Pear Healthcare Playbook

Tracy Douglas, CEO of VCHA, discusses FQHCs' role in providing healthcare to underserved communities. Topics include leveraging technology for better operations, successful partnerships with private companies, Medicaid program dynamics, and personal interests in promoting Medicaid equity.

Eliot Fishman, Director at CMMI, discusses Medicaid payment models, program integrity, and collaboration between Federal and State governments. He shares insights on value-based care, revenue growth strategies, and innovations in maternal health and substance use treatment. The episode concludes with tips for founders to engage with CMMI and a light-hearted discussion on exploring green spaces in Washington DC with a furry friend.

Today, we're so excited to get to know Web Sun, President and Co-Founder of Komodo Health. Komodo Health leverages data-driven insights to enhance patient care and alleviate disease burdens. Their platform analyzes de-identified real-world data from a wide range of sources to  offer detailed patient-level insights around treatment, diagnosis, costs, and outcomes for millions of patients across the U.S. Web oversees operations including business development, sales and marketing, and people. Prior to founding Komodo Health, Web was a managing director at Zephyr Health, a leading life sciences data and insights solution provider, running all non-Engineering functions. He spent nearly eight years as vice president at Campbell Alliance (now Syneos Health) where he advised enterprise life sciences companies across corporate development, brand management and marketing, commercial effectiveness and medical affairs initiatives. Web also served as an Executive Advisor to Reify Health, Heads Up Health and other healthcare/healthtech startups focused on Big Data, SaaS, Healthcare IT, and Predictive Analytics to improve patient outcomes.  In this episode, we explore Komodo Health's origins, the creation of their MVP and key products, their transformative impact on healthcare, their future with AI, and Web's unique insights for founders navigating the data science and healthcare landscape.

Welcome back to the Pear Healthcare Playbook! Every week, we’ll be getting to know trailblazing healthcare leaders and diving into building a digital health business from 0 to 1. Today, we're thrilled to introduce Ron Vianu, the CEO and visionary behind Covera Health. Covera Health is a pioneering AI-enabled diagnostic technology company, specializing in radiology performance measurement and its consequential impact on healthcare. With a career spanning over three decades, Ron has been a driving force at the intersection of healthcare, technology, and insurance. Ron's entrepreneurial journey began over 30 years ago, founding his first health tech company while a senior at NYU.    His first deep exposure to the field of Radiology was with Spreemo, a company he founded with his co-founder, an orthopedic surgeon, in 2010.  Spreemo was a referral management platform in the occupational medicine space. Spreemo grew to over 200 employees across offices in New York City and Dallas and received significant investment from venture and PE investors.  In this episode, we talk about Ron’s work with Spreemo, how he started Covera Health, the partnership with Walmart, his thoughts on the future of AI in radiology, and advice he has for founders. 

Founded in 2020, Pearl Health was incubated by AlleyCorp and has raised a total of $95M in funding from 8 investors, led by Andreesen Horowitz and Viking Global Investors. Pearl now has over 100 employees and closed a $75M Series B in January of 2023. Pearl Health is a provider enablement and value-based care technology company that helps primary care providers and healthcare organizations succeed in value-based care, starting with ACO REACH and, soon, MSSP and Medicare Advantage.. Pearl does this by helping PCPs and their staff focus attention on high-risk patients and conditions, enabling practices with insights to programs deliver high quality, holistic care to patients at the right time. In 2024, Pearl is partnering with about 1,800 primary care providers, who collectively serve more than 80,000 patients, across the US in 43 states and Washington, D.C. With over 20 years of experience in healthcare, Jennifer started her career at Triage Consulting Group. She then served as a consultant at Deloitte for 5 years and moved on to Takeda Oncology where she was an Associate Director in market access. She then spent six years at athenahealth where she served in a series of roles in product management, ultimately concluding as an Executive Director for product management.  After Athena, Jennifer moved onto a VP / Head of Product role at Hint Health and finally became the Chief Product Officer at Pearl Health in 2021. Jennifer holds a BA from University of California, Berkeley and an MHA from University of North Carolina at Chapel Hill. In this episode, we learn how Pearl Health is trying to improve primary care provider workflows in value-based care, how Jennifer thinks about product management, and where Pearl Health is going next, with their partnerships with retail pharmacies.

Dr. Matthew Lungren, Chief Data Science Officer at Microsoft, discusses the impact of AI research on healthcare. He highlights the importance of interdisciplinary perspectives, Microsoft's healthcare innovations, advice for healthcare entrepreneurs, fostering collaboration in healthcare innovation, and the evolution of healthcare technology.

Welcome back to the Pear Healthcare Playbook! Every week, we’ll be getting to know trailblazing healthcare leaders and dive into building a digital health business from 0 to 1. Today, we're so excited to get to know Wei-Li Shao, President of Omada, a virtual care program that blends human experiences technology and behavior science to help people with chronic conditions achieve their healthy goals. With over 25 years of global healthcare experience, Wei-Li has worked in digital care, biopharmaceuticals, imaging, and diagnostics spanning many therapeutic areas. Before joining Omada, Wei-Li held prominent executive roles at Eli Lilly and Company in the USA, China, Taiwan, and New Zealand. His educational background includes dual degrees in biochemistry and molecular biology from the University of Wisconsin Madison, complemented by an MBA in marketing from the Kellogg School of Business. In this episode, we discuss Omada Health's core operations, discuss the optimal timing for startups to bring in C-suite executives, explore Omada's journey to serving 1 million members, examine its pioneering work in the GLP-1 (Glucagon-Like Peptide-1) space, and uncover how Omada leverages AI to enhance its services.

Dr. Brian Anderson, Chief Digital Health Physician at MITRE and Co-founder of CHAI, discusses building trustworthy healthcare AI. Topics include CHAI's AI process standards, federated network of assurance labs, and advice for health AI innovation community.

Today we're thrilled to get to know Robin Shah! Robin is the founder and CEO of Thyme Care, a groundbreaking oncology management platform. Thyme Care is a value-based cancer care enabler, collaborating with payers and providers to transform the experience and outcomes for individuals with cancer. Thyme Care's approach combines human guidance with data and analytics to guide patients through their cancer journey. The company partners with health plans and risk-bearing providers to assume accountability for enhanced care quality, improved health outcomes, and reduced total cost of care. Robin's journey in transforming cancer care began at Flatiron Health, a leading healthcare technology company led by two remarkable founders Nat Turner and Zach Weinberg. There, he served as Vice President of Provider Marketing and Strategy, focusing on developing successful go-to-market strategies for both patients and healthcare providers. His passion for building a stronger future for community oncology led him to OneOncology, where he played a crucial role as a founding member. At OneOncology, Robin served as the Chief Development and Marketing Officer, overseeing provider development, marketing strategy, technology integration, and analytics, setting the stage for his work at Thyme Care. In this episode, we discuss Robin's journey into the field of oncology, the inception of Thyme Care, the significance of care navigation in cancer, Thyme Care's strategic approach and achievements, as well as valuable advice for entrepreneurs, including guidance on choosing the right investment partners.

Today, we’re excited to get to know Ellen Dasilva and Matthew Woo, Co-Founders at Summer Health, the company bringing real-time pediatric care to your phone. Summer Health is a pediatric tele-health company focused on radically simplifying access in pediatrics. With Summer Health, you can text a pediatrician (just as you might a friend) for any concern you have about a child, whether urgent or innocuous. Founded in 2022, Summer Health has raised a total of $7.5M in seed funding co-led by Sequoia Capital and Lux Capital. The round also included participants such as Box Group, Chelsea Clinton’s Metrodora Ventures, and many others. Ellen began her career in investment banking at Barclays Capital before moving into tech at X (formerly known as Twitter). After graduating from business school, she joined as the 8th employee of the consumer telemedicine business hims&hers. Matthew started his career in consulting at Simon-Kucher & Partners. He then spent 9+ years in tech where he held various product roles at Meetup, Yo, Intercom, UJET and Meta/Whatsapp. Ellen holds a BA from Brown University and an MBA from Harvard Business School. Matthew holds a BA in Business from Ivey Business School at Western University. In this episode, Ellen and Matthew chat with us about building a delightful consumer experience in healthcare, their co-founding journey, and developing a stellar team.