Ali Parsa is a serial entrepreneur known for founding companies that challenge traditional models of healthcare delivery. Over two decades, he has built organizations at the intersection of healthcare, technology, and systems redesign—each shaped by an ambition to make care more efficient, accessible, and equitable. In this episode, Tjasa Zajc and Ali Parsa explore how agentic AI is redefining healthcare and what it really takes to build transformative companies in a fast-shifting world.Ali dives into why healthcare remains stuck in an economic imbalance—unlimited demand but constrained clinical supply—and why autonomous, real-time AI agents may finally rebalance the system by taking over 20–30% of routine clinical tasks. He explains how Quadrivia builds agents that can talk to patients, follow multi-step workflows, and operate within strict guardrails to avoid hallucinations and workflow drift.But this episode goes far beyond technology. Ali opens up about entrepreneurship:• why speed is the only real advantage startups have,• how to hire “missionaries, not mercenaries,”• why products must be excellent from day one,• how processes must be simplified and rebuilt for speed,• and why losing control—even briefly—can cost a company everything.

09:21 AI Agents: Revolutionizing Clinical Tasks

12:42 Building a Reliable Knowledge Base

15:17 Ensuring Workflow Integrity in AI

19:46 Global Expansion Strategy of Quadrivia

22:58 Navigating Trust and Cultural Differences

26:04 Competing with Giants in the AI Space

30:22 Agility in Decision Making

31:15 Lessons from Babylon's Legacy

33:08 The Importance of Speed in Entrepreneurship

35:59 Navigating Failure and Success

39:44 Optimizing People, Product, and Processes

41:25 The Role of Luck in Entrepreneurship

47:14 The Birth of Quadrivia

49:04 Insights from Global Healthcare Markets

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