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New York
Joined September 2013
I’m really excited to announce something months in the making…announcing a 5 week hackathon with $250K+ in total grants and prizes!!! Build @ Deerfield (powered by Out-Of-Pocket) is for early stage teams that want a chance at non-dilutive capital, support in building their projects, and a stage to present what they’ve built. You can see more details below, but in general Deerfield Management and Out-Of-Pocket are joining forces to do something big for the New York healthcare community. We’re selecting 12-15 teams who want to build for 5 weeks. You’ll get some cash upfront to start, mentors you can access during the build-time, and then a pitch showcase and reception with the broader New York healthcare community on January 20-21, 2027 at Cure in NYC. Judges at the showcase will pick a few winning teams to receive additional grants and prizes to continue their work. And we’ll have a really good time 🙂
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Thank you to our sponsors that made Knowledgefest possible - very relevant to people building in healthcare! @cloudcruise_app is an AI platform that automates healthcare workflows inside payer portals and EHRs. It turns manual browser and desktop tasks like eligibility checks, prior auths, medical record downloads, and payer enrollment into repeatable, auditable outcomes. Sakura Health is the infrastructure layer for governed AI agents in healthcare, giving teams the primitives to build, evaluate, and deploy agents that work inside EHRs, practice management systems, payer portals, and phone/fax channels. Every agent comes with policy guardrails, audit trails, and human-in-the-loop controls, and specialty practices, digital health companies, and RCM teams already run them across front office, back office, and revenue cycle workflows. @candid_health automates revenue cycle management, ingesting data from any EMR to submit clean claims, reduce manual billing work, and collect more of the revenue providers have earned. Leap is the healthcare company making specialty medicine more affordable and easier to access. We're building modern drug distribution infrastructure for specialty therapy. We bill each drug at its true acquisition cost with no markup, and we pair every patient with a dedicated Care Guide who coordinates treatment, insurance approvals, scheduling, and ongoing support. @SierraPlatform is the leading partner for healthcare agents, already reaching over 50% of U.S. families. Our customers include leading health plans, providers, pharma and medical device companies, digital health companies, and other healthcare platforms. Our agents go beyond answering questions, helping patients understand their coverage and get their medications to proactively closing care gaps and accelerating revenue cycle management. @GetHealthie is the world's leading API-first, ONC-Certified EHR for healthcare delivery outside of the hospital. We provide the powerful infrastructure every scaling organization needs: EHR, scheduling, patient engagement, billing, and more, all accessible via modern APIs and a white-labeled UI. @Vapi_AI is the leading Voice AI platform that gives developers and enterprises control over building, deploying, orchestrating, and managing voice agents at scale. This makes AI voice agents easy to build, safe to operate, and flexible to evolve. @myaccessone , a @phreesia company, is a patient financing platform that enables healthcare providers to offer patients low-interest monthly payment plans, with no credit check, no fees and no impact to their credit score. As a licensed lender, AccessOne accepts 100% of patients and integrates directly with leading EHRs. Providers receive cash acceleration from Day 1, reducing AR days to zero while driving 85% net yield on payment plans. @champ_hq is an AI agents platform for healthcare operations teams. We build AI agents that automate your manual intake, credentialing, eligibility and claims follow up processes.
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cool part is we basically force the companies to run workshops or show their demos! I negotiated a bill live with one of the voice agents, attendees build an agent from scratch in a workshop, and companies answered hard questions from the audience about their product
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This is a crazy way to say you have Crohn’s disease
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an interesting litmus test for how someone thinks about healthcare is asking if they think we are undermedicated or overmedicated as a society
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First part in the series - healthcare companies I think someone should build 1. DME recycling marketplace: A third-party marketplace that re-certifies used durable medical equipment (CPAPs, power wheelchairs, unopened diabetes supplies) so it can be resold legit instead of tossed 2. World's Fair for healthcare: A new World's Fair where people can actually see and touch cutting-edge healthcare tech, like a live Neuralink demo or a Wandercraft exoskeleton. The point is to make people amazed by healthcare again, the way the old fairs did for consumer tech. 3. Instinct for healthcare workers: A personal AI agent built for healthcare employees, with its own login on the org's network, a BAA-covered cloud model, and role-based permissions instead of impersonating you with cached passwords. People are going to use these tools at work no matter what, so someone should build the compliant version.
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full post is here, go forth and build outofpocket.health/p/healthc…
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3 companies collectively worth $6 billion...excited to be doing a happy hour at HLTH with @doximity and @WHOOP If you're going to be there - come join us Tuesday evening, it's gonna be fun
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it's been insanely hard to find a nanny in NY - thinking about renaming the role "baby development engineer"
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for the next few weeks, I'm going to be writing out healthcare company ideas I think should exist A few I'll write out and send in tomorrow's newsletter - Instinct for healthcare employees - The World's Fair for healthcare - Refurbished DME marketplace You can sign up to get it - and before you ask why I don't start these companies myself...it's because I lack CONVICTION and Out-Of-Pocket is a real business I swear
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you can sign up to get it here: outofpocket.health last time I wrote a post like this there ended up being 3 multi-billion dollar companies that were exactly the ideas in it
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Knowledgefest number 5 is in the books - honestly who would have thought a conference for healthcare builders would be so fun we brought 120 people who applied to be there, on a weekend, to chat about how to build healthcare companies. We chatted about everything from how to demonstrate whether a pilot was financial successful to "how stop doing heroics at your company" to live building AI agents for eligibility checks A huge thank you to everyone that came - this was only possible because good people come together to share real talk about the ops of healthcare
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Nikhil Krishnan retweeted
Replying to @MiriVinni
there's some interesting (sad) data around this Among nursing home residents who initially paid out of pocket, 16.4% spent down into Medicaid during their stay, increasing to 61.8% among those who remained in a nursing home at least four year. source, Trilliant Health: trillianthealth.com/hubfs/Tr…
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Grindr CEO had some interesting thoughts on how the dating app and health clinic could be integrated (both of these would be only if users consented) 1) With a new PrEP pill that's fast acting (within an hour), they can remind people before meeting up with someone to take it 2) They're considering adding a verified HIV status or "taking PrEP" status on profiles (with user consent). Today it's mostly self-attestation.
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heading back to NY from SF - quick observations 1) Basically all the AI companies are starting to converge on the same spaces within their category. Vibe is way more cutthroat than collaborative now. 2) Was trying to explain to people that most of my friends in NY don't use LLMs at all, except maybe chatGPT to help write emails. Many didn't believe me. The tech vibe has never been more different between the two ciites. 3) Everyone seems much more hyper aware about money everyone else is making now. It does remind me of finance in New York where personal net worth is now very explicitly a driving force in people's decisions (vs. before where it was more veiled). 4) It is insane how expensive everything - talking to some people about housing market/childcare there made me gasp outloud. 1.5x-2x of even NY costs for something similar/ 5) Agent swarm stuff seems to have increased doomerism amongst people who previously were pretty optimistic about AI in the last year 6) Like everyone seems to want to start a data labeling company to make a quick bag lol 7) very anecdotal based on a small number of convos, but I was surprised that some people are actively pushing out life milestones they wanted to do earlier (e.g. find a partner, have a kid, etc) because they think the AI window is short right now and they want to make sure they prioritize it (personally I don't think those things are mutually exclusive but hard to convince people of that)
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i guess I should use this opportunity to shill something? I write a newsletter that's pretty fun about trends in healthcare and stuff relevant to people building in the space (how AI fax works, dating apps moving into healthcare, etc.) It's pretty good, people seem to like it outofpocket.health/
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You’ll probably improve your longevity more if you just get married than all this other shit
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Since we announced our hackathon (with cash grants/prizes) - a question we keep getting asked is “Do you know someone looking for a teammate?” So reply if you’re someone who wants to join, but you’re looking for a teammate to apply with. That way others can see you and reach out if it might be a good fit. has anyone done cofounder dating in the bottom of a X post?
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More hackathon details here, applications due 11/19: outofpocket.health/build-at-…
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