Vital Signs with Jacob Effron and Nikhil Krishnan - podcast cover

Vital Signs with Jacob Effron and Nikhil Krishnan

On Vital Signs, Jacob Effron and Nikhil Krishnan dig into cutting-edge trends in healthtech and the people shaping them. Every two weeks they’ll explore a new sub-sector and trend with policy leaders, startup founders and industry executives. Subscribe now to make sure you don’t miss any of it!
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Episodes

Ep 31: Mark Cuban on Disrupting PBMs, Staying Curious & Using AI to Avoid NBA Fines

Jacob and Nikhil sit down with Mark Cuban to discuss his pharmaceutical startup, The Mark Cuban Cost Plus Drug Company. They discuss why Mark entered the healthcare industry, competing on price, staying curious, and the future of AI. (0:00) intro (1:05) Mark’s journey into healthcare (3:57) how the Mark Cuban Cost Plus Drug Company works (7:51) B2B angle and disrupting PBMs (12:51) getting into biologics and biosimilars (24:46) manufacturing drugs (27:11) how much of a role can technology play i...

Oct 04, 202344 minEp. 31

Ep 30: Marley Medical CEO Chris Hogg on Which Health Tech GTM Models Are Best and Using AI in Care

Jacob sits down with Marley Medical CEO Chris Hogg to discuss how he and his team select markets, think about go-to-market and utilize AI. Chris also reflects on his learnings from Propeller and more. 0:00 intro 1:08 digital health over the last decade 3:01 100Plus 5:45 Propeller and fitting into patients’ daily lives 12:37 is the B2B2C model flawed? 17:01 Marley Medical 19:32 selecting markets 28:23 standing out from the competition 30:23 how is Marley using AI? 36:57 over-hyped/under-hyped...

Sep 21, 202346 minEp. 30

Ep 29: Omada Health CEO Sean Duffy on Evolving Employer Pricing, Incorporating GLP-1s and Using LLMs

Jacob and Nikhil sit down with Sean Duffy, the CEO of health tech unicorn Omada Health, to discuss how Omada is using Large Language Models and incorporating GLP-1s into its care. They also hit on how Omada has thought and evolved its employer pricing. 0:00 intro 0:43 starting Omada Health 5:14 how Omada differs from Sean’s original vision 8:58 evolving employer pricing 16:31 how the care model has changed over time 19:25 GLP-1s 27:14 how Omada has incorporated AI 36:12 Livongo-Teladoc merger 40...

Aug 15, 202348 minEp. 29

Ep 27: PathAI CEO Dr. Andy Beck on the Future of AI in Medical Diagnosis

Jacob sits down with PathAI Ceo Dr. Andy Beck to discuss the state of AI adoption in diagnosis, why Path acquired their own lab, pathologists' jobs in the future and nailing GTM to reach a ~$1B valuation. 00:00 intro 01:01 pathology and AI 13:30 nailing go-to-market strategy 19:47 how pathology labs can go digital 25:36 regulatory frameworks and roadblocks 33:05 do improvements in foundation models impact PathAI? 36:26 standardizing diagnoses 40:05 how will the job of a pathologist change going ...

Jul 25, 202351 minEp. 27

Ep 26: Dr. Austin Chiang on Using Social Media to Educate His >500K Followers and GLP-1s

Jacob and Nikhil sit down with Dr. Austin Chiang, an interventional GI doc and Chief Medical Officer of Medtronic’s GI business who also has >500K TikTok Followers. We discuss how social media companies deal with public health issues, how doctors can use social media, lessons from being a “physician influencer,” the consumerization of GLP-1s and more. 0:00 intro 1:02 how Austin got into medicine and social media 4:59 highlights and lowlights of being a recognizable figure in the medical world...

Jul 11, 202356 minEp. 26

Ep 25: Dotmatics CEO Thomas Swalla on The State of R&D Software

Jacob and Nikhil sit down with Dotmatics CEO Thomas Swalla to discuss R&D software, differences in software requirements across biotechs, growing through 11 acquisitions and expanding beyond life sciences. 0:00 intro 0:36 getting into healthcare 5:20 what R&D looks like today 8:03 what does Dotmatics do? 13:06 differences in software requirements across biotechs 20:15 bundling vs. “best-of-breed” 23:46 do life sciences need their own data tools? 26:44 incorporating AI into Dotmatics tool...

Jun 27, 202349 minEp. 25

Ep 24: Insitro CEO Daphne Koller on Using ML to Change Drug Discovery

Jacob sits down with Insitro CEO Daphne Koller to discuss founding Coursera, where and how ML can drive the most impact in drug development, and if foundation models can transform core drug discovery work and edtech. 00:00 intro 00:59 Daphne’s journey 09:02 AI and biology discovery 10:42 insitro vs. traditional pharma 19:47 phenotyping patients 25:44 early mistakes 29:34 the future of data 35:16 partnering with larger pharma companies 38:00 impact of LLMs on biopharma 43:47 over-hyped/under-hype...

Jun 13, 202349 minEp. 24

Ep 20: Andy Slavitt on Optum’s Evolution and Lessons from Obamacare and COVID

Andy Slavitt, former Optum EVP, head of CMS, COVID advisor and healthcare.gov saver joins Nikhil and Jacob to discuss public/private sector collaboration, Optum’s evolution, and his lessons on communication from COVID. Andy also shared his career journey, what he would do if he was running United today and how the private sector can work better with the public sector.

Apr 11, 202347 minEp. 20

Ep 19: Mike Kopko on ACO Reach and The Future of Health Exchanges

Jacob and Nikhil sit down with Mike Kopko, CEO and co-founder of Pearl Health to discuss Pearl’s care model and what it’s been like building the company as ACO Reach evolved. Mike also shares some great stories negotiating claims in the early days of Oscar.

Mar 28, 202338 minEp. 19

Ep 18: Dr. Jeffrey Kang on CVS/Walgreens' Role in Healthcare and The Future of Risk Adjustment and Senior Care

Jacob and Nikhil sit down with Dr. Jeffrey Kang, CEO of WellBe Senior Medical, and former President of ChenMed, SVP Health and Wellness Solutions at Walgreens, CMO at Cigna, CMO at CMS and CEO of Urban Medical Group. They discuss risk adjustment, retailers in healthcare and how healthcare has/hasn't changed since his work doing risk-based care for complex patients and at CMS in the 80s and 90s.

Mar 16, 202339 minEp. 18

Ep 17: Naomi Allen on How to Sell to Employers and the Future of Mental Healthcare

Jacob and Nikhil sit down with Naomi Allen, CEO and founder of Brightline (child and teen focused mental health company that’s raised >$100M) and Castlight/Livongo exec. They discuss the difficulties of balancing employer customers and employee satisfaction at Castlight, how Livongo captured member delight and Brightline's care model.

Mar 01, 202349 minEp. 17

Ep. 13: Annual Predictions and Robin Shah and Dr. Bobby Green on Designing New Cancer Care Models and The Future of Oncology

Jacob and Nikhil discuss annual health-tech predictions and are then joined by Thyme Care co-founders Robin Shah and Dr. Bobby Green to discuss the nuances of taking risk in oncology, lessons on selling to providers, and what they're building at Thyme Care. 0:00-9:10 Jacob & Nikhil discussion 9:13-end Thyme Care founders interview with Robin Shah and Dr. Bobby Green

Jan 05, 202337 minEp. 13

Ep 6: Nikhil Krishnan on Doctor Influencers and Healthcare Hot Takes

Jacob sits down with Nikhil Krishnan, founder of Out of Pocket, to discuss his path to becoming a healthcare meme king and the community he's building to get more people into healthcare and make it easier to start health tech businesses. They also hit on Nikhil’s thoughts on physician payment, big tech in healthcare and more.

Sep 13, 202245 minEp. 6

Ep 4: Brad Smith on Improving Policy and Rural Healthcare

Jacob sits down with Brad Smith, founder of CareBridge, Main Street Health and Aspire and former head of CMMI, to discuss the novel ways he’s bringing risk-based models to rural healthcare and Medicaid and hear why he thinks CMMI programs haven’t worked to date.

Aug 16, 202239 minEp. 4

Ep 2: Dr. Mandy Cohen on Medicaid Innovation and Succeeding Under Risk

Jacob sits down with Dr. Mandy Cohen - former Secretary of North Carolina’s Department of Health and Human Services, COO of the Center for Medicare & Medicaid Services and current CEO of Aledade’s newest business line Aledade Care Solutions. They discuss her work in North Carolina around Social Determinants of Health, how Medicaid policy and innovation works, the new business line she’s building at Aledade and what’s required for primary care practices to succeed under risk.

Jul 19, 202231 minEp. 2

Ep 1: Adam Boehler on the Value Based Care Market and What's Next

Jacob sits down with Adam Boehler - former CEO of Landmark Health, Head of the Center for Medicare and Medicaid Innovation and current CEO of Rubicon Founders. They discuss how building a value-based care business has changed, how Adam came up with the idea for Landmark and his other businesses, what makes different patient segments a fit for value-based models and where the space is headed. They also touch on Adam's hopes for future policy and the changes he’s seen in healthcare talent.

Jul 05, 202229 minEp. 1
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