Alex Wendland

490 posts

Alex Wendland banner
Alex Wendland

Alex Wendland

@AlexRWendland

Founder @joinadaptive

Cambridge, MA Katılım Aralık 2012
831 Takip Edilen482 Takipçiler
Sabitlenmiş Tweet
Alex Wendland
Alex Wendland@AlexRWendland·
Excited to share Adaptive Innovation’s (@joinadaptive) $50M Series A led by @felicis and $10M Seed led by @BainCapVC. Adaptive is an AI-native healthcare provider rebuilding the way care is delivered in America, starting with home health
English
44
35
140
51.2K
Alex Wendland
Alex Wendland@AlexRWendland·
eventually, once markets catch up to twitter
English
0
0
2
69
Alex Wendland
Alex Wendland@AlexRWendland·
great writeup. something we’re thinking about: when you’re backend becomes an agent-written black box, you can no longer rely on it to enforce authorization. that means pushing authorization downstream into DBs/etc., much like @supabase has promoted with RLS. but RLS is hard! I expect we’ll see a renaissance of new authorization tech emerging soon to meet these needs (eg RLS and Cedar v2)
rahul@rahulgs

1. as a mental model it is more correct to think of fable+ class models as english -> code interpreters - converts your idea into code into "correct" code regardless of problem complexity and output complexity (diff size). Fable 5 will be the worst of this new class of models 2. diff size/complexity is to be managed purely for review: small diffs - in high risk areas of code (auth/identity/data access/network access/money movement) large diffs for code that can be empirically verified (frontend/backend plumbing/code without network or db access/performance code that can be empirically verified) 3. time it takes to ship software is completely disconnected from time to produce the PR - how long the work takes depends fully on ability to review/merge code while managing risk at scale 4. solving the bottlenecks for above matter enormously- linters/testing/CI/shadow mode verification/empirical verification 5. agency matters enormously- what are the biggest bottlenecks to speeding up the loop and eliminating them? what are the problems that need solving and when do they need solving? what does it take to the solution to all of them today? 6. deep understanding of the full stack matters enormously- what problems are worth pursuing? is there a higher level of problem abstraction to address first? should I give it the sub-sub task, the sub task, or the task itself. what are the major risks with this PR (order of importance: security holes/correctness holes/performance holes). is there a higher speed way of producing data that allows me to merge this? should this be run in shadow or in a sandbox or a flag. understanding every line of logic may not be needed but understanding and managing risk matters enormously. 7. the cost of complexity itself is changing. it might be now worth "maintaining" 50% more code to get a 5% performance win. getting the right abstractions matter less because larger refactors are less tedious. code quality nits become huge drag. very likely, a much smarter model will be maintaining your code so worth taking on more technical debt now. taking the time to hand architect and rebuild systems comes with an enormous cost of velocity 8. if it quacks like a duck and walks like a duck, it's a duck. For low risk cases, it might be more sane to treat code chunks (services / functions) as a black box, like we do for neural networks: do full empirical verification only: has code produced correct outputs for the last 10,100,1000,10k inputs ? can we quarantine this large piece of code - no outbound access to network / database ? what happens when this code is wrong? do we get hacked/or crash(memory/cpu)/is an inconvenience? is it internal facing or external? what can we do to address these risks? 9. eventually, logical verification (line by line review) will come at an enormous cost- save it for where it matters and build systems that are tolerant to empirical verification. is there a decorator that prevents db / network access? correctness bugs are significantly easier to rectify than access bugs 10. what are the rails that allow for even faster iteration? code permissions can be opt in - db writes, db reads, network egress (to where?), PII access. how long does it take to get shadow mode data? how many PRs can be tested? What are the categories of diffs

English
0
0
4
359
Daniel Beauchamp
Daniel Beauchamp@pushmatrix·
Everyone's talking about AI-generated HTML. But have you tried giving your sites a zero-config API for saving data, file storage, AI, websockets, etc? We did this at Shopify. Runs on a single VM that costs $200/month, and it's changed the way we work. We call it Quick 👇🧵
English
112
167
2.9K
829.4K
Alex Wendland
Alex Wendland@AlexRWendland·
we’re on phase 3 of the NYC subway ad cycle: luxury goods & services. last week was supplements. next week we’ll be back to AI.
Alex Wendland tweet media
English
1
0
7
384
Alex Wendland retweetledi
Felicis
Felicis@felicis·
Two in five home health patients get turned away, not because care isn't available, but because the admin overhead costs more than the agency gets paid. $40B in referrals are rejected every year. That's the problem @AlexRWendland and Ryan Tolsma are rebuilding from scratch with @joinAdaptive. AI-native operations. 100K+ visits delivered. 4.9% rehospitalization rate vs. 12.9% state average. @Felicis investors @Pxd and @EricFlaningam sat down with Alex and Ryan to discuss the future they're building with Adaptive.
English
0
4
19
1.1K
Alex Wendland retweetledi
Peter Deng
Peter Deng@pxd·
“How badly do you want this deal?” Ryan, our general counsel, called me while I was at dinner. Turns out @joinAdaptive redlined the term sheet we sent them to lead their Series A, and they put in a clause that gave me second thoughts. For context: I’m a die-hard @49ers fan. Beating the Cowboys is always a good feeling. Winning the last 4 games against the Dallas Cowboys including 2 playoff games? The best. The clause they inserted was a tough one to accept. We ultimately agreed that when the company reaches a significant revenue milestone, @Felicis board members will attend a Cowboys game in Dallas with the founding team… in full Cowboys gear. Today, over 40% of patients referred to home health don’t get the care they need. Adaptive is using AI to help home health agencies serve more patients, reduce overhead, and expand access to care. AI has been transforming the digital world, but is only just beginning to change the physical world. Home health is the fastest-growing outpatient sector, on pace to nearly double over the next 5-6 years. The current foundation of fragmented small home health providers is not ready for that influx. Adaptive is rebuilding from the inside out to lay a foundation for an industry positioned to scale. I’d prefer to keep my 49ers loyalty intact. But if wearing a Cowboys jersey is the price of helping build a company that improves healthcare for millions of people, I’ll survive. To @AlexRWendland, @ryanatolsma, Logan, and Hunter, I’m rooting for you...but not your football team.
Peter Deng tweet media
English
1
2
48
6.9K
Alex Wendland
Alex Wendland@AlexRWendland·
Excited to share Adaptive Innovation’s (@joinadaptive) $50M Series A led by @felicis and $10M Seed led by @BainCapVC. Adaptive is an AI-native healthcare provider rebuilding the way care is delivered in America, starting with home health
English
44
35
140
51.2K
Alex Wendland retweetledi
Ryan Tolsma
Ryan Tolsma@ryanatolsma·
Today we announced @joinadaptive's $50M Series A. We are building the full end-to-end platform for care delivery, an AI-native provider. We’ve rebuilt the entire operating system that care runs on with AI at its core. Our engineering team has developed the infrastructure — harnesses, evals, skills, and domain model — to put agents first in our product development. We’re raising the floor so that every operator, manager, or clinician can rapidly prototype and deploy production agents to solve their own scaling problems. The products that we’re building are meant to augment the capabilities of every healthcare operator and clinician on our team. For ourselves, built by ourselves. We are exceptionally focused on building the foundations that will compound as abundant intelligence progresses. Our talented team is filled with ex-founders, researchers, engineers, and operators, who all choose to dedicate their time towards something worth building: fixing healthcare. If any of this resonates, we’re hiring across every function and we’d love to meet you. More in the comments.
Alex Wendland@AlexRWendland

Excited to share Adaptive Innovation’s (@joinadaptive) $50M Series A led by @felicis and $10M Seed led by @BainCapVC. Adaptive is an AI-native healthcare provider rebuilding the way care is delivered in America, starting with home health

English
5
4
20
2.2K
Alex Wendland
Alex Wendland@AlexRWendland·
@BainCapVC Every patient deserves high quality treatment, regardless of who their payer is. We're excited to be working with the @BainCapVC to make this happen!
English
0
0
7
77
Alex Wendland retweetledi
Bain Capital Ventures
Bain Capital Ventures@BainCapVC·
Getting discharged from the hospital should be the easy part. Yet, 4 in 10 home health patients get turned away not because clinicians aren't available, but because the system is too admin-heavy to route care efficiently. Adaptive Innovations rebuilt that from scratch. 100k+ patient visits. 500+ referring health organizations. A patient mix most providers won't touch, and they're profitable doing it. @joinadaptive just raised a $50M Series A. We're thrilled to keep supporting them as they grow. The category is about to get very interesting. Explore more: baincapitalventures.com/insight/curing… @ChristinaPhili5 @AlexRWendland @ryanatolsma
English
2
5
22
2K
Alex Wendland
Alex Wendland@AlexRWendland·
@baymahmutbey @ryanatolsma Ryan is a rare combination of extremely smart, high integrity, and kind. One of my favorite people. I'm grateful for the opportunity to work alongside him everyday.
English
0
0
6
143
Emir Akdere
Emir Akdere@baymahmutbey·
Worth mentioning @ryanatolsma is without a doubt one of the most intelligent and versatile founders out there right now. And when the smartest people you know work on big problems, you better pay attention.
Alex Wendland@AlexRWendland

Excited to share Adaptive Innovation’s (@joinadaptive) $50M Series A led by @felicis and $10M Seed led by @BainCapVC. Adaptive is an AI-native healthcare provider rebuilding the way care is delivered in America, starting with home health

English
2
0
7
298
Alex Wendland
Alex Wendland@AlexRWendland·
@felicis Real care isn’t delivered through a screen, it’s delivered in-person with a patient. We’re using AI to let clinicians focus on treating every patient that needs help. We’re excited to partner with @felicis to build the AI foundation of physical healthcare!
English
0
0
6
72
Felicis
Felicis@felicis·
Two in every five patients referred to home health care in America never get the care they need. Not because clinicians aren't available. Not because the patient doesn't qualify. They get turned away because the paperwork costs more than the visit pays. Roughly $40B in referrals get rejected this way every year. So the agency says no, and the patient ends up in a nursing facility or gets sicker at home until the ER takes over. We led @joinadaptive's Series A because they stopped trying to sell better software to broken agencies and became the provider instead. AI runs the intake, scheduling, prior authorization, documentation, and billing that traditional agencies burn $.60 to $.90 of every clinical-labor dollar on. When those costs collapse, the patients who would have been rejected instead get the care that they deserve. So far in Adaptive's first market: Patients served by Adaptive have a 4.9% rehospitalization rate compared to the 12.9% Texas state average and 10.2% national average. More than 95% of patients see improvement in ambulation, meaning they are back on their feet, no longer homebound, compared to an 89.5% national average. Patients are set up with a home care provider extremely quickly, with 99% of patients admitted within 48 hours of referral. They have a 4.5-star CMS quality rating against an industry average of around 3. Hear from co-founders @AlexRWendland and @ryanatolsma on the future they're building with Adaptive. 👇 cc: @pxd @EricFlaningam ordnl.link/8R805uM
English
2
3
28
1.2K