Brijesh Patel @brijeshpatel
Entrepreneur | Coder - Always in beta inquisithealth.com New Jersey Joined March 2009-
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i know im not supposed to brag about openai, but the talent density at this scale (375 people) is 🤯 and i dont think has happened in the tech industry in recent memory
Most modern tools for thought were made by people deeply involved with that domain's problems (NLS, email, Smalltalk, Bravo, Mathematica, WWW). More on why: numinous.productions/ttft/#serious-… Collecting counter-examples made by people working closely with others doing serious domain work:
AI is such a rapidly growing field I think we forget how juvenile it was within recent memory; back in 2014 received wisdom was basic computer vision was an impossible task. Now it's a commodity deployed to users on their phones. (Has issues, e.g bias, but still... wild)
This is what effective science communication looks like: 1. We're building up a massive blanket of pollution that's overheating our planet. 2. It's causing extreme weather and hurting the people and things we love. 3. We did this and we can fix it. ted.com/talks/john_mar…
In too many meetings, great ideas get overlooked because people fail to support them. New data: amplifying others' ideas helps them get heard... and makes you look good. One of the best ways to elevate the group—and earn respect—is to champion voices that aren't being valued.
I would probably worry more about general AI if I had any idea what its effects would be, but it's hard to worry about something unimaginable. Unimaginable and inevitable is a pretty weird combination.
AI is going to change a lot of things. The world is going to get phenomenally wealthy. I wrote about what I think will happen, and an idea for how we could change our economic system in light of it: moores.samaltman.com
Sheryl was a demanding boss who held me to a high standard. She got upset when I failed & pushed me to step up my game. And she celebrated my successes. She always had my back, I knew she would fight to the death for me, and I could always trust her. She taught me to be a leader.
A great line from @stratechery today in the context of Roblox: "a prerequisite for digital transformation is the commodification and standardization of content." Making me wonder how far away is healthcare from this moment, or are we nearly there?
When people hesitate to give honest feedback on an idea, draft, or performance, I ask for a 0-10 score. No one ever says 10. Then I ask how I can get closer to a 10. It motivates them to start coaching me—and motivates me to be coachable. I want to learn how to close the gap.
7/ "With the newco's moving in to own the provider stack, PPO network arrangements will be extinct in 10 years." I don't think PPOs will be extinct, but I do think traditional insurers are in for a reckoning that they won't necessarily be able to acquire their way out of.
6/ "I would have never hired a career consultant to do tactical execution of innovation. There are immense empathy and operational requirements. They talk a big game but all they deliver is talks. And yet the board loves them." 💯
5/ "Payers' lunches are about to be eaten by @Collective @OscarHealth. I'm very bullish on what these younger insurance companies are doing." Tension between product and clinical teams at newcos creates productive tension. Incumbents don't know how to develop product capability.
4/ "The other leaders all have SOS (shiny object syndrome) and are focused on a lot of propaganda from digital health rather than substance." I've seen this at this company as well as other large insurers and employers as well. Lack of clinician-leader involvement often to blame.
3/ "I was so fascinated to get there a few years ago because they had [redacted] million lives but was so disappointed with how little they are doing. All I get back is a lot of no's to doing meaningful innovation."
2/ "No one has any idea of how to do innovation. They have no understanding of tactical care delivery. The closest to innovation is tiering their networks." This isn't generalizable to all publicly traded health insurers, but is consistent w/ my experience with this company.
1/ Had conversation with a senior exec at publicly traded health insurance company who had some scathing insights about future of the industry from working at his company for the last several years. Bottomline: new-entrant tech-enabled insurers are going to each incumbents' lunch
You know it's a good covid day when..... 1. Vaccinees can hug each other, unmasked, blessed by CDC 2. The descent in cases continues despite looming threat of B.1.1.7 strain 3. More data keeps coming out on vaccines overriding immune evasion property of the variants
Yesterday a record million-year old mammoth genome was reported. Today Perservance landed on Mars. Science rules.

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