I’m happy to see our “great healthcare for everyone” vision getting closer to reality. This was an uphill battle with a lot of bumps in the road.
We’ve always believed that everyone deserves access to great health, and with the money we already spend, we should be able to do this 3x over. But digital-only approaches are not enough.
We need an omnichannel approach that includes clinics, virtual care and devices. These have existed independently in the market, but no one has integrated them in a way that reduces friction for patients while still keeping it affordable.
Most VCs have passionately hated the brick and mortar component, which we consider a must-have part of our vision. Raising money was super hard the first 2-3 years. There were a small number of believers. It took us a long time until we proved the unit economics could work at…
a price point / biz model that’s inclusive for the entire population. This meant a massive R&D investment for rebuilding every single piece of the care delivery technology stack from the ground up. And obsessing on removing every piece of waste and inefficiency out of the system.
We’re now scaling @CarbonHealth nationwide. Adding 2 clinics per week; will double that next year. Soon there will be Carbon Health clinics within a close distance of the majority of the U.S.
It’s been a tough journey, especially during the pandemic, but couldn’t be more proud of what our team has been able to accomplish.
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We have spent a ridiculous amount of time trying to bring full price transparency to healthcare payments but haven’t been able to make much progress. Let me explain why this is hard 🧵
Our goal is to predict patient responsibility of a visit as soon as possible. Ideally this would be calculated real-time in our EHR so that clinicians can do cost/value trade offs with the patient while ordering things that impact the cost (procedures, diagnostic tests, etc)
The main independent variables here are 1) Complexity of the evaluation (usually 1-5) 2) Additional services like labs, procedures, medical imaging etc which are modeled as CPT codes 3) The nature of the work done (preventive, sick visit, etc) which are mapped to service types
1/ I came to this country 10 years ago on an H1B visa. In this period I started 2 companies: @udemy and @CarbonHealth. Udemy now employs ~700 people, provides ongoing income to 50k instructors and improves employability of tens of millions of Americans by helping close skill gaps
2/ @CarbonHealth employs ~350 ppl and will create 10s of thousands of jobs + health care access in many underserved communities. In addition to working on the frontlines of the pandemic, we have been helping companies reopen safely and thus retain employees.
3/ And this is not just about the immigrant founders. There are million of employees on work visas that are vital to the success of many tech companies. The recent ban on H1, L and J visas will do nothing but hurt companies and cause increased unemployment whitehouse.gov/presidential-a…
1/ Important update: This evening, our lab partner notified us that the FDA updated their FAQ about COVID-19 testing. The update clarifies that at-home sample collection is not covered under the EUA (emergency use authorization) fda.gov/medical-device…
2/ We (@CarbonHealth) are discontinuing the distribution of at-home sample collection kits and contacting the first group of patients to schedule expedited testing in our clinics. FDA supports at-home collection but needs more data to validate its accuracy.
3/ We're doing 50-100 COVID-19 tests in our clinics every day. We will continue to look for additional ways to expand testing capacity. We still believe in the value of at-home sample collection so we will work with our lab partners to accelerate data collection.