Dhruv Vasishtha

Love that the industry is finally seeing the power of peer relationships!

Twitter feels dead ngl

The expectation is a lead level PM brings structure to the ambiguous situations / problems, and builds understanding of nuance on the situation.

Helping your stakeholders with the nuance is key. If the problem was straightforward the experienced PM wouldn't be asked to jump in.

As you become more senior in your product career, you need to make sure you're effective at managing constant subject matter and organizational ambiguity as you start new initiatives.

The gang builds a pipeline

Tbh I'm celebrating the royal coronation because Charles III is definitely getting us one step closer to the end of the monarchy

Lastly and most importantly, the members themselves. There's a care coordination joke that we now need a care coordinator for all the care coordinators.

Having one care coordination team, with a multi-year longitudinal relationship with members creates far greater trust and impact.

While Medicaid plans have stabilized with federal subsidies and macro changes, they’re inherently counter cyclical.

They’re still feeling the pressure of unemployment = more enrollment and less state taxes to finance Medicaid. Hence the interest in value based contracting to rein in costs.

Community providers get painted with a broad brush when discussing serving Medicaid patients.

Certain providers like FQHCs or community mental health centers are either required through state Medicaid contracts, their mission, or their economics serve Medicaid patients -->are open to the referrals.

Health systems are so entrenched in fee for service that they are interested in a free (for them) solution structured around a payer shared savings contract that reduces Medicaid acute utilization. *But* they're happy to be active partners around care coordination or data sharing.

Value based Medicaid is really exciting as a win-win-win opp given the strong alignment of all stakeholders involved:
- MCOs are under pressure to find savings
- Members are looking for more proactive support
- Hospitals want to reduce "undercompensated" care
- Community providers want more volume

Here's my shot at making a Bluesky starter kit for those of you who are new around here!

Bluesky official accounts and team members: @bsky.app @atproto.com @support.bsky.team
@jay.bsky.team (fearless leader)
@ansh.bsky.team @bnewbold.bsky.team @emily.bsky.team @rose.bsky.team
... (continued)

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2. Data aggregation --> data cleansing --> high value action businesses.

I'm particularly excited about startups that are not only leveraging interoperability rules to aggregate data, but are then cleaning and moving that data to enable focused high value actions at the point of care.

A few places I'm excited about:
1. Seasoned healthcare operators starting their own tech-enabled VBC businesses. Did you use to work at a CareMore, Oak Street, ChenMed, etc and are focusing on an unmet need for an overlooked population? Happy to share notes to see if it can be an accelerant.

For the bluesky healthcare founders. I recently accepted a scout position and am doubling down on investing in digital health startups at the earliest stage!

If you're a founder looking for healthcare operator angels, my DMs are open.