Ben Lee

415 posts

Ben Lee

Ben Lee

@_btlee_

healthcare optimist | simply zero accomplishments

New York, USA Katılım Nisan 2020
342 Takip Edilen280 Takipçiler
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Ben Lee
Ben Lee@_btlee_·
My one career intention is to build something that betters healthcare I write to learn how to do this out loud: research intriguing strategies & products, explore trends, and muse on what may be next. Here's Quite A Few Claims - my collection of thoughts quiteafewclaims.substack.com
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Ben Lee
Ben Lee@_btlee_·
@andrew__reed the radish is a highly underrated vegetable especially as a broth / stock maker, see most radish based soups in east asian cultures
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Andrew Reed
Andrew Reed@andrew__reed·
Among the vegetables, the radish is really a crudité specialist
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yoni rechtman
yoni rechtman@yrechtman·
Physician Side Gigs is basically my favorite internet business. Here's my plan to make it a generational company that saves physician independence: 1. Update the look/feel 2. Launch new practices 3. Build a wealth service 4. Create a membership product 5. Move to a marketplace and placement model
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Ben Lee
Ben Lee@_btlee_·
@mignano How long until the phrase “how long until the ___ loses all meaning?” loses all meaning?
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Ben Lee
Ben Lee@_btlee_·
my opinion of how smart someone is solely depends on whether or not they say “chassis” when talking about their business idea
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Blake Madden 🏥
Blake Madden 🏥@B_Madden4·
Incredible response
Ben Thompson@benthompson

I would say it depends. First off, I’m pretty proud of Stratechery’s record over the last couple of years. When it comes to the big companies I traditionally cover I think I’ve been pretty sharp, including sketching out their relative strengths/opportunities/risks in AI [1], calling out Apple’s strategy pre-Apple Intelligence announcement [2], made a comprehensive case that Meta was actually the best positioned [3] — and, of course, was basically the only person to strongly defend Meta when they were at their nadir [4]. I’ve also been on the Nvidia case for a long-time [5], explaining what their moat is and why it’s relevant long before they became the juggernaut they are today. I guess I do regret not forcefully making the case that they were going to go to the moon, but generally I think that if you read Stratechery regularly you are pretty well-positioned to capitalize on moments like that because I laid the groundwork at some point in the past. I would also note that I was basically the only commentator that thought that the DOJ might win their case against Google. [22] For AI, I think I grasped the power of generative content even before ChatGPT thanks to the emergence of image generation [6]. There are obviously details wrong, there, but there are other pre-ChatGPT articles about the AI impact on value chains [7] and distribution [8] that hold up very well. Then, post-GPT I wrote about what are effectively going to be agents early on [9], the returns to agency and its relationship to society [10], and, in what was one of my favorite articles, why I think that AI’s economic impact is best understood by going back to the 1970s and mainframes [11]. The correctness of these is obviously TBD, but it’s definitely fun to think about (more on this in a moment). I also think my work on chips has been both very good and has very much helped set the agenda. 2020 is more than the last couple of years, but “Chips and Geopolitics” has been both correct and very influential (and as you can see in that Article, is something I was writing about several years earlier as well, way before anyone was paying attention) [12]. I’ve followed that up with other relevant pieces like “Political Chips” [13] and “Chips and China” [14], all of which may seem obvious today in part because I helped drive the discussion. And, of course, there is Intel, where I have been right from the very beginning of Stratechery [15] and the beginning of the Gelsinger tenure [16]. I think, though, that last sentence also helps answer your question. When I started no one knew I was, which means that by definition I was on the cutting edge, and very relevant to people like you who are seeking that edge. Today I’m much more established, which means what I write is picked up immediately by executives, politicians (I know that I helped influence the Draghi report [17], for example), and the general conventional wisdom; at what point does helping establish conventional wisdom become indecipherable from being conventional wisdom, which isn’t very relevant to you? It’s a fair question, and I totally get where you’re coming from — it’s something I’ve had to grapple with myself. One change I have made the last few years is to be a lot more honest about the fact I’m much more connected than I used to be. I’ve mostly leveraged this through interviews, and it really jumped out to me last year [18] how many more public company executives I’ve talked to; Stratechery is obviously relevant to them, and I do think I’ve done a better job at getting interesting information from them (which is very hard — my early CEO interviews were not very good; I also think, contra one of your commentators, that you really have to listen to the whole thing and read between the lines to glean the most interesting takeaways, not just summarize). I do think the analyst interviews continue to be the best ones. I would highlight the work I’ve done with @eric_seufert, for example: if you followed us, you were way early on things like ATT — which, by the way, I called out as a big deal as soon as it was announced [19] (I’m very proud of my coverage of advertising generally, and know it has big impacts on companies in that ecosystem). I also started a dedicated interview series about AI pre-ChatGPT, [20] with the sense that everyone was missing what was a big deal. To go back to the original question, though, what I think you’re sensing is my perhaps shifting place on “The Idea Adoption Curve” [21]. If you want to be on the absolute cutting edge, you still have to be on X or in Discords, particularly with AI. That’s where the alpha is, at least in the short-term (I still think things like my enterprise AI piece are extremely relevant for the medium and long term); the larger and more established I have become, the more by default I end up pushed down that curve at bit, just because of the conventional wisdom-defining capability I noted above. That’s very good business to be clear — it’s more profitable to be a table-stakes publication than a secret advantage — but it’s less relevant if you’re looking for an edge, and frankly, a bit less fun. What I think it is is more influential. Another one of your commentators mentioned that my best stuff is on Sharp Tech, and that’s probably true — I’m really proud of what @andrewsharp and I are doing — and there is a temptation to just be a podcaster; it’s easy and I have enough money. Influence, though, still comes from writing, and I think any objective valuation is that that vector is increasing. Is it possible to be more influential and less relevant? Probably so, but that’s probably the inevitable path of any pundit. You can’t stay young forever, you can only embrace where you are, and that’s what I’m trying to do. Oh, one more thing: “emails building up” is definitely a churn driver; that’s why over half of my subscriber base has switched to listening to the Update via podcast. What is interesting is that I do think that has decreased the rate at which my stuff is shared and forwarded; I have less churn but less growth. I’m not sure if the trade-off is worth it, but you did put your finger on one of the tactical questions I think about. PS: Today of all days I'm also very proud of the fact that the only partisan issue I've taken a strong stand on through the years is being pro free speech; [23] there was a lot of pushback on that, including a pretty significant wave of cancellations in the COVID era. I think overall that counts as being prescient though. 1: stratechery.com/2023/ai-and-th… 2: stratechery.com/2024/apple-int… 3: stratechery.com/2024/metas-ai-…' 4: stratechery.com/2022/meta-myth… 5: stratechery.com/2021/nvidias-g… 6: stratechery.com/2022/dall-e-th… 7: stratechery.com/2022/the-ai-un… 8: stratechery.com/2022/instagram… 9: stratechery.com/2023/chatgpt-l… 10: stratechery.com/2024/mkbhds-fo… 11: stratechery.com/2024/enterpris… 12: stratechery.com/2020/chips-and… 13: stratechery.com/2020/chips-and… 14: stratechery.com/2022/chips-and… 15: stratechery.com/2013/the-intel… 16: stratechery.com/2021/intel-pro… 17: stratechery.com/2024/the-e-u-g… 18: stratechery.com/2024/the-2024-… 19: stratechery.com/2020/apple-and… 20: stratechery.com/2022/an-interv… 22: stratechery.com/2020/united-st… 23: stratechery.com/2019/tech-and-… 21: stratechery.com/2020/the-idea-…

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Stuart Blitz
Stuart Blitz@StuartBlitz·
If I ever have a big exit, I’m going go do an EMR to kill Epic next - just because it seems impossible. For pure love of the game.
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Ben Lee
Ben Lee@_btlee_·
@ericstromberg not a job, but: publishing long form writing and maintained cadence - unglamorous unless you have an audience, which is built predominantly through publishing - self-guided depth of exploration - ideally one tries to differentiate / hone taste and perspective
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Brendan Keeler
Brendan Keeler@healthapiguy·
Much of the pain of digital health (and sidecar point solutions for enterprises in general) that is often blamed on EHRs is actually a manifestation of the principal agent problem - where one party (the agent) makes decisions on behalf of another party (the principal), but has different interests and incentives. The expectation is that if you build a good product that is attuned to a user and solves their problem, you will be successful. This is largely true in consumer facing software (if you can handle CAC) - the buyer and the user are the same. When it comes to super small businesses, the buying motion of SMBs can resemble a DTC sale, as the buyer and the user may be the same. If they're not, they're usually close enough to have the same or similar interests. This is not the case for larger and larger enterprises. For example, the CEO wants efficient operations and profitability. The doctor wants more time spent with patients and medical decision autonomy. Your choice to sell to large healthcare organizations (or really any enterprise in general) incurs a silent cost. You now are building for two distinct sets of stakeholders with fundamentally different and often opposing needs - the economic buyer who makes the purchase decision and controls the budget, and the end user who has to actually use your product day-to-day. This tension forces you to either compromise your product's user experience to satisfy buyer requirements, or risk failing to gain institutional adoption despite having happy users. Every GTM motion has pros and cons. This is just the reality of the enterprise motion.
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Jake Goldman
Jake Goldman@JakeyG913·
@elliotcohen @leggettmatt @tjparker I’ve always wondered why patients (and the family members) don’t get access to any shared savings opportunity. Solely between provider and payor.
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TJ Parker⚡️
TJ Parker⚡️@tjparker·
The only way you fundamentally fix healthcare in the US is changing the duration of the term. One way to do that is obviously single payer but much better IMO to get creative about how to extend the payer<>end customer relationship to 10+ years and ideally longer.
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Ben Lee
Ben Lee@_btlee_·
@JayRughani @zachweinberg new APCM codes for 2025 allow for delegated asynchronous activities to be billed without a time requirement
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Jay Rughani
Jay Rughani@JayRughani·
@zachweinberg Sadly true today. Some examples (e.g. drugs going generic), but we need more. Requires new payment models.
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sarah guo
sarah guo@saranormous·
anyone doing something cool with AI-for-negotiations/pricing?
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Matt Yao 🧭
Matt Yao 🧭@matt__yao·
In the US, the healthcare industry is responsible for 10% of emissions 🏥🌎 Put together a deep dive on climate x healthcare with the help of @thebettychang and @chethanr We cover anesthetics, asthma inhalers, wildfires, heat, EHRs, carbon accounting, and more Link in bio!
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rahulvohra
rahulvohra@rahulvohra·
I'll be in NYC on 9/21 and I'm hosting a small VIP customer happy hour that evening! 🍹 Would any @Superhuman superfans in NYC like to join? I've got a handful of spots left — let me know if you wanna come!
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Matt Turck
Matt Turck@mattturck·
The art of the VC list of “Top companies in [insert field]”, done right: * 40% portfolio companies * 40% companies outside portfolio you’re tracking for growth rounds * 10% unavoidable companies you have to include for the the list to have any credibility
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Ben Lee
Ben Lee@_btlee_·
@dvasishtha this feels like an unnecessary split if this product ties into referral workflows (a reasonable end state), the middle ground make sense - surface best practice specialty insights - allow for PCP discretion to provide care themselves, mitigate exacerbation, and/or refer out
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Dhruv Vasishtha
Dhruv Vasishtha@dvasishtha·
Interesting how there's a split of docs commenting in this thread saying there's a reason you refer to specialists and also saying so much care gets delayed and conditions exacerbated because of waiting on specialists that a PCP + AI could alleviate
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Dhruv Vasishtha
Dhruv Vasishtha@dvasishtha·
One gen AI use case I don't hear enough about is empowering PCPs with basic specialist knowledge that would allow them to support their patient rather than having to refer them. There's probably a large number of folks who could access specialist care far faster that way.
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Ben Lee
Ben Lee@_btlee_·
tyra banks 🤝 NVIDIA training models
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Adam Ryan 🤝
Adam Ryan 🤝@AdamRy_n·
For those wondering this is @B_Madden4's incredible newsletter, Hospitalogy. If you're an admin in a healthcare system or in health tech, it's the best.
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Packy McCormick
Packy McCormick@packyM·
It's Maya's 1st birthday this weekend, so I'm going to take the week off from writing an essay to hang with her. Also want to reset my brain a little. What are the highest-alpha blogs / essays you read -- the most excellent ones you don't think a lot of others read?
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