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Life update: I’m looking for what’s next for me. Let’s talk!

For the last 15 years of my life, I’ve been living a dream I could have never predicted. I started out building a primary care practice to literally just get my first patient and, eventually, I ended up building services that are now responsible for managing hundreds of thousands of primary care patients for employees of companies like Apple, Facebook, Amazon, Microsoft, etc.. I’m so … Continue reading Life update: I’m looking for what’s next for me. Let’s talk!

Focusing on heavy users of healthcare is the wrong way to control costs.

We always hear that 5% of people consume 50% of a population’s health spending. I call this group “The Five Percenters.” This is the reason why there are initiatives worth hundreds of billions of dollars— things like Medicare Advantage— and the subsequent rush of billions of VC money into that crowded space. The thinking is the 5% cohort are heavy users and designing for this … Continue reading Focusing on heavy users of healthcare is the wrong way to control costs.

What is the role of telehealth at this stage of the COVID-19 pandemic?

To officially diagnose COVID-19, a physical test must be performed. Here’s what telehealth should be able to do: ‪1: Establish pre-test probability of disease from patient self-reported symptoms. ‪2: Based on symptoms, communicate to the patient detailed next steps and exactly where to go and what to do. 3: Connect pre-test probability with actual test results. 4: Maintain a relationship with the patient throughout the … Continue reading What is the role of telehealth at this stage of the COVID-19 pandemic?

Health conditions should be project managed.

Say you take a new job and on the first day they present their company’s rules to you: No email can be used No Slack  No team collaboration tools like Google docs  No project management tools like Asana or Monday or Productboard. The only way to communicate with your new colleagues is via scheduled 10 minute one-on-one oral conversations either in a meeting room or … Continue reading Health conditions should be project managed.

Telehealth is a feature, not a company

Urgent care and telehealth exist because PCPs made themselves inaccessible. Both urgent care and telehealth are symptoms of dysfunction. Healthcare, at its core, is just communication. Now that humans communicate with far more modalities than just in-person meetings, why should some doctors say “I only talk with you via a quick video chat and you can’t ever talk to me again” and others say “I … Continue reading Telehealth is a feature, not a company

Sherpaa + Crossover Health

Sherpaa launched on February 7, 2012. And on February 7, 2019 Crossover Health acquired Sherpaa. I’ve joined Crossover to lead the development of our platform. And our doctors will continue to deliver the same level of care our Members have come to expect. Today is the dawn of a new era in healthcare. And we’re chomping at the bits to show you an entirely new care … Continue reading Sherpaa + Crossover Health

Better, faster, cheaper— but for whom?

Today’s tech, by nature, is designed to optimize a user’s experience, streamline processes, and do it as inexpensively as possible. Lyft, Uber, Airbnb, you name it. That’s the point of technology. Tech has revolutionized the world because a user cares about these things and entrepreneurs can now easily build services that unlock whole new ways of doing things. So, what does this mean for healthcare? … Continue reading Better, faster, cheaper— but for whom?