Defensibility comes from solving a problem that’s actually difficult. It’s easy to sign up for OpenAI…
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Awe thx for the shoutout! You’ve got @ellenjdasilva and @joinsummer to thank for the excellent pediatric care :)
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New Yorkers complaining about air quality, acting like they’ve never smoked 6 ciggies on the dancefloor…
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Hate to admit it, but I do love SF. I’m out here running into old friends and enjoying the sun (for now). Something in the water, eh?
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Photon updates are released on a very particular cadence governed by the movements of various celestial bodies. Months are imprecise.
happy investor update day for those who celebrate
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Update. The WiFi sucks at this hotel. 🙈 Next time we’re sponsoring the booze!!
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If Twitter goes, reach me on my fax: (929) 295 6529
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Founders love when a VC refers to an investment as “my company.”
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Replying to @jefielding
Founders need to be able to cold-start and ship an MVP without hiring - easier to raise that 2m right away then.
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Replying to @StuartBlitz
DTC healthcare cos tho...
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Would bet opinions here split primarily on whether you think MBAs are bullshit. Build a model if it helps, not cause an investor wants it.
Financial models are back! For years founders rolled their eyes when I asked them to take me thru the model…. ‘I mean we have one, but we are pre-seed so it doesn’t mean anything’ Yikes noooo.
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Love the smell of a revenge pitch deck in the morning, no way Sama has slept.
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Imagine if in 2004 the government decided that movies could only be distributed via DVD. Sounds crazy, but that’s how it is in healthcare! Essentially, we’ve got the tech for streaming, but many are still renting VHS.
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For early-stage startups, capital isn’t directly conducive to innovation. The primary mechanism is to reduce opportunity costs so a smart team can focus on a problem. The best VCs I’ve met operate with this mindset.
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Replying to @rikrenard
Lets get a group together, ditch HLTH and spend way less money on a more engaging, productive, fun summit.
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There’s plenty of decisions an individual can make that create much higher risk for medical bills. Should doctors decide if I can go skiing or get on a motorcycle too? You couldn’t pay me to get in an MRI without a doctors note, but I stand by peoples rights.
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My friends are opening an immersive theater project called No. 9 in Williamsburg. It's been a blast to be involved! Preview shows are on sale now: no9.show
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We're hosting our Second Orbit at an immersive bar in Brooklyn - our goal is to foster conversation and the exchange of ideas within our community. If you'd like to participate, DM me. 👽
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The best “AI” companies don’t use the word “AI” on their website. Their products just offer amazing value and feel like magic to use. It’s that simple.
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Replying to @healthapiguy
Let’s chat.
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fax > text
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I’ve got hope watching this - the rent-seeking PBM model is killing Americans. We need competition in the marketplace and patients need regulations that protect their interests.
At last month's House Oversight Committee hearing on PBMs, arguably no congressman stood out more than @RepAuchincloss, who clearly has an exceptional grasp on how drug pricing actually works and how PBMs exacerbate affordability problems for plan sponsors and patients. A+
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Replying to @ColtonOrtolf
The SCRIPT standard is a mess, but it’s not really what that prevents access - you’ve got contracting, drug-db integrations, multiple certifications - a mountain of work to go compete in a commodity market!
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Healthcare runs on e-fax, and we’re still crowning kings (on TV).
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Poker night at Photon HQ in Williamsburg. Open invite.
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Happy Solstice! I’m reminded of the vastness of nature and the meaninglessness of human pursuits in a cosmos tending toward entropy.
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Extremely niche take, I know. But, I get lots of folks asking about this - three in the last week. Similar trap to “we’ll build our own EHR.”
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AI is not a value prop.
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Unless your paying out of pocket, your doctor works for your insurance company, not you.
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🙏
Spoke with the venerable @ottosipe @photonhealth today to get an update on their product. Can’t say enough good things about their work Smart people taking on an ambitious problem in a unique way I am genuinely bearish on most digital health startups, but this is one to watch.
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NYC should just move to pacific time. Work at 8a PT Dinner: 7p Leave Club: 1a
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Come hang at the @photonhealth x @notationcapital happy hour tomorrow. Poker optional. partiful.com/e/BZtQEj6M3udXJ…
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Why would UHG bother to get Change live quickly? They’re likely making millions a day on claims that weren’t submitted. The incentives here look criminal.
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How does @Clear stay in business!? Counted 15 employees working at LGA to service a line much longer than PreCheck…
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The Sipe twins are racing home (I won). @samsipe
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Insane industry with founders just crazy enough to give it a shot.
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No focus like plane focus.
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Dear NewCos: don’t build a non-dispensing pharmacy, it’s 2023 already!
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Business idea: an overpriced grocery store that pays a 50% rebate to your employer.
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Replying to @nikillinit
Most orgs use PMs to shield engineers from the armies of MBAs. The real issue is there’s too many disparate S&O / GM / biz-dev / partnerships roles. It’s especially bad at growth the stage. 🌶
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Replying to @dvasishtha
Got me. Time to get off Twitter for the day.
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🙏 They’ll never see us coming ;)
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$3.5k feels steep for new ski goggles.
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Lots going on right now, but these rats are thriving. Swear I walked through the set of Ratatouille 2 on my way home last night.
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“The rise of telemedicine has exposed fundamental gaps in the current prescription network — consumer expectations in e-commerce settings have trickled into healthcare settings”  –  Michael Rado's take on what we lost in the move to eRx from paper scripts. link.medium.com/Kr1LWT5rIsb
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