VP AI Product at @advocatehealth. Previously @ribbonhealth, @sourcehealth, @ro, @yodle. Healthcare + tech. Tweets/posts are my own.

New York, NY
Takes like this are prevalent right now given peak AI hysteria, but I suspect they're wildly wrong. Music, like all forms of art/media, is as much a social experience as an auditory one. People listen to music that is relevant in their culture, with their friends, and for their life. It's not, and never has been, about the music just sounding good in isolation. Movies and TV shows are no different. We watch them because they're entertaining, but also because we talk to other people who watch them. We read about them on the news, or talk to a friend about them at work. I'm bearish on this take not because "humans make better music," but because humans are still, quite fundamentally, a social species and will continue to crave experiences over which to connect. Perhaps even moreso as AI reduces connection in other parts of our lives.
I am not joking when I say this. Spotify, Apple Music, and streaming in general is over. AI music is now very, very good. You just don't know yet because all AI music circulating today is from ~2-3 generations ago. Suno v6 pro et al has solved infinite personalized music.
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If this comes true, economic concerns aside, a lot of people will have a real crisis of purpose
BREAKING: Zuckerberg just described the near-future of computing, and it has nothing to do with screens. His call: within 5 years, every person on Earth has a personal AI that knows their life, understands their goals, and does the work for them. Not a chatbot. Not a search box. An agent that is deeply, intimately embedded in how you live. When the person building the social layer for 3 billion people says this is where we're going, it's not a prediction. It's a roadmap. Is the personal AI agent the most valuable product anyone can build right now?
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Health systems must increasingly become builders of their own experience instead of takers of vendor experiences, if they still want the front door of healthcare
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True, although VCs are setting expectations that every founder is clearly within this group. Which then creates pressure for founders to be in this group, and severe anxiety when they realize they're not in this group. This is likely to continue (and worsen) until the market stabilizes.
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Colin Morelli retweeted
My co-founder @MrsToniToomey and I each recently swallowed a camera. Today we're launching Zaniah Health so you can see what's happening inside your gut too. The gut is the body's largest immune interface, and research keeps linking the gut to health far beyond digestion. We track sleep, HRV, bloodwork, and our microbiome, yet we've been overlooking the most powerful way to measure gut health: Directly looking at it. Zaniah provides at-home, physician-supervised capsule endoscopy. You swallow a small capsule that takes ~30,000 pictures of your GI tract. One of our gastroenterologists reviews the images and sends you a report with findings you can actually see, rather than a dashboard of numbers and scores that you have to decode. Here's what our capsules found: >Toni's capsule showed findings in her terminal ileum consistent with Crohn's disease. After more than 30 years of unexplained GI symptoms, she's now getting the workup to confirm it. >My capsule showed a small nodule in my stomach. Probably nothing, and I'm getting an upper endoscopy to make sure. Nearly 10 years ago I co-founded Virgo, where we've built the world's largest endoscopy video library, more than 4 million upper endoscopy and colonoscopy procedures. We also trained EndoDINO, a foundation model for endoscopy, using over 130,000 of those videos. Zaniah is where we put that AI to work with capsule endoscopy. Right now, Zaniah is for adults who want to see what's happening inside their gut. Longer term, we're researching how the gut can reveal early signs of disease beyond the GI tract. Zaniah doesn't require a referral or insurance coverage, and it's HSA/FSA eligible. Our physicians review eligibility before the kit ships. The waitlist is now open. Join by December 31st to lock in the $1,499 launch price. It goes up to $1,999 after then, and there's no payment required to join. Waitlist link below. Follow along @ZaniahHealth
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Stop the Slop ™️
We instituted an official AI Writing Policy at @Clay. Massive thanks to @sophiebits on our engineering team who wrote this. Originally this was just for eng, but other teams found it so helpful we expanded it company-wide. Here are the four guiding principles: 1. You must stand behind every idea and sentence It is your responsibility to make sure that the entire document is representative of your own thoughts before you share it. 2. Writing is thinking Spending time on the writing process teaches you more about your topic. If you circumvent this process, you will walk away with a poorer understanding of the subject matter. 3. More time should be spent writing a document than consuming it If you generate a document from a short prompt then ask your readers to go through the longer output, you are disrespecting their time. They can talk to ChatGPT themselves if they want to. 4. Longer is not better AI makes it easy to generate long docs, and it loves padding them with sentences that say nothing. If you're producing docs from a short prompt, consider just sharing the prompt. You can read (and borrow) the full policy below. Hopefully we all communicate a bit more clearly now :)
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Colin Morelli retweeted
the moat is literally just caring about your work and being proud of your output and holy shit it does not seem to apply to 99% of people
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My wife when she sees a sale
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It's still funny to me when Codex tells me something will take 1-2 days. Nah. You're going to do it, and it'll take ~8 minutes.
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Seeing this sentiment more and more. Also directly seeing both profoundly positive and incredibly destructive contributions by AI. It's very clear that "humans endlessly pressing enter for 12 hours a day" is not the answer. It's less clear what is.
I am done with this shit. It is over. The state of engineering right now is horrible. It has been half a month since I started a new role at a big company. Nobody knows anything here. The specs, code, tests, PRDs, tickets, resolution of those tickets, reports, etc., everything is made by Claude Code. Nobody on my team likes this. They are being forced to ship as much as they can. I have heard multiple times from higher management that pushing code is not a bottleneck, so why are we slow? People are working 12 to 13 hours a day just to press enter. Nobody is reading anything. Humans in corporate are doing nothing on their own. Everyone, literally everyone, from an L1 to an L7 engineer here is doing the same thing. Talk to Claude. There is no sense of victory. Nobody is resolving bugs. In reality, nobody is thinking anymore. Everything is done by LLMs. It is so soul-sucking. I would not mind it, to be honest, if we were at least given the time to check out the code and see what is going where. But no, the goal is to just ship. No matter what happens.
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Insurers have an opportunity to create AI that actually improves patient experience by transforming utilization management and lowering costs... ...which is why you can be sure it'll be used to fight more claims instead.
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So many people I meet building apps that are clearly not value add to the organization, just because they can now. AI has dramatically reduced the amount of time required to build something, but it doesn’t change the imperative to focus on things that add value to your customer or your company.
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Trying to verify provider directory entries
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Highlights one of the widely reported differences in how OpenAI and Anthropic book their partner served revenue. And why you probably can’t compare the headline numbers directly. Not including an objective contractual revenue share in margin calculations is a choice!
“Anthropic’s gross margins are above 80% before accounting for revenue shared with distribution partners, including Amazon, and the cost of training its models.” Wow.
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How does anyone live like this
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Free tip to improve the quality of guests in your restaurant: Offer a reservations API to agents, but only show 15% of the available tables.
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Can’t believe the “spam call where the first 6 digits are the same as yours” thing still works. Instant decline for me.
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Oura growth is extremely strong. They also seem to be pulling off the hardware to membership transition.
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Each new model generation makes it clearer that pre-AI startups are going to be at a permanent disadvantage
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