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I’m really excited to announce something months in the making…announcing a 5 week hackathon with $250K+ in total grants and prizes!!!
Build @ Deerfield (powered by Out-Of-Pocket) is for early stage teams that want a chance at non-dilutive capital, support in building their o present what they’ve built.
You can see more details below, but in general Deerfield Management and Out-Of-Pocket are joining forces to do something big for the New York healthcare community.
We’re selecting 12-15 teams who want to build for 5 weeks. You’ll get some cash upfront to start, mentors you can access during the build-time, and then a pitch showcase and reception with the broader New York healthcare community on January 20-21, 2027 at Cure in NYC.
Judges at the showcase will pick a few winning teams to receive additional grants and prizes to continue their work. And we’ll have a really good time 🙂
Build @ Deerfield (powered by Out-Of-Pocket) is for early stage teams that want a chance at non-dilutive capital, support in building their o present what they’ve built.
You can see more details below, but in general Deerfield Management and Out-Of-Pocket are joining forces to do something big for the New York healthcare community.
We’re selecting 12-15 teams who want to build for 5 weeks. You’ll get some cash upfront to start, mentors you can access during the build-time, and then a pitch showcase and reception with the broader New York healthcare community on January 20-21, 2027 at Cure in NYC.
Judges at the showcase will pick a few winning teams to receive additional grants and prizes to continue their work. And we’ll have a really good time 🙂
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Nikhil Krishnan retweeted
@nikillinit and Out-Of-Pocket are teaming up with Deerfield to offer $250K+ in non-dilutive grants and prizes for early healthcare startups.
Interesting approach.
Give founders capital to discover whether something works before asking them to sell ownership. 💚
outofpocket.health/build-at-deerf…
Interesting approach.
Give founders capital to discover whether something works before asking them to sell ownership. 💚
outofpocket.health/build-at-deerf…
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100% best part of running Out-Of-Pocket is we get to choose all of our customers
- Everyone in our slack community is selected
- Everyone that comes to our conference has to apply and get in
- We choose the companies we want to do courses/sponsorship with since we don't have a ton of slots so we can be picky
- We pick people in our network we want to help with headhunting and curate both sides
Honestly it's what makes doing this so fun even after 6.5 years - just working with people we actually like
- Everyone in our slack community is selected
- Everyone that comes to our conference has to apply and get in
- We choose the companies we want to do courses/sponsorship with since we don't have a ton of slots so we can be picky
- We pick people in our network we want to help with headhunting and curate both sides
Honestly it's what makes doing this so fun even after 6.5 years - just working with people we actually like
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Everyone wants to build agents for hospitals, but what do they actually do?
We walk through a few end-to-end examples in the latest post like someone with a smoking history that gets a CT for a lung cancer screening where a nodule gets found.
Think about what that means for ering, submitting to registries, etc. It's a lot of clinical admin work!
We walk through a few end-to-end examples in the latest post like someone with a smoking history that gets a CT for a lung cancer screening where a nodule gets found.
Think about what that means for ering, submitting to registries, etc. It's a lot of clinical admin work!
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We also go through what Bunkerhill Health (our sponsoring partner) actually looks like under the hood.
In a pretty competitive space, they've made some pretty opinionated bets in their product/pricing:
- A credit system vs. per seat/outcomes-based pricing
- Focused on hospitals with centralized AI teams
- Believe their agent can do a wide swath of tasks well now and the hard part is setting up connectors to various systems + the harnesses that enable the agent to learn
was interesting to dive deeper into this space: outofpocket.health/p/the-race-to-…
In a pretty competitive space, they've made some pretty opinionated bets in their product/pricing:
- A credit system vs. per seat/outcomes-based pricing
- Focused on hospitals with centralized AI teams
- Believe their agent can do a wide swath of tasks well now and the hard part is setting up connectors to various systems + the harnesses that enable the agent to learn
was interesting to dive deeper into this space: outofpocket.health/p/the-race-to-…
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Older I get more I realize all relationship success (business, friend, romantic) can be boiled down to
1) compatible conflict resolution and communication styles
2) similar values around where it’s worth spending time and money
1) compatible conflict resolution and communication styles
2) similar values around where it’s worth spending time and money
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Company idea: World's Fair for healthcare
There used to be the World’s Fair which would allow people to see and experience a lot of advances in consumer technology (electronics, transportation, etc.). More recently there were the humanoid olympics in China for robots, a great eing what robots can do.
I think one of healthcare’s big issues is that people aren’t amazed and excited by healthcare technology. Have you watched a robotic surgeon do their work? Or seen what happens in the NICU to save a child? Or seen how the cutting edge physics of the MRI are used? They used to have premature babies in chicken incubators at the Coney Island fair to show how they could survive, which must have seemed amazing at the time.
There’s a big opportunity to create a new World’s Fair to show people all the advances in healthcare. Imagine seeing a person with a Neuralink implant live, or using one of these Wandercraft exoskeletons, or see a Trilobio automated lab in action, or see the internal medicine resident speedrun using dot phrases in Epic.
More than anything I think it would actually give people optimism and positivity of what’s possible in healthcare. And if you’re building robots in healthcare...that’s one of our hackathon’s request for startups.
There used to be the World’s Fair which would allow people to see and experience a lot of advances in consumer technology (electronics, transportation, etc.). More recently there were the humanoid olympics in China for robots, a great eing what robots can do.
I think one of healthcare’s big issues is that people aren’t amazed and excited by healthcare technology. Have you watched a robotic surgeon do their work? Or seen what happens in the NICU to save a child? Or seen how the cutting edge physics of the MRI are used? They used to have premature babies in chicken incubators at the Coney Island fair to show how they could survive, which must have seemed amazing at the time.
There’s a big opportunity to create a new World’s Fair to show people all the advances in healthcare. Imagine seeing a person with a Neuralink implant live, or using one of these Wandercraft exoskeletons, or see a Trilobio automated lab in action, or see the internal medicine resident speedrun using dot phrases in Epic.
More than anything I think it would actually give people optimism and positivity of what’s possible in healthcare. And if you’re building robots in healthcare...that’s one of our hackathon’s request for startups.
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Other healthcare ideas I think someone should build: outofpocket.health/p/healthcare-i…
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There's a race afoot to build AI agents for hospitals using different wedges
Tomorrow's post is going to walk through some of the tasks that an agent in a hospital is actually doing + the expansion into become more of an operating system within a hospital
When writing this it laces we are currently throwing highly trained bodies at an administrative problem. On top of that, it helps us rethink certain workflows if you imagine that every single specialist type is looking at the same picture, chart, etc.
Tomorrow's post is going to walk through some of the tasks that an agent in a hospital is actually doing + the expansion into become more of an operating system within a hospital
When writing this it laces we are currently throwing highly trained bodies at an administrative problem. On top of that, it helps us rethink certain workflows if you imagine that every single specialist type is looking at the same picture, chart, etc.
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you can sign up here to get it: outofpocket.health
we've also got some events we're announcing for healthcare people!
we've also got some events we're announcing for healthcare people!
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IMO one of the limitations of the AI literature review tools like OpenEvidence/DoxGPT, etc is that the studies they pull from are limited to text.
what if a doc wants to answer questions about a patient's rash they want to take a picture of, or video of their gait, or a datastream from their wearables? A few things this makes you realize:
1) How these data modalities basically get compressed into text for the purposes of the study, even though you actually want to see the underlying stuff
2) How infrequently this data gets captured during a patient interaction. I'm always surprised how few pictures have every been taken during a doctors visit.
I think this will be a new frontier for the AI assistance tools but also how literature makes this data available in the first place
what if a doc wants to answer questions about a patient's rash they want to take a picture of, or video of their gait, or a datastream from their wearables? A few things this makes you realize:
1) How these data modalities basically get compressed into text for the purposes of the study, even though you actually want to see the underlying stuff
2) How infrequently this data gets captured during a patient interaction. I'm always surprised how few pictures have every been taken during a doctors visit.
I think this will be a new frontier for the AI assistance tools but also how literature makes this data available in the first place
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If you're running a healthcare company, where does it make sense to build agents?
Today it seems like people want to just throw the amorphous "agent" term at everything, but maybe not all of those workflows are good fits. Workflows that ARE good for agents:
1) You spend a ton There are pretty clear rules that you could write out
3) You can measure performance with a specific metric
4) Downside risk is low to test
Today it seems like people want to just throw the amorphous "agent" term at everything, but maybe not all of those workflows are good fits. Workflows that ARE good for agents:
1) You spend a ton There are pretty clear rules that you could write out
3) You can measure performance with a specific metric
4) Downside risk is low to test
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In our free course tomorrow, we'll explain agents and see how they do with different back-office healthcare tasks like eligibility checks, prior auth, etc.
even if you can't make it, you'll get the slides and recording: outofpocket.health/courses/ai-age…
even if you can't make it, you'll get the slides and recording: outofpocket.health/courses/ai-age…
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Imo one of the reasons the Elizabeth Holmes documentary was so interesting is to see into the psyche of someone with a reality distortion field but it DIDN’T work out
Like people talk about this concept with very successful CEOs and you see it in many ways when they speak publicly
But this was a private look into how someone like that thinks and how it can go awry. Does a great job of showing how self delusion actually manifests and can be powerful or self destructive
I think in today’s startup environment understanding that line has never been more important
Like people talk about this concept with very successful CEOs and you see it in many ways when they speak publicly
But this was a private look into how someone like that thinks and how it can go awry. Does a great job of showing how self delusion actually manifests and can be powerful or self destructive
I think in today’s startup environment understanding that line has never been more important
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can anyone explain to me why Utah is so much further ahead on the AI doctor sandbox stuff? Why haven't any other states set up their own? What has made Utah unique here?
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Company idea - Instinct for healthcare workers
It’s clear to me that people are going to try to use personal AI tools like Instinct to do things at their job. Does your job require you to get data from different places and fill out a lot of forms? Or send a lot of follow up pdates to various google docs where you lowkey don’t know where that doc even lives?
This tool is EXTREMELY tempting to use for that because it’s excellent at that.
However this is also a security and privacy nightmare. These personal AI tools can basically mimic you as they go through your systems which is what makes them useful but also very scary. It even knows to switch to a YouTube short for like 10 seconds before switching back to the task at hand.
So any company that touches PHI, or sensitive data has to watch out because these tools will find it and accidentally expose it.
But again because it’s such a useful tool for employees you are 100% going to have people trying to use it for work at healthcare companies. So your options are:
1) Do your best to fight it and put in internal security that watches for actions that look bot-ish. However that takes internal resources and will always be an arms race against the personal AI tools that find workarounds.
2) Create compliant paths/tools that work like personal AI tools but have the appropriate security/privacy guardrails.
There’s probably opportunity in both of these buckets, but I’m more interested in the second. Something like an agent that gets its own login and virtual desktop on the org’s network instead of impersonating with cached passwords, the brain can be a cloud model under a BAA, memory is maintained locally, etc. Each employee’s agent gets different permissions/requirements of human-in-the-loop depending on their role.
There are some seedlings of companies attempting to do this. Contxt is one for regular enterprises, Heidi’s new agent is more healthcare specific. But there is a lot more to be done here and probably could be more specific to different roles in healthcare (e.g. Instinct for clinical research coordinators).
It’s clear to me that people are going to try to use personal AI tools like Instinct to do things at their job. Does your job require you to get data from different places and fill out a lot of forms? Or send a lot of follow up pdates to various google docs where you lowkey don’t know where that doc even lives?
This tool is EXTREMELY tempting to use for that because it’s excellent at that.
However this is also a security and privacy nightmare. These personal AI tools can basically mimic you as they go through your systems which is what makes them useful but also very scary. It even knows to switch to a YouTube short for like 10 seconds before switching back to the task at hand.
So any company that touches PHI, or sensitive data has to watch out because these tools will find it and accidentally expose it.
But again because it’s such a useful tool for employees you are 100% going to have people trying to use it for work at healthcare companies. So your options are:
1) Do your best to fight it and put in internal security that watches for actions that look bot-ish. However that takes internal resources and will always be an arms race against the personal AI tools that find workarounds.
2) Create compliant paths/tools that work like personal AI tools but have the appropriate security/privacy guardrails.
There’s probably opportunity in both of these buckets, but I’m more interested in the second. Something like an agent that gets its own login and virtual desktop on the org’s network instead of impersonating with cached passwords, the brain can be a cloud model under a BAA, memory is maintained locally, etc. Each employee’s agent gets different permissions/requirements of human-in-the-loop depending on their role.
There are some seedlings of companies attempting to do this. Contxt is one for regular enterprises, Heidi’s new agent is more healthcare specific. But there is a lot more to be done here and probably could be more specific to different roles in healthcare (e.g. Instinct for clinical research coordinators).
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writing out a series of other healthcare ideas someone should build leading up to our hackathon
first part is here, you can sign up to get part 2 coming out soon: outofpocket.health/p/healthcare-i…
first part is here, you can sign up to get part 2 coming out soon: outofpocket.health/p/healthcare-i…
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We've been doing our headhunting service for 2 months and just placed our first person!
We also have some ballers from the Out-Of-Pocket network that have joined our headhunting pool recently:
1. Staff engineer with 10+ years of experience building software and leading focused on hands-on healthcare data infrastructure, including member and claims data. Open to engineering, data or technical co-founder roles.
2. Growth marketer with 10+ years of experience building paid acquisition from scratch across healthcare and software. Looking for a Series B/C healthtech company selling to clinicians.
3. Strategy and operations leader with experience in value-based care, consulting and venture building. Open to chief of staff, strategy, partnerships, operations or business co-founder roles.
We also have some ballers from the Out-Of-Pocket network that have joined our headhunting pool recently:
1. Staff engineer with 10+ years of experience building software and leading focused on hands-on healthcare data infrastructure, including member and claims data. Open to engineering, data or technical co-founder roles.
2. Growth marketer with 10+ years of experience building paid acquisition from scratch across healthcare and software. Looking for a Series B/C healthtech company selling to clinicians.
3. Strategy and operations leader with experience in value-based care, consulting and venture building. Open to chief of staff, strategy, partnerships, operations or business co-founder roles.
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More details here, we accepting companies off the waitlist in a couple weeks: outofpocket.health/headhunting
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