Nikhil Krishnan

It's the last week to sign up for healthcare 101, which starts next week. We'd love to see you there, you can sign up here: outofpocket.health/courses/health…

Damn so my posts are just bad, it’s not the algorithm

@KarlEtzel maybe the tech lift shouldn't be high for the average user! that part feels more solvable today

Garmin does some safety features and tracking with their Edge series of bike computers where you can connect & share with riding pals. However, the basic functionality of their connected radar (which is an awesome product when I ride alone) is already hampered in groups, so there's no way will I experiment with any higher level / more complex functionality. The reliability of basic features is always an obstacle to the fancier stuff. But you might look there for some ideas of what's being done today. I'm pretty sure you can do some virtual racing features from Strava using segments but once again, I never mess with it. I think the tech lift is high for the average user, and the serious user is too busy with an actual training program to then try to align their workout with some additional gamification.

I'm still surprised how few multiplayer modes there are with wearables. You should be able to do things with other people that wear the same wearable as you. -Have your biometrics train tamagotchis that can fight with each other -Find common stories between each other if you opt-in (places you've been, styles of workout, tell stories with the data) - Ghost racing if you're running the same route as someone - Raids: we beat a boss if we all get certain sleep scores or get our heart rates up 4x a week

@BryanChambino this is awesome - curious if you have a sense of how the threshold line has changed in terms of when they refer out now

Coming from the primary care side, we're already seeing this in our full-risk IPA. We share hospital risk-pool savings with our PCPs, so they're compensated for managing more care instead of automatically referring patients out. We've also integrated virtual specialty consults into our clinics, allowing PCPs to keep more patients in-house while still collaborating with specialists when needed. As AI continues to improve, I think internists and family physicians will be able to manage a much larger share of the routine specialty care that has traditionally generated referrals (provided they're appropriately compensated for that work). That doesn't eliminate the need for specialists, but I do think it shifts their role toward the more complex patients and procedures that truly require their expertise. IMO, if reimbursement evolves in that direction, I think the referral threshold will continue to rise.

It’ll be interesting to see what the dynamic between specialists and primary care looks like in the future On the one hand primary care docs will have specialist level expertise and might be able to do more without needing to refer out On the other hand the specialists will probably have the ability to offer more PCP like benefits/interactions with the assistance of agents

some good pieces of advice in a 90 day plan outofpocket.health/p/how-to-make-…

some great thoughts from Out-Of-Pocket readers about things to do if you're just joining a healthcare company - Go for a ride along, see patients, touch grass - Find the white space and plant your flag - Don’t walk in and start suggesting big overhauls - Get AI-pilled before “this is how we do it” sets in full post in the next tweet with examples

@clairevo I have one that looks back through meeting transcripts the last 4 days and reminds me of any follow ups I'd said I'd send that I haven't yet

If you’re an exec and can’t think of what to do/build to learn AI here’s a list - morning briefing - afternoon todo list - custom email client - exec meeting/notes processor - ai agent exec coach (review my week, give me feedback) - podcast for all things you missed in slack yesterday - custom dashboard of metrics - skill for customer email follow ups - optimize my calendar - draft board memo as html page - prototype that feature you’ve always wanted - customer success microsite for whatever account you exec sponsor - exec token leaderboard w weekly competitions - what should I tweet automation - me-as-a-skill for your team to get pre-reviews - a nicer looking headshots w image gen 2 - tell customer stories w hyperframe video - clip all hands into vertical video shorts - test your product w browser use - slack triage kanban - 10 year strategy look back via enterprise search - etc etc etc just start! What did I miss?

@benjitaylor hear me out...what if you could ONLY see the stuff your followers posted. How nuts would that be

Extremely positive response to the new 𝕏 algo. Great to see!

@keccers sorta surprised no one is trying to replicate that

living in NY

@pappageorge Good buy good buy

@nikillinit investing at 1 like

@sal_tdot The beauty of agents is they don’t need to :)

@nikillinit Specialists have no interest in providing primary care benefits :). That is why we became specialists.

If that sounds like you, we have a limited number of spots but we'd love to see you there! luma.com/qg9uvbc5

weeee are BACK with another happy hour this time in New York! Teaming up with Bunkerhill Health again, we got some fun stuff planned 👀 We're getting together a group of people that have done forward deployed engineering and implementations - it's gonna be a lot of fun

@jaredhecht fun! I did this with my parents a few years ago and it was very rewarding highly recommend x.com/nikillinit/sta…

yesterday someone signed up for biographer at 1:13pm et they discovered us through a google ad campaign within 24 hours they spoke with the biographer across 32 interviews about different life topics they now have a beautiful memoir - over 100 pages, single-spaced holy shit.

A weird part about hitting your mid 30s is going to the hospital and the attendings are younger than you Like damn…I thought you were the adult in the room

If you want to be in the room with people who want to debate these kinds of questions, knowledgefest apps are due at the end of the month Apply now, you'll forget otherwise: outofpocket.health/knowledgefest

What's a KPI at healthcare companies that's used incorrectly? This was a question we asked last year in our application for Knowledgefest, our healthcare operations conference. We got some great answers