Tim Fitzpatrick

One key reason why healthcare technologies like AI, telemedicine, and software haven't structurally lowered costs or broadened access for the entire system after decades of experimentation (excluding pure financial engineering of payer contracts) is the limited reimagining of care delivery itself, with asynchronous telemedicine as a notable exception. In the same way that digitizing physical paper failed to exploit the capabilities of a new computing medium for word processing, hosting physician-patient conversations over video does not transform the actual delivery of care. In telemedicine, many of the inputs (e.g., clinician time) and therefore cost structures of in-person care persist, which is why we often see fee-for-service telemedicine companies struggle to achieve economies of scale (i.e., growing revenues non-linearly while growing costs linearly). Until we deconstruct the components of a medical appointment – from intake and triage, to chart review, history gathering, physical examination, diagnosis, treatment, and follow-up – we will continue to be underwhelmed by the disconnect between the transformative potential of these technologies and real-world patient/system impact. I’m optimistic that the emergence of reliable and performant medical AI agents will urge us to perform this deconstruction and redesign the fundamental building blocks of a “medical appointment.”

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Here's another fundraising roundup spotted in the healthcare wilds 👀 🍃 ✅ Sword Health raised $130M (new valuation: $3B). ✅ Better Health raised $14M to deploy expanded payer partnerships. ✅ Alzheon, Inc. | Preserving Future Memories raised $100M Series E to advance development & commercialization of its Alzheimer’s treatment. ✅ CinRx Pharma raised $73M to continue its ‘Hub and Spoke’ model of startup formation. ✅ Eko Health raised $41M to scale AI-driven heart and lung disease detection. ✅ Anterior (formerly Co:Helm) secured a $20M Series A to unlock admin efficiencies for healthcare payers. ✅ SamaCare raised a $17M Series B to scale specialty drug prior authorization platform. ✅ Plenful secured a $17M Series A to streamline pharmacy operations with AI-powered workflow automation. ✅ Grayce raised a $10.4M Series A led by Maveron amid a caregiving crisis. ✅ Stitch Employment Services Inc PEO raised $8.75M in seed to support independent medical practices. ✅ Posterity Health secured $6M to fund expansion and technology acceleration. ✅ Sware raised $6M to accelerate life sciences innovation by automating FDA-mandated software validation. ✅ Keragon raised $3M, as announced in @Conno Christou’s LinkedIn post. As always, if I missed you, let me know! Each week I'm spotlighting an innovative healthcare startup. I just ask for a bit more transparency. All submissions are confidential; submit yours here 👇 https://lnkd.in/gF4DrAvJ Looking for more fundraising roundups, alongside healthcare industry news and analysis? Subscribe to Hospitalogy, my 2x/week newsletter. Join 33K+ other investors, executives, and healthcare professionals: https://lnkd.in/g-nfRqW6

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Investing in companies that fill needs for health systems is a growth opportunity for both delivery organizations and start ups. Some systems are jumping in on their own, while others are partnering with like minded systems or with established VC firms. While this is a relatively new trend for systems, health plans have been making similar bets for many years. The benefits of becoming a health system portfolio company can be significant. Data, access to beta populations and real world coaching can be extremely beneficial. Start ups get mentoring and systems have to ability to leverage outside resources to solve relevant business problems. I predict a booming business!

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🚨 Attention all Health Tech Founders, Product Leaders, and Investors! 🚨 ​ The ZIRP era is long gone. ​ Growing revenue and attracting investment in healthcare has shifted dramatically. The new currency for healthcare product companies is undeniable proof that your product delivers results. So what should every healthcare product company have on their roadmap? ​ 𝐆𝐞𝐧𝐞𝐫𝐚𝐭𝐢𝐧𝐠 𝐞𝐯𝐢𝐝𝐞𝐧𝐜𝐞 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐯𝐚𝐥𝐢𝐝𝐚𝐭𝐢𝐨𝐧 𝐨𝐫 𝐜𝐥𝐢𝐧𝐢𝐜𝐚𝐥 𝐭𝐫𝐢𝐚𝐥𝐬. ​ The problem is that this process has previously been super confusing to understand. If you wing it, it’s costly to execute. And usually it’s usually explained in a way that's dry and overly academic. ​ We believe generating evidence is so important for healthcare companies that we have boiled down the 80/20 of what you need to know, into a highly actionable 1-hour workshop called ​ 𝐒𝐚𝐥𝐞𝐬-𝐅𝐨𝐜𝐮𝐬𝐞𝐝 𝐂𝐥𝐢𝐧𝐢𝐜𝐚𝐥 𝐒𝐭𝐮𝐝𝐢𝐞𝐬 ​ 🔬 This workshop will teach you: How to generate the RIGHT type of evidence How to do it COST-EFFECTIVELY How to leverage this evidence to boost your revenue ​ 🎤 Leading the workshop is 𝐃𝐫. Ben Rosner, MD, PhD—a luminary in digital health research who has successfully applied these strategies in real-world product companies. Dr. Rosner not only understands the science but also the practical business implications, making him the perfect guide. ​ 💡Don't miss this opportunity to learn how to generate evidence that creates revenue. 📆 Date: May 2, 2024 ​ ​ Time: 3PM ET💡 ​ Spaces are limited, Get your spot today 👇🏻

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According to the latest report from Rock Health, digital health funding in Q1 2024 totaled $2.7B across 133 deals, with an average deal size of $20.6M. It doesn’t break out device-related investments, but most medtech founders I meet these days are being forced to chase tiny rounds made up of endless little checks, consuming valuable energy and slowing their progress. The benign neglect of this next generation of diagnostic and therapeutic devices is counterproductive and surprising. Given the crowded virtual care market, for example, I’d expect more such companies would be exploring medtech partnerships, investments or acquisitions that'd enable them to back integrate into delivering sharper, and more differentiated, care and treatment. This is exactly what Maverix Medical is doing from the other direction: Reshaping the entire spectrum of lung cancer care by integrating more advanced + effective approaches to screening and diagnosis, treatment and therapeutics, and even palliative care…And putting it all to work through an innovative provider network. One notable investor exception is Y Combinator partner Surbhi Sarna who’s been backing great teams like Selera Medical (YC W24) doing foundational work on ambitious medical devices. Without more support from investors like her, we’re going to increasingly find ourselves stuck with the incremental portfolio improvements from the incumbents, and that’s just not nearly enough.

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Why Physicians Should Consider Investing in HealthTech Venture Funds As a physician deeply entrenched in the world of healthcare, I've observed firsthand the transformative impact of technology on our industry. From telemedicine to AI-driven diagnostics, the pace of innovation is staggering—and it’s only accelerating. Today, I want to share why we, as physicians, should consider investing in HealthTech venture funds 👇 - Driving Innovation: By investing in HealthTech funds, we're not just placing capital; we're actively propelling the future of medicine. Our investment helps fund the technologies that could one day revolutionize patient care and our daily medical practices. - Insider Expertise: Who better to understand the potential of a new medical technology than those of us in the field? Our clinical experience enables us to assess the feasibility and potential impact of innovations, making us well-suited to make informed investment decisions. - Spreading Impact Beyond Practice: While we impact lives daily through direct patient care, investing in a HealthTech fund allows us to extend our influence by supporting solutions that reach a global patient base, potentially benefiting millions. - Financial Returns: HealthTech is one of the fastest-growing sectors, and investing in this area offers a valuable opportunity for substantial financial returns. Diversifying our portfolios beyond traditional stocks and real estate into venture funds can offer a unique balance of risk and reward. - Personal and Professional Growth: Engaging with the startup and tech ecosystem exposes us to new ideas and business strategies, broadening our horizons beyond clinical practice. This can lead to professional growth and networking opportunities that may not otherwise arise. I encourage my fellow healthcare professionals to look into HealthTech venture funds as a way to participate in the broader spectrum of healthcare innovation. Our expertise and capital can play a crucial role in shaping the future of the industry. ---- To join our vibrant community of 2,000+ healthtech experts and thought leaders, click the link in my profile bio.

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🚀DEMO DAY is coming soon! Want to come see what our founders are working on?🎉 Cohort 10 of the What If Fellowship is coming to an end May 17th! We will be showcasing 21 #digitalhealth startups at the earliest stages during demo day! We would love for you to attend. If you'd like to receive an invite, just fill out the typeform below. Who should attend❓ 1) Investors - those looking to invest in healthcare startups 2) Strategic partners / advisors - those who want to advise, help, or partner with digital health startups Demo Day will take place on May 17th at Noon ET remotely via Zoom webinar. We have limited spots, so please sign-up soon if you want to see what our #founders have been working on for the last 2 months! Attendees will see 21 healthcare #startups pitch for 3 minutes each and answer a few investor questions live in front of our audience. This is a great chance to find investment opportunities, and learn more about what the earliest of companies in our space are working on. This is about more than money - some of our founders need advice, advisors, Board members, co-founders and more. So come look for your opportunity to get plugged into the mental health hashtag #startup ecosystem with one of these early stage companies. One thing to point out - we highly encourage investors to attend, and pursue investing directly in these companies. We will NOT stand in the way nor require anyone to invest through What If Ventures to get access to any of these companies. So, please don't feel like we're trying to recruit you to give us money! Sign-up to attend demo day: https://lnkd.in/gEFt5YrY

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What is one of the country's leading safety net health systems focused on right now? Gabriel M. Cohen MD, CMIO for Population Health at NYC Health + Hospitals shared his perspective with us in this week's 𝘌𝘹𝘦𝘤𝘶𝘵𝘪𝘷𝘦 𝘐𝘯𝘴𝘪𝘨𝘩𝘵𝘴: 𝗪𝗵𝗮𝘁 𝗮𝗿𝗲 𝘆𝗼𝘂𝗿 𝘀𝘁𝗿𝗮𝘁𝗲𝗴𝗶𝗰 𝗽𝗿𝗶𝗼𝗿𝗶𝘁𝗶𝗲𝘀 𝗳𝗼𝗿 𝟮𝟬𝟮𝟰? 1️⃣ Patient engagement – leveraging omnichannel communication to efficiently close care gaps 2️⃣ Interoperability – putting usable data in front of our clinicians at the point of care to support care gap closure 3️⃣ Care coordination – building the tech infrastructure for our social workers, community health workers, and care managers 4️⃣ Care infrastructure for asylum-seeking and incarcerated patient populations – multiple initiatives, with a particular focus on providing housing for homeless populations 𝗪𝗵𝗮𝘁’𝘀 𝗮 𝗿𝗲𝗰𝗲𝗻𝘁 𝘃𝗲𝗻𝗱𝗼𝗿 𝘀𝘂𝗰𝗰𝗲𝘀𝘀 𝘀𝘁𝗼𝗿𝘆? Our partnership with Findhelp. Addressing health-related social needs is a critical priority for NYC H+H Our organization already has a high penetration of social needs screening, so our focus today is connecting patients with the right resources to address the identified disparities. Findhelp helps us with this by: • Ingesting the health-related social needs screening data • Identifying those patients who have a need • Locating the best local resource(s) for that patient • Connecting the patient to the resource(s) • Facilitating end-to-end communication, including informing the physician and care team whether the patient accessed the resource(s) Key to this initiative's success has been its tight integration with our current workflows in Epic, to the point that it should largely feel seamless for our clinicians. 𝗪𝗵𝗮𝘁 𝗮𝗿𝗲 𝘆𝗼𝘂 𝗳𝗼𝗰𝘂𝘀𝗲𝗱 𝗼𝗻 𝘄𝗶𝘁𝗵 𝗿𝗲𝗴𝗮𝗿𝗱 𝘁𝗼 𝗔𝗜? As a safety net health system, NYC H+H’s priority is to ensure that the AI tools and models we employ can sufficiently manage potential bias. We’re currently prioritizing governance-related workstreams (e.g. governance councils, frameworks, and processes) that will drive a safety net health system playbook for appropriately evaluating and managing AI. The specific AI use cases we're currently prioritizing include: • Chart summarization • Inbasket management Other future areas of exploration: billing automation and radiology automation — For more insight from leading health IT execs, as well as Elion's latest research and can’t miss industry news, subscribe to our newsletter 📬 👉 https://bit.ly/49z6AUW

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I used to spend 2-3 hours daily on clinic notes, skeptical of AI scribe technology. However, I've been impressed with RevMaxx, a generative AI company transforming clinical note creation by listening to physician-patient conversations and automatically generating comprehensive notes. This platform accurately captures crucial ICD-10 codes, saving valuable time ⏰. 👉 Why This Matters: - **Reducing Physician Burnout:** Administrative tasks are a significant contributor to physician burnout. Innovations like RevMaxx alleviate this burden effectively. #HealthcareInnovation #AI #PhysicianBurnout #MedicalDocumentation #HealthTech #RevMaxx

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As the discourse shifts from models to compound AI systems / agents, we need better AI benchmarks to evaluate multi-modal and multi-step task performance, especially in healthcare and life sciences. When we wrote the first paper demonstrating ChatGPT's performance on the USMLE, we chose the US Medical Licensing Exam as a benchmark for accessibility, speed, and ease. This benchmark was never intended to represent AI model performance on real-world clinical tasks. Today, I still see so many research teams and startups using benchmarks (like the USMLE) that are ill-fitted for assessing the true clinical or scientific performance and utility of the models they are developing for real-world contexts. Benchmark development may be seen as a "less sexy" area of research, but it is of paramount importance. Years after the rise of the transformer, we still lack adequate benchmarks for so many single-step tasks in biomedicine. With compound AI systems (i.e., architectures that integrate multiple AI models to perform complex tasks) emerging, we need new benchmarks for agentic behaviors. I'd argue that developing an agent with novel capabilities without at least proposing a companion benchmark (if an industry standard does not yet exist) may hinder the adoption of said agent, especially for high-stakes workflows. Designing more benchmarks that capture/simulate real-world clinical and scientific workflows will help us mitigate the major discrepancies observed between in silico and in vivo performance and better support safe + effective deployment of AI in biomedicine. There are already brilliant people focused here, and we need more. DMs are open if you're researching or working in this area of multi-step/multi-modal benchmarking in healthcare and life sciences! #healthcare #ai #artificialintelligence #generativeai

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Today’s healthcare policymakers are focused on their favorite boogeymen: physician compensation, biopharma, and new medical technologies. The real villains are ‘benefit managers’ and administrators’ who lurk in the shadows extracting 25 cents of every healthcare dollar. The reality is, in fact, in plain view if you look: administrators have grown 3200% while physicians have grown 200% over the last two decades; physician compensation is down, net of inflation. Admin comp is up, way up. PBM (pharmacy ‘benefit’ ‘management’) revenue has outstripped Pharma revenue growth in the last 20 years. Pharma extends life and improves quality of life, and extends working lives of taxpayers. PBMs - who knows… People grasp onto things they understand like doctors and drug companies. ‘Administrators’, ACOs, VBC, VBC, PBMs, spread pricing are more challenging to grasp and are allowed to obsfucate people about what they do from the shadows. America’s healthcare landscape is burdened by ‘administrators’ and ‘managers’ who extract rents from an otherwise highly innovative system. https://lnkd.in/gK3mCme4 https://lnkd.in/gPC9vKB9 DocVader puts it aptly: ‘thoughts and prayers’ https://lnkd.in/gUfnSXGV Technology is one answer. Physician and nurse leaders are another. If your company is about literally decimating administrative costs in the back office or front office of healthcare, I applaud you. As Americans we need this. Return care to the people and shrink administration and management bloat across the system. Medicare deserves this and so do the commercially ‘insured’.

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The healthcare landscape is rapidly evolving, driven by advancements in technology and a deeper understanding of patient care. I had the pleasure of speaking with Ambar Bhattacharyya, Co-Managing Partner at Maverick Ventures, on the latest episode of The Full Ratchet. Ambar has partnered with numerous billion-dollar companies like hims & hers, Cityblock Health, Devoted Health, and ConcertAI. His unique journey from rural America to becoming a prominent figure in venture capital offers invaluable insights into the future of healthcare and technology. We discuss his investment strategy at Maverick Ventures, the megatrends shaping healthcare, the impact of AI on the industry, and the importance of integrated care. Ambar also shares his thoughts on the challenges and opportunities in healthcare investment, offering a comprehensive view of what lies ahead. Check out TFR Episode 438 to catch our conversation. You'll be glad you listened.

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🎙️ Thrilled to share that V. Tyrone Lam, COO of GATC Health, was recently featured on the Innovation Wave Podcast! In this insightful 20’ episode with Bob McGriff and me, Ty delves into how AI-driven predictive analytics can transform our approach to disease treatment, making it more proactive and less risky. He shared compelling insights on the future of healthcare and how predictive tools can lead to earlier interventions and better patient outcomes. A must-listen for anyone interested in the cutting-edge of medical technology and AI! 👉 Check out the episode to learn more about Tyrone's vision and GATC Health's pioneering work in this exciting field. Let's discuss how these innovations are reshaping the landscape of healthcare! #HealthTech #AI #PredictiveAnalytics #Innovation

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Digital Health: Countervailing Forces… Consider this: over the past five years nearly $78 billion has been invested in digital health companies and yet just this past year over 20 million Americans were taken off the Medicaid rolls. Certain policy changes can be very damaging, to say nothing of other human-induced factors like pollution, climate change, wars, inadequate housing and education, and hunger which have staggering implications on health. At times it can feel like bailing water out of a sinking ship.    The overall venture capital activity in 1Q24 was a relatively muted $36.6 billion across 2,882 companies for an average round size of $12.7 million, as compared to $51.6 billion and 4,026 companies in 1Q23. Notwithstanding that the level of investment activity in the healthcare technology sector has receded from the $30 billion highwater mark in 2021 to a more manageable $10 – $12 billion annual pace, the opportunities to “transform the business of healthcare” remain obvious and acute. Arguably, the 2021 hangover still lingers in the healthcare technology sector as companies that raised too much capital at too high a price work to sort out challenging cap tables. Out of the 2021 mosh pit of too many companies, it appears that the sector is in an “Emerging Winners” phase that will drive companies with narrow and/or incomplete offerings to combine or shut down.   Thoughts on what to expect for the remainder of the year… https://lnkd.in/egy7Afhg Flare Capital Partners #digitalhealth

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Exciting news from Monica Chopra, Jeffrey De Flavio, MD, Samantha Adelberg, and the rest of the Auxa Health team as they officially announce their $5.2M Seed round. The team's deep industry expertise and drive for change have led them to solve critical infrastructural friction to providing quality healthcare and adoption of value-based care. Auxa's AI benefit navigation platform is simplifying the complexities of healthcare by streamlining all of the fragmented and siloed data and information to make it actionable in real-time for healthcare organizations. For the 70% of Americans who aren't getting access to the health and social care benefits they deserve, Auxa's solution will be pivotal in enabling equitable care. We're thrilled to partner with co-investors Zeal Capital Partners, AlleyCorp, Laconia, and Chaac Ventures on this journey and look to share many more milestones ahead. Cc K50 Ventures, Ryan Bloomer, Daniel Vásquez, Nick Talwar, Stefanie Ng https://lnkd.in/dPDY7-Db

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LSI, BioscienceLA, #LAMedtechweek, and HLTH's #VIVE2024 event resulted in the latest GTM Pulse Check offering which has successfully taken off! As a result, I am continuing on last week's series of go-to-market tactics. Crafting a robust marketing plan is essential for medical device companies to thrive in today's world. By leveraging these outlined sections, organizations can optimize their marketing strategies and drive meaningful impact.This post takes a step back to outline the sections of a marketing plan. Read on 👇🏼 Looking for support in creating your marketing plan?  Let’s chat! Book here 👉🏼 https://lnkd.in/g92YA9WK _____ P.S. Enjoying my content? ⚕️Follow me for more tips on medical device commercialization and repost to share with your network. #medtech #gotomarket #medicaldevices #healthcareinnovation

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Couple of weeks ago had the pleasure of sharing my story to Alexander Benkendorf about starting CastPrint and later moving on to join Verge HealthTech Fund and the learning along the way. Some topics we discussed: 💡What does it take to bring innvation in healthcare 💡How did my startup background help me better prepare for VC work 💡How founders can better engage with VCs and what are the tips and tricks from the "other side" Thanks Alexander for having me!

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Someone broke down the estimated costs of a $15 Sweetgreen salad. We need these cost graphics for digital health to help future founders. Especially for tech enabled cos, the greatest cost is labor. Much of the "value created" is in curation and matching, which means the gross margins are reliant on labor arbitrage. Pay someone $X, but get paid $X+Y% per visit. The challenge with healthcare is that you often have to pick one of two business models: 1. specialized, low volume, high cost, low gross margin % 2. generalized, high volume, low cost, high gross margin % I'd argue founders should focus on gross dollars over the lifetime of the customer (like Jeff Bezos said) instead of gross margin %'s, but we'll leave that for another time. The challenge is that many tech enabled digital health cos have high cost of goods sold (labor) and moderately high product, design, and engineering budgets. We must build differentiated solutions for patients, clinicians, and clients to be out incumbents, however, we're realizing that companies are ultimately valued on the discounted value of future cash flows. And the high SG&A costs at most organizations might be inbalanced to the unit economics of the business. I'm not sure the math pencils out for everyone unfortunately. But I'm just a guy on the internet, would love to hear the thoughts from those smarter than I (you!). Comment below. --- p.s. I have no idea the accuracy of the graphic and not an investor in Sweetgreen. Cheers. Credit: David Crowther

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🚀 𝐔𝐧𝐥𝐨𝐜𝐤 𝐒𝐭𝐚𝐫𝐭��𝐩 𝐒𝐮𝐜𝐜𝐞𝐬𝐬 𝐰𝐢𝐭𝐡 𝐔𝐫𝐢 𝐋𝐞𝐯𝐢𝐧𝐞’𝐬 𝐈𝐧𝐬𝐢𝐠𝐡𝐭𝐬! 🚀 Uri Levine, co-founder of Waze and Moovit, shares invaluable lessons in his book “𝘍𝘢𝘭𝘭 𝘪𝘯 𝘓𝘰𝘷𝘦 𝘸𝘪𝘵𝘩 𝘵𝘩𝘦 𝘗𝘳𝘰𝘣𝘭𝘦𝘮, 𝘕𝘰𝘵 𝘵𝘩𝘦 𝘚𝘰𝘭𝘶𝘵𝘪𝘰𝘯.” Key takeaways include the importance of passionately embracing the problem you’re solving, the necessity of customer retention as a marker of product-market fit, and the strategic use of pitch deck slides. He also emphasises the significance of hiring and firing correctly and observing user behaviour to refine your product. These principles can transform your startup journey, ensuring resilience and growth. 🌟 #StartupSuccess #Entrepreneurship #ProductMarketFit #Innovation

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