Dan McCoy, MD

one reused password no MFA on a citrix portal 9 days of free roam in the network $2.5 billion in damages 192 million americans exposed if you're a doctor juggling 47 logins this one's for you youtu.be/N62kieISWiI

@adahstwt Claude exclusively

be honest, which AI model are you building with most? - GPT - Claude - Gemini - DeepSeek

@mark_k This is just a great question and something we talked about this week on a podcast: what will be the physician liability if THEY DON'T utilize AI tools in the future?

If an AI doctor becomes better than most human doctors at diagnosis, should physicians be legally required to consult it before major decisions? Or would that quietly turn medicine from clinical judgment into liability management? 🩺⚖️

Brand meds sell at list price, then the supply chain adds markups. Same pattern with hospitals - they set prices, insurers pass them through. Both are cost problems at the source. Both have middle-chain markups. The difference: you're disrupting pharma distribution with Cost Plus. Who's doing that for hospital prices? Price transparency data shows 300-500% variation for the same procedure in the same city. That's the bigger dollar problem for employers. I'd love it if you would expand CostPlus to hospitals!

@docdano That’s not accurate. Why is it that brand meds sell to distributors , that control 90 pct of the market , at list price ?

Everything in the hospital could cost $1, and the insurance companies conglomerates would buy them, raise prices, and make sure their top and bottom lines grew I'm not saying hospital systems are innocent, far from it. But the big vertically integrated insurance companies create the annual plans that crush people's financial situation

new ignition episode target's pregnancy algorithm was a 12-year preview of how healthcare AI is going to work for the rest of our lives and almost nobody is framing it correctly on the podcast: buzzsprout.com/2599894/episod…

genuinely cannot stop thinking about this one your smartwatch can detect cognitive decline 6-12 months before you can. atrial fibrillation days early. depression weeks ahead of clinical scoring. the science is settled the actually hard question is who gets to see the model output wrote it up: open.substack.com/pub/danmccoymd…

@TheAhmadOsman It all demands on your depreciation schedule whether you “make money” or not. And, what are you using the inference for. So much gripe about Anthropic pricing on here, but the delta between client pricing and local LM cost is huge. That is why we do it. Better margins.

To be clear You don’t save money when your run AI locally That’s not the point

target's pregnancy prediction algorithm from 2012 needed 25 features to know a teenager was pregnant before her dad did your phone broadcasts 200-400 health-adjacent signals an hour now a modern version needs maybe 6 this is the healthcare AI story nobody's telling correctly youtu.be/LbE6TbGIzIY

@theo Didn’t hit my limit all day

Resubbed at the $100 tier to try 4.8 and the new "ultracode" feature. I hit my limits in a single prompt.

ibm burned $4b on watson health. it recommended cancer treatments that would have hurt patients the new wave of "ai-first" healthcare companies is dodging this by attacking admin instead of clinical. for now podcast: buzzsprout.com/2599894/episod…

most "ai decision support" in healthcare is just ai making the decision and the doctor signing the order wrote about what real decision support looks like (and why almost nobody is shipping it): danmccoymd.substack.com/p/the-part-of-…

@mcuban Retained earnings and cash reserves are up and community benefit is down. That is the financial model of non-profit hospitals

First step is to require any hospitals that enjoy Non Profit Tax Benefits, to publish monthly all of their actual General Ledger transactions and invoices. You are non profit. You are being subsidized and often funded by taxpayers. We are your stakeholders, along with patients. There ain't a damn economic thing that you can't show. And no, Medicare Cost Reports are not comprehensive accounting reports.. They are pretty much useless for this. Second step is to make all NDAs and Confidentiality Agreements for any financial healthcare agreement, illegal It's beyond insane that US Senators, and POTUS, can't see what the federal government is paying for medications being provided through TriCare. With these sources of data, then, and pretty much only then, could proponents of M4A begin to figure out a plan

@mcuban if we pretend the main problem isn’t profit‑driven “non-profit” hospitals and PE ownership extracting monopoly rents from patients and employers, we’re fighting the war from the wrong flank

Call your senator and ask them to support this. Unless of course you think healthcare and insurance in this country are perfect

a health insurance company called decent runs on 9 people. total. nine humans, the rest is ai broke down what these "ai-first" healthcare companies are actually doing: youtu.be/9fHKQqm15qo

DeepSeek V4 is 96% cheaper than Western frontier models that's not a typo. NINETY SIX PERCENT. health systems ruled out ambient docs + pop health AI on cost 2 years ago even with a no-china policy, the price floor for US models is now set by deepseek time to re-run the math blog.mean.ceo/ai-product-lau…

Anthropic just hit B ARR B to B in four months 500+ companies spending >M annually healthcare is in the top 3 verticals thenewstack.io/openai-microso…

Colorado AI Act goes live June 30 first state to require risk assessments + consumer notice for AI in 'consequential decisions' that explicitly includes healthcare if your UM or denial management AI touches a Colorado member, the disclosure clock starts in 37 days 37. days. drata.com/blog/artificia…

@tibo_maker p-max plus tiktok ads has been our biggest win in 2026 TT drives top of funnel and once p-max gets conversion data you can just scale both platforms. so far it has been a winning combo but time will tell

i had a weird realization recently over the last 3-6 months, i worked with multiple ads experts all smart people they built proper setups segmented campaigns retargeting audiences manual structures all the things you’re supposed to do and then google p-max beat all of them i think that’s where ads are going google already has more data than you and it can test more combinations than any human can what you can still do: better offer better creative better landing page better tracking more A/B testing

@SPloskov89589 @tibo_maker you nailed it here. we are doing the same getting hyperfocused on creatives and offers

@tibo_maker I've worked with Google Ads for about 10 years and thats exactly what I've been seeing. Not all the time but most of the time. Creatives are getting more relevant as well, search impact is pretty low compares to two years ago