Matt Ripkey

The "Headless EHR" asked if we could give the EHR a better UI. In the AI-driven world, the right question is: why is a human operating the EHR at all?

VP Partnerships - Healthcare at Anthropic is going to be a king-making role.

@TechSalesGuy if you're waiting on the partner manager to activate the field sales team for you, you're ngmi.

underrated moves in partnerships: 1. prospect the partner's sales team like cold leads most partner managers wait for the relationship to "warm up." meanwhile their counterpart's reps have no idea they exist. treat partner sellers like prospects. reach out. meet them in person. offer incentives. 2. be the easiest person they work with partners have 10 other vendors competing for their attention. most of them are demanding, needy, and hard to work with. if you make their life easier - clean referrals, fast follow-up, no drama - you move to the top of the list. the bar is low. 3. track 'influenced', not just 'sourced' if you only measure deals your partners sourced, you'll undervalue the channel and so will your CRO. the best partnerships have clear influence attribution before anyone questions the ROI. by then it's too late to make the case.

@AdamSinger patronage/skimming opportunities, mainly.

This is medical fraud, people should be in jail (one lady charged $29 million to treat 84 kids). Why would we create systems that are so easily scammed

the day Wisconsin stood still

Woof. Brutal.

@toddsaunders feel free to dm if he's looking for healthcare.

I know an incredible AI pilled CTO looking to transition into an AI transformation role for an interesting growing company that’s not a typical Silicon Valley startup. He’s following this thread but asked I post without using his name. Also he’s based on Boston and remote is preferred. If you are looking for something like this tag your company below and I’m sure he will reach out.

Very good analysis.

@ColtonOrtolf Yes.

I imagine AI in the hands of primary care will be a major boon for the diagnosis of rare diseases - including developing a data set that will accelerate finding treatments. These conditions are too nuanced for most PCPs to diagnose, but AI will close that gap

This is an absolutely insane traction statistic:

@healthapiguy is on a Thursday HIMSS panel. The man is Monday Morning talent. Who scheduled this?

@JLopas we're working hard on it, but they really like paper.

It’s 2026 and most medical practices still use paper forms. We are still so early [in tech].

The token cost to build a production feature is now lower than the meeting cost to discuss building that feature. Let me rephrase. It is literally cheaper to build the thing and see if it works than to have a 30 minute planning meeting about whether you should build it. It’s wild when you think about it. This completely inverts how you should run a software organization. The planning layer becomes the bottleneck because the building layer is essentially free. The cost of code has dropped to essentially 0. The rational response is to eliminate planning for anything that can be tested empirically. Don’t debate whether a feature will work. Just build it in 2 hours, measure it with a group of customers, and then decide to kill or keep it. I saw a startup operating this way and their build velocity is up 20x. Decision quality is up because every decision is informed by a real prototype, not a slide deck and an expensive meeting. We went from “move fast and break things” to “move fast and build everything.” The planning industrial complex is dead. Thank god.

@garrettroads the power breakfast is back and if you show up with those nerdy Ray-Bans on we ban you for life.

The transition over the past couple of years from "can you kick off the AI recording tool" to everyone showing up with their own AI recording tool on sales calls is astounding. Secret, non-public information is now a lot harder to come by.

@cwhogg Cool thanks for putting this together.

I had a lot of fun building a natural language analyzer for the large Medicaid spending dataset that was released a few weeks ago, so I expanded it to Medicare Spending data, BRFSS (health behaviors) and NHANES (clinical encounters). Please let me know what you think! openhealthdatahub.com

@ColinMorelli Yes, but the secondaries!

Most AI startups today are a system prompt on a foundation model, without any safety or support infrastructure. These companies are raising 8-9 figure rounds on no substance. AI will transform the world, but it's almost certainly not the uninspiring products we're seeing today.

Amazing image:

Most people get seven minutes with a stranger who barely read their chart. You’re spot on: they don’t care, they just want to find the next possible appointment that fits with their family’s schedule. Docs are acting like this is 2006 and your PCP knows your name. Completely different ballgame.

@Joshuabrowder It's funny how many docs are in the replies saying this doesn't address the root cause for physician capacity. Folks, patients DO NOT care. They want access and will seek it out where possible and yes that means from AIs if price + ease of use are competitive with current state:

My wife asked to schedule an appointment with her PCP and got a slot in March...2027.

@ottosipe All youths shall be cast to sea until they acquire problem solving skills and knowledge of how to tie a bowline under duress.

You learn a lot about yourself at sea. Last week I spent 90 hours aboard a 44-foot sailboat for a 600 mile race around the Caribbean. Sleep is the hardest part, especially when operating at the edge of physical and mental limits. For me, offshore sailing has always yielded some potent parallels to company building and leadership back on land. Lots of differences too. Startups are iterative games, with lots of flexibility to recover form mistakes. We all have time to sleep and take weekends off. While we can change the crew if things aren't right, team is everything. Winning is ephemeral, yet finishing a race can feel impossible. Quitting and sailing back to the dock is even harder. The only way is forward. The coolest lesson from this race: One boat capsized in the night, and another stopped to pickup the crew. That rescue boat went on to WIN their class. How classy is that?