Send us a text

Learn how you can scale your care team with AI: https://link.CareCo.ai/rmvhvq

In this enlightening episode, I sit down with Chris Ellis, CEO of Thatch, following their impressive $40 million Series B funding round led by Index Ventures with strategic investment from ADP Ventures. Chris breaks down how Thatch is revolutionizing employee health benefits through Individual Coverage Health Reimbursement Arrangements (ICHRA), allowing employees to choose their own health plans while giving employers cost control and administrative simplicity. We dive deep into the fundamental problems with employer-based health insurance, explore the bipartisan political momentum behind health insurance reform, and discuss how decoupling insurance from employment could realign incentives throughout the healthcare system. Chris provides fascinating insights into how this shift could enable true preventive care, extend insurer-patient relationships, and create the consumer-driven healthcare marketplace that has been decades in the making. This conversation connects perfectly with the current administration's focus on patient empowerment and transparency, making it a must-listen for anyone interested in the future of American healthcare.

Timestaps: 
00:00:00 - Thatch's $40M Series B Led by Index Ventures
00:03:29 - How Thatch's ICHRA Model Actually Works
00:12:32 - Government's $1,200 Tax Credit for Small Businesses
00:25:94 - The Cancer Detection Problem: Why Insurers Won't Invest in Prevention
00:28:47 - The Vision: Decoupling Insurance from Employment
00:40:49 - GLP-1 Coverage Dilemma: When ROI Takes Too Long

Send us a text

Learn how you can scale your care team with AI: https://link.CareCo.ai/rmvhvq

In this episode I sit down with Steve Wardell, managing partner at Wardell Advisors LLC, for an eye-opening conversation that peels back the curtain on healthcare venture capital. Drawing parallels between HBO's Silicon Valley and the real digital health VC world, Wardell breaks down the psychology behind investor behavior, explains why playing "hard to get" with VCs can backfire, and reveals the red flags that signal toxic investor relationships. This episode is essential listening for health tech founders navigating today's funding landscape, where AI-enabled startups are capturing the majority of investment dollars and the "full stack" trend is revolutionizing how VCs think about healthcare companies. Wardell provides actionable insights on funding stages, market consolidation opportunities, and the strategic mistakes that waste entrepreneurs' time while sharing proven frameworks for positioning yourself as an expert rather than a supplicant when pitching to venture capital firms.

Timestamps: 
00:00:00 - Introduction and Welcome 
00:05:58 - The Psychology of VC Funding 
00:12:25 - Funding Stages Breakdown
00:23:00 - Bootstrapping vs the VC Treadmill 
00:25:32 - Red Flags and Toxic Investors 
00:35:15 - How to Pitch VCs Effectively 
00:41:42 - Specialized vs Generalist Funds 
00:48:00 - Closing Thoughts

Send us a text

In this episode, CMMI Director Abe Sutton shares his unique journey from the private sector back to government service and reveals how he's rapidly transforming Medicare through innovative payment models. Sutton discusses the newly launched WISER (Wasteful and Inappropriate Service Reduction) model, which leverages AI technology to reduce fraud and waste in Medicare, and the upcoming ASM (Ambulatory Specialty Model) targeting heart failure and lower back pain. The conversation explores CMMI's 2025 strategy focused on evidence-based prevention, patient empowerment, and choice and competition, while addressing how emerging technologies like generative AI are creating unprecedented opportunities to streamline healthcare administration and improve patient outcomes. Sutton also reveals how he spent four years during his "off season" developing a comprehensive roadmap for healthcare innovation that he's now implementing at warp speed.

Links:
WISeR (Wasteful and Inappropriate Service Reduction) model: https://www.cms.gov/priorities/innova...
ASM (Ambulatory Specialty Model): https://www.cms.gov/priorities/innova...
CMMI's 2025 Strategy Focus: https://www.cms.gov/priorities/innova...

Learn how AI can amplify your care coordination team by visiting https://link.careco.ai/HTRKQs

Timestamps:
00:00:00 - Introduction and Welcome
00:00:37 - Why Leave Private Sector for Government Service
00:09:16 - AI and Technology's Impact on Healthcare Innovation
00:17:49 - WISER Model Introduction and Goals
00:30:45 - Food Policy and Making America Healthy Again
00:34:08 - ASM Model for Heart Failure and Lower Back Pain
00:38:31 - Four Years of Preparation During "Off Season"

Send us a text

In this episode of Healthcare Trailblazers, we sit down with David Norris, serial entrepreneur and CEO of Affineon Health, for an in-depth conversation about tackling one of healthcare's most pressing challenges: provider burnout. With 2025 marking a pivotal year for AI adoption in healthcare, particularly around administrative burden relief and provider burnout solutions, David shares his unique perspective from both sides of the funding equation as co-founder of Affineon and participant in Andrew Ng's AI Fund venture studio.
The conversation covers David's fascinating entrepreneurial journey, including mentorship from legendary figures like Bill Campbell (former coach to Steve Jobs) and Howard Schultz of Starbucks, before diving deep into how Affineon is revolutionizing healthcare through AI-powered inbox management for providers. As healthcare organizations increasingly seek AI solutions that deliver clear ROI around clinical efficiency and burnout mitigation, David explains how their platform achieves 100% accuracy while automating 30-80% of provider inbox workflows, and discusses the competitive dynamics reshaping the healthcare AI landscape, funding strategies for healthcare startups, and predictions for where AI technology is heading in the next five years.

Timestamps:
00:00:00 - Welcome and Introduction
00:01:14 - David's Entrepreneurial Journey and Legendary Mentors
00:07:17 - AI Fund Partnership and Affineon's Mission to Solve Provider Burnout
00:21:44 - Funding Strategies and Competitive Landscape in Healthcare AI
00:31:31 - Future of AI in Healthcare: 3-5 Year Technology Predictions
00:37:00 - Closing and Contact Information

Send us a text

In this episode of Healthcare Trailblazers, host speaks with Dr. Boris Vabson, head of Medicare Advantage policy at CMMI (Center for Medicare & Medicaid Innovation). Dr. Vabson shares his fascinating journey from being born in the Soviet Union to becoming a Harvard health economist focused on dysfunctional healthcare systems. The conversation explores Medicare Advantage's evolution since 1965, current challenges including cost inefficiencies and prior authorization burdens, and CMMI's ambitious plans to transform the program. Dr. Vabson discusses the ongoing debate about Medicare Advantage overpayments, risk adjustment auditing using AI technology, and how CMMI plans to leverage its statutory flexibility to test innovative reforms that could be scaled nationwide. With recent leadership changes under Dr. Mehmet Oz at CMS, this timely discussion provides crucial insights into the future direction of Medicare Advantage policy affecting over 30 million Americans.

Timestamps:
00:00:00 - Introduction and Dr. Vabson's Background 

00:05:35 - Healthcare System Problems and Technology Solutions 

00:09:42 - Medicare Advantage Overview and Current Challenges 

00:18:25 - Policy Debates and Reform Efforts 

00:32:44 - CMMI's Future Plans for Medicare Advantage Transformation

Send us a text

In this episode we sit down with Alon Joffe, CEO of Israeli AI startup Eleos, for a fascinating deep dive into how behavioral health documentation is being revolutionized. What makes this conversation compelling is learning why Israel has become such a health tech powerhouse - with $1.2 billion in funding in 2024 alone and digital medical records dating back to the 1970s.
Alon breaks down how his AI technology reduces clinical documentation time by over 70% for mental health workers dealing with 60-90 minute therapy sessions. The company now serves 30,000 clinicians across 34 states, focusing on the most underserved populations in behavioral health. They explore the stark differences between acute care and behavioral health tech needs, why companies like Epic struggle to cross that divide, and how AI agents are about to transform EMR integration. Plus, Alon shares the dramatic shift from pre-ChatGPT skepticism to today's reality where a quarter of US physicians are already using ambient AI tools.

Timestamps:
00:00:08 - Introduction and Welcome
00:01:02 - Israeli Health Tech Ecosystem and Innovation Culture
00:03:51 - Government Healthcare Systems and Innovation Frameworks
00:06:09 - Value-Based Care vs Fee-for-Service Risk Models
00:09:14 - Introduction to Eleos: Mission and Market Focus
00:11:42 - Technology Differentiation and Competitive Landscape
00:15:19 - Behavioral Health vs Acute Care System Differences
00:16:01 - AI Agents and Job Automation in Healthcare
00:18:03 - EMR Integration and the Future of Healthcare Interfaces
00:20:12 - Epic's Market Evolution and Platform Strategy
00:25:04 - Fundraising Experience and Series C Journey
00:27:17 - Technology Evolution: Pre vs Post-ChatGPT Era
00:33:53 - Future Plans and Expansion Strategy
00:34:57 - Closing Remarks and Final Thoughts

Send us a text

In this episode of Healthcare Trailblazers, host Mendel sits down with Gabby Lawrence, Senior Director of Clinical Solutioning at TytoCare. TytoCare offers the Home Smart Clinic - for accessible, high-quality primary care from home, with no compromises, featuring artificial-intelligence-powered features to enable its telehealth platform to perform diagnostic capabilities. Gabby, an epidemiologist by background, explains how TytoCare's FDA-cleared handheld device with modular attachments transforms virtual healthcare by enabling comprehensive physical exams from home. The conversation covers TytoCare's evolution from urgent care applications into chronic disease management and primary care, their AI-powered wheeze detection capabilities, and strategic partnerships with major health systems like Atrium, Advocate, and Memorial Care. They explore the meaning behind "clinical solutioning" versus traditional clinical solutions, the challenges of B2B versus B2C models, and the company's vision for integrating GenAI to enhance physician capabilities while maintaining human oversight in patient care.

Send us a text

In this podcast episode, Congressman Jake Auchincloss (D-MA) discusses critical healthcare policy issues, including his bipartisan proposal to fund community health centers through a nationwide sugary beverage tax. The Massachusetts Democrat shares pointed criticism of RFK Jr.'s approach to healthcare, arguing that while chronic disease is a genuine crisis, the current administration's methods threaten critical scientific institutions and public health infrastructure.
The conversation also covers Auchincloss's perspective on the Department of Government Efficiency (DOGE), PBM reform, and federal budget priorities, highlighting the congressman's view that current efficiency initiatives risk damaging valuable government functions while tax policies disproportionately benefit the wealthy at the expense of middle-class Americans.

Timestamps:
00:00:00 - Opening Teaser Clips
00:01:14 - Introduction of Congressman Jake Auchincloss
00:01:59 - Energy and Commerce Committee Jurisdiction
00:02:44 - CMMI Program Cuts and Congressional Oversight
00:04:26 - Discussion on Political Intent and Bipartisanship
00:06:33 - Critique of RFK Jr.'s Healthcare Policies
00:10:28 - Tackling the Chronic Condition Epidemic
00:10:57 - Community Health Centers and Sugary Beverage Tax Proposal
00:14:44 - Food Policies and School Lunch Programs
00:33:21 - Department of Government Efficiency (DOGE) Discussion
00:43:45 - Federal Budget and Tax Policy Debate
00:51:24 - Pharmacy Benefit Managers (PBMs) Reform
00:54:08 - Closing Remarks

Send us a text

In this insightful episode, we sit down with Dr. Meena Seshamani, who recently completed her tenure as Director of Medicare at CMS, for a candid conversation about the future of healthcare in America. Drawing from her extensive experience as both a practicing physician and healthcare leader, Dr. Seshamani breaks down complex topics including the distinctions between healthcare waste, fraud, and abuse, and the transformation toward value-based care models.

The discussion explores innovative approaches to healthcare delivery, including the new Advanced Primary Care Model and its potential impact on patient care. Dr. Seshamani shares valuable insights on Medicare Advantage reforms, prior authorization improvements, and the delicate balance of implementing AI in healthcare while maintaining the personal nature of medicine.

Fresh from her role at CMS and newly appointed as Maryland's Secretary of Health (pending confirmation), Dr. Seshamani offers a unique perspective on both national healthcare policy and local implementation, emphasizing the importance of keeping patient care at the center of all healthcare innovations.

Send us a text

This episode is sponsored by CareCo. In an industry desperate for efficiency, we're helping care teams manage 40% more patients while cutting costs by 28%. The math works. Learn more: careco.ai

In this episode of the Healthcare Trailblazers podcast, Mendel and Josh Liu discuss the challenges and lessons learned in the healthcare startup space. They explore the importance of targeting the right partners, understanding clinical workflows, and validating financial incentives. The conversation emphasizes the significance of building long-term relationships and effective communication in patient care, while also comparing the healthcare systems in Canada and the US. In this conversation, Joshua Liu discusses the evolution of Seamless MD, a digital health platform designed to improve patient outcomes by guiding them through complex healthcare journeys. He shares insights on market dynamics between the US and Canada, the importance of patient engagement, and the strategies that have led to high adoption rates, especially among seniors. The discussion also touches on the challenges of startup growth, the significance of proactive partnerships, and the mindset required for success in entrepreneurship.

Chapters

00:00 Introduction to Healthcare Trailblazers Podcast
02:03 Learning from Sales Mistakes in Healthcare
04:29 Identifying the Right Partners in Healthcare
07:01 Understanding Clinical Workflows
09:52 The Importance of Financial Validation
12:36 Building Long-Term Relationships in Healthcare
15:00 The Role of Communication in Patient Care
17:59 Comparing Healthcare Systems: Canada vs. US
24:59 Navigating Market Dynamics: US vs Canada
27:20 Understanding Seamless MD: A Patient Journey GPS
29:29 Adoption Rates in Digital Health: Insights on Seniors
32:10 Proactive Partnerships: Driving Engagement and Outcomes
36:18 Reflections on Startup Growth: Expectations vs Reality
40:51 The Power of Perseverance: Inputs Over Expectations
48:04 Building for Passion: Understanding Market Fit