Ops I did it again by Out of Pocket

Grant Veldhuis (software engineer at Thatch, former Ribbon Health) and Misha Nasrollahzadeh (co-founder and CEO of Joyce Health, formerly Castlight Health and Ribbon Health) have both spent significant stretches of their careers trying to solve this. They walk through what they've learned, where they've hit walls, and what they'd do differently. What we cover - A working definition of Provider Dir...

What we cover Risk stratification is ranking patients by probability of an adverse outcome. Traditional indices like the Charlson Comorbidity Index use clinician-designed scoring systems; ML-based approaches automate feature generation and let the model surface correlations that a heuristic would miss. The tradeoff is interpretability: with tens of thousands of computations per prediction, explain...

What we cover Your hardware margin is grocery-store thin. Founders coming from software expect 80% margins. Hardware is more like 5%. Grocery stores run at 3%. Getting to even nominally profitable meant Emme flipping its model entirely: give the case as a loss leader, sell the app. CAC went from ~$400 to ~$25 Civil engineers take an oath, why not software engineers? Civil engineers are personally...

What we cover Start with brokers, not against them. The typical "tech disruption" approach frames brokers as rent-seeking middlemen.  Nick's counterargument:  Brokers fill a trust role that no website can replicate They touch roughly 70% of small-to-mid-size business health plan sales They will pick up the phone (how many millennials and Gen Zers can say that? Certainly not I) Brokers will also te...

The episode moves through three connected ideas. First: clinical trials have a UX problem. One in five trials recruits zero patients. Half under-recruit. Paul's early work was understanding why – and fixing it. The answer was almost never the science. It was that patients had no parking, caregivers had no wifi (or babysitting!), and the protocol assumed everyone could get to Mass General by 9 AM o...

In this episode of Ops I Did It Again, Michael Rado (aka Rado), Co-Founder and CPO at Photon Health joins the thinksquad aka Danielle and Nikhil to break down how they built and scaled products to support over 20,000 e-prescriptions a month. Rado shows a live demo of their build (on YouTube version) and candidly shares his learnings on how to scale with optimization and automation in mind.  This e...

On this episode of Ops I Did it Again, Rahul Agarwal (COO of Medplum) joins Danielle to share his digital health operations playbook. The “hero’s journey” playbook breaks down pro tips and gotchas throughout every stage of scale: from pre-seed all the way to scaling to 50 states. If you are building a clinical workforce, scaling your digital health operations or looking into the future on how you...

In this episode of Ops I Did It Again, Kerem Ozkay (Chief Operating Officer) and Ayo Omojola (Chief Product Officer) from Carbon Health join the thinksquad aka Danielle and Nikhil, to discuss how they designed and deployed product solutions. They breakdown real examples of AI tools to enhance operations, strategies for patient care, and unique top of funnel marketing approaches.  Later in the epis...

Nate Brown  joins the Thinksquad, aka Danielle and Nikhil, to share lessons learned from scaling a 90 person care team in 3 years at Thyme Care. We break down their organizational design, recruiting best practices (which includes lots of role play) and how to generally think through building alignment at different levels and stages of a start-ups evolution. This episode is sponsored by Out of Pock...

In this episode of Ops I Did It Again, Douglas Streat, COO of Aledade Care Solutions, joins the thinksquad, Danielle and Nikhil to unpack how they built patient engagement strategies to support over 2M patients alongside primary care practices. Doug shares his tactical advice and learnings on how to create behavior change - we also get to play a fun game during it. It’s our most tactical episode y...

This episode is sponsored by Out of Pocket, because no one is prouder of us than us: https://www.outofpocket.health/ You should also check out our courses, including ones taught by yours truly (How to Build A Healthcare Call Center and Healthcare 101): https://www.outofpocket.health/course-library ---  Hosts: Nikhil Krishnan (twitter: https://twitter.com/nikillinit ) Danielle Poreh (linkedin: http...

Matthew Woo, Co Founder and Head of Product at Summer Health joins the thinksquad, aka Danielle and Nikhil to unpack how Summer Health builds an AI first company. He breaks down how they think through operationalizing AI, instilling an AI first culture throughout their team and how you can start applying it now. This episode is sponsored by Out of Pocket , because no one is prouder than us than us...

They share their lessons learned and core principles that made the build happen so quickly. We go deeper into interview tips, building flexibility in product and frameworks to ensure alignment along the way.  This episode is sponsored by Out of Pocket, because no one is prouder than us than us: https://www.outofpocket.health/ You should also check out our courses, including ones taught by yours tr...

In this episode, he shares his clinical and operational playbook for executing on the channel effectively and even laughs at Nikhil’s jokes. We go deeper into how they measure value, track SLAs and how the channel has evolved.  For folks who are in the value based care world, looking to incorporate texting into their care model or curious about how Galileo tapped into the channel so effectively, t...

Introducing Ops I did it again, a limited series podcast by Out-of-Pocket, hosted by Danielle Poreh and Nikhil Krishnan. We interview builders in healthcare operators breaking the mold (aka solving problems all ops people are facing) First episode dropping soon! Links: Out of Pocket: https://www.outofpocket.health/ How to Build a Healthcare Call Center Course: https://www.outofpocket.health/course...