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Otto

@ottosipe

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713
Following
423
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31
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608
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@ottosipe
Otto
2 years
Digital-health is boring. But all the people are goofy. Let's bring more of that weird, innovative energy to the surface y'all. That's what it's gonna take to get more outsiders excited to build in this space.
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@ottosipe
Otto
2 months
As a healthcare founder, I’m at the stage where the most statically likely outcome for me is a mid-level executive job at some soulless oligopoly. Outpacing this fate is a massive motivator for me lately.
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@ottosipe
Otto
2 years
@pitdesi I bet most of those rail-cars sit +90% of the time. Would be cool to rent one for a trip. Could be a fun side gig to make this into a bookable experience.
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@ottosipe
Otto
6 months
I'm psyched to announce that @photonhealth is working with the team at @costplusdrugs to help patients save money.
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@ottosipe
Otto
2 years
I'm seeing a lot more gatekeeping in the health-tech community lately. I'm not here to call anyone out, but underscore that we all started as naive outsiders. Knowledge sharing and cooperation is the only way we'll fix healthcare.
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@ottosipe
Otto
2 years
@DivaBiotech Imagine waking up on the street, in the rain, likely in withdraw, and watching healthcare-suits milling about. Who is really unsafe here? Who is profiting from the same type of greed that fueled the opioid crisis? Amazed that more of us don't see the irony! SF needs your love...
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@ottosipe
Otto
8 months
Yo, I’m down like change healthcare.
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@ottosipe
Otto
1 year
Founders are bad at posting jobs. If you wanna work somewhere, just email a founder and tell them why.
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@ottosipe
Otto
1 year
65% of calls to a doctors' office are from a pharmacy. Wouldn't it be cool if there was a product to reduce those?
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@ottosipe
Otto
2 years
In most industries they call it “corruption,” in healthcare it’s tradition to say “misaligned incentives.”
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@ottosipe
Otto
1 year
Baby’s first conference sponsorship. @photonhealth
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@ottosipe
Otto
5 months
Your boy is about to call it like he sees it...
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@ottosipe
Otto
10 months
Breaking: Adobe to acquire Humana
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@ottosipe
Otto
9 months
700 people are registered for the meetup Photon is cohosting at JPM. The bar fits like 100 people. 😳
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@ottosipe
Otto
1 year
Photon is planning to sponsor a *free* space for HTLH attendees to take meetings and network - no ticket required. Like or comment if you'd like an invite or want to co-sponsor.
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@ottosipe
Otto
1 year
The @photonhealth team is in the city for our quarterly onsite. We found some time for a quick sail around the harbor.
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@ottosipe
Otto
1 year
Had a blast hosting the second-annual @photonhealth hlth afters. 🍾 So grateful for this community and for all who stayed up late with us. 🙏
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@ottosipe
Otto
1 year
The DoorDash app shows that a Sweetgreen on South Congress is out of Honey BBQ Dressing before ordering - why cant pharmacy work this way?
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@ottosipe
Otto
2 years
Would love to see more talks/panels discussing actual /tech/ at #hlth - we hear the buzzwords on the 10 panels where VCs each describe the market in different ways. There is a revolution happening in digital-health infra and care automation right now, let’s talk about it!
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@ottosipe
Otto
1 year
Feedback from a patient who got their Rx via @photonhealth
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@ottosipe
Otto
6 months
Will sleep softly tonight knowing that Epic is keeping my healthcare data safe within it's siloed infrastructure.
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@ottosipe
Otto
3 months
A team full of pirates! ☠️ Go @photonhealth !!
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@ottosipe
Otto
2 months
The era of the overfunded product team with (over)build-in-house mentality is over. Resource constraints mean folks gotta pick where they innovate and buy/partner elsewhere. Good for b2b software.
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@ottosipe
Otto
2 years
An unexpected and emotional lesson from year-one as a founder: I can just be myself.
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@ottosipe
Otto
2 years
In SF for JPM, but only willing to take meetings from the hot-tub table at Kozy Kar.
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@ottosipe
Otto
9 months
As a startup founder, it’s a major competitive advantage to genuinely enjoy what you do.
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@ottosipe
Otto
1 year
Charging for a BAA is such a red flag.
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@ottosipe
Otto
2 years
Excited to work with @joinsummer to help parents navigate the complexities of getting medications during a shortage.
@joinsummer
Summer Health
2 years
Summer Health is currently partnering with @photonhealth to prescribe medications like Tamiflu and amoxicillin at a time when the FDA is declaring shortages of these drugs. If you need access visit .
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@ottosipe
Otto
8 months
@tjparker We need modern software companies running critical infrastructure.
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@ottosipe
Otto
6 months
@nealkhosla @chrissyfarr An individual should have the right to scan and understand their biology and even self medicate. But if you want your insurance to pay for it, a doctor should be ordering. It’s that simple.
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@ottosipe
Otto
1 year
Dad said I should use twitter more. Also dad(s) on twitter: @cwhogg @StuartBlitz
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@ottosipe
Otto
9 months
A stranger just stopped me on the street in SF to ask me what I do. He recognized me from a JPM party and said I’m a character. Ha! Turns out he runs a care platform with three thousand doctors. Hope to do a deal. The lesson: be myself.
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@ottosipe
Otto
2 years
Startups are forged more than they are founded, really. In the mythology of it, founders ought to be recognized more for staying the course amid pressure rather than starting something.
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@ottosipe
Otto
2 years
Founders should take vacations. A few extra “productive” days in a year shouldn’t be what gives your company an edge.
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@ottosipe
Otto
3 months
Surprise visit from @ellenjdasilva at @photonhealth HQ today. Psyched to rep some new @joinsummer swag.
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@ottosipe
Otto
6 months
Leading indicator of enterprise sales traction – installing MS Teams.
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@ottosipe
Otto
8 months
Had a blast at the @photonhealth x @candid_health ViVE afters. Thankful for this incredible digital health community!
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@ottosipe
Otto
2 years
I heard the phrase "Pharmacy 3.0" today for the first time and I screamed. Can we just not...
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@ottosipe
Otto
2 years
Now that crypto is done can all the smart people work on real problems again... like climate, healthcare, or eduction?
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@ottosipe
Otto
1 year
One day in SF and I’ve overheard one too many ridiculous ChatGPT conversations.
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@ottosipe
Otto
1 year
Before founding a co, read all the VC blogs, thesis, and memos. It’s only way to know what to build.
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@ottosipe
Otto
9 months
Sun for JPM. A good omen.
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@ottosipe
Otto
6 months
We'll ship it in Q5...
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@ottosipe
Otto
1 year
RIP 💀 TJ Parker 2013-2023
@business
Bloomberg
1 year
Parker whiled away the hours between tech jobs heliskiing and working on his family's farm
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@ottosipe
Otto
2 years
@morgancheatham @costplusdrugs If only there were a prescription network that gave patients cash-pay options … the PBMs are robbing Medicare and SureScripts is driving the getaway car!
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@ottosipe
Otto
6 months
Selling a pair of eclipse glasses, used only once.
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@ottosipe
Otto
2 months
Every year when my toenails grow back fully, I know it’s time to buy my Ikon Pass. 🎿
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@ottosipe
Otto
1 year
Our boy @fakemichaelrado lives for Thursdays at the @photonhealth x @notationcapital office.
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@ottosipe
Otto
9 months
Life lesson: Run the damn ball.
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@ottosipe
Otto
10 months
@chrissyfarr Just build a product that’s actually good. Policy follows product market fit.
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@ottosipe
Otto
8 months
I bet faxes outlive NFTs
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@ottosipe
Otto
1 year
Defensibility comes from solving a problem that’s actually difficult. It’s easy to sign up for OpenAI…
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@ottosipe
Otto
1 year
@chrissyfarr @photonhealth Awe thx for the shoutout! You’ve got @ellenjdasilva and @joinsummer to thank for the excellent pediatric care :)
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@ottosipe
Otto
1 year
New Yorkers complaining about air quality, acting like they’ve never smoked 6 ciggies on the dancefloor…
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@ottosipe
Otto
2 years
Hate to admit it, but I do love SF. I’m out here running into old friends and enjoying the sun (for now). Something in the water, eh?
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@ottosipe
Otto
1 year
Photon updates are released on a very particular cadence governed by the movements of various celestial bodies. Months are imprecise.
@AndrewArruda
andrew arruda 🎸
1 year
happy investor update day for those who celebrate
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@ottosipe
Otto
1 year
Update. The WiFi sucks at this hotel. 🙈 Next time we’re sponsoring the booze!!
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@ottosipe
Otto
1 year
If Twitter goes, reach me on my fax: (929) 295 6529
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@ottosipe
Otto
11 months
Founders love when a VC refers to an investment as “my company.”
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@ottosipe
Otto
2 years
@jefielding Founders need to be able to cold-start and ship an MVP without hiring - easier to raise that 2m right away then.
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@ottosipe
Otto
2 years
@StuartBlitz DTC healthcare cos tho...
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@ottosipe
Otto
7 months
Would bet opinions here split primarily on whether you think MBAs are bullshit. Build a model if it helps, not cause an investor wants it.
@jefielding
Jenny Fielding
7 months
Financial models are back! For years founders rolled their eyes when I asked them to take me thru the model…. ‘I mean we have one, but we are pre-seed so it doesn’t mean anything’ Yikes noooo.
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@ottosipe
Otto
11 months
Love the smell of a revenge pitch deck in the morning, no way Sama has slept.
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@ottosipe
Otto
1 year
Imagine if in 2004 the government decided that movies could only be distributed via DVD. Sounds crazy, but that’s how it is in healthcare! Essentially, we’ve got the tech for streaming, but many are still renting VHS.
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@ottosipe
Otto
2 years
For early-stage startups, capital isn’t directly conducive to innovation. The primary mechanism is to reduce opportunity costs so a smart team can focus on a problem. The best VCs I’ve met operate with this mindset.
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@ottosipe
Otto
1 year
@rikrenard Lets get a group together, ditch HLTH and spend way less money on a more engaging, productive, fun summit.
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@ottosipe
Otto
6 months
@chrissyfarr @nealkhosla There’s plenty of decisions an individual can make that create much higher risk for medical bills. Should doctors decide if I can go skiing or get on a motorcycle too? You couldn’t pay me to get in an MRI without a doctors note, but I stand by peoples rights.
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@ottosipe
Otto
1 year
My friends are opening an immersive theater project called No. 9 in Williamsburg. It's been a blast to be involved! Preview shows are on sale now:
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@ottosipe
Otto
9 months
We're hosting our Second Orbit at an immersive bar in Brooklyn - our goal is to foster conversation and the exchange of ideas within our community. If you'd like to participate, DM me. 👽
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@ottosipe
Otto
9 months
The best “AI” companies don’t use the word “AI” on their website. Their products just offer amazing value and feel like magic to use. It’s that simple.
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@ottosipe
Otto
2 years
@healthbjk Let’s chat.
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@ottosipe
Otto
1 year
fax > text
@ellenjdasilva
Ellen DaSilva
1 year
Text >phone
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@ottosipe
Otto
1 year
I’ve got hope watching this - the rent-seeking PBM model is killing Americans. We need competition in the marketplace and patients need regulations that protect their interests.
@A_Ciaccia
Antonio Ciaccia
1 year
At last month's House Oversight Committee hearing on PBMs, arguably no congressman stood out more than @RepAuchincloss , who clearly has an exceptional grasp on how drug pricing actually works and how PBMs exacerbate affordability problems for plan sponsors and patients. A+
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@ottosipe
Otto
2 years
@ColtonOrtolf The SCRIPT standard is a mess, but it’s not really what that prevents access - you’ve got contracting, drug-db integrations, multiple certifications - a mountain of work to go compete in a commodity market!
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@ottosipe
Otto
1 year
Healthcare runs on e-fax, and we’re still crowning kings (on TV).
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@ottosipe
Otto
1 year
Poker night at Photon HQ in Williamsburg. Open invite.
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@ottosipe
Otto
2 years
Happy Solstice! I’m reminded of the vastness of nature and the meaninglessness of human pursuits in a cosmos tending toward entropy.
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@ottosipe
Otto
2 years
Extremely niche take, I know. But, I get lots of folks asking about this - three in the last week. Similar trap to “we’ll build our own EHR.”
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@ottosipe
Otto
9 months
AI is not a value prop.
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@ottosipe
Otto
6 months
Unless your paying out of pocket, your doctor works for your insurance company, not you.
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@ottosipe
Otto
2 months
🙏
@ColtonOrtolf
Colton Ortolf
2 months
Spoke with the venerable @ottosipe @photonhealth today to get an update on their product. Can’t say enough good things about their work Smart people taking on an ambitious problem in a unique way I am genuinely bearish on most digital health startups, but this is one to watch.
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@ottosipe
Otto
1 year
NYC should just move to pacific time. Work at 8a PT Dinner: 7p Leave Club: 1a
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@ottosipe
Otto
1 year
Come hang at the @photonhealth x @notationcapital happy hour tomorrow. Poker optional.
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@ottosipe
Otto
8 months
Why would UHG bother to get Change live quickly? They’re likely making millions a day on claims that weren’t submitted. The incentives here look criminal.
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@ottosipe
Otto
11 months
How does @Clear stay in business!? Counted 15 employees working at LGA to service a line much longer than PreCheck…
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@ottosipe
Otto
10 months
The Sipe twins are racing home (I won). @samsipe
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@ottosipe
Otto
2 months
@rfradin @photonhealth Insane industry with founders just crazy enough to give it a shot.
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@ottosipe
Otto
11 months
No focus like plane focus.
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@ottosipe
Otto
2 years
Dear NewCos: don’t build a non-dispensing pharmacy, it’s 2023 already!
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@ottosipe
Otto
8 months
Business idea: an overpriced grocery store that pays a 50% rebate to your employer.
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@ottosipe
Otto
2 years
@nikillinit Most orgs use PMs to shield engineers from the armies of MBAs. The real issue is there’s too many disparate S&O / GM / biz-dev / partnerships roles. It’s especially bad at growth the stage. 🌶
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@ottosipe
Otto
2 years
@dvasishtha Got me. Time to get off Twitter for the day.
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@ottosipe
Otto
3 years
@ellenjdasilva @chrissyfarr 🙏 They’ll never see us coming ;)
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@ottosipe
Otto
1 year
$3.5k feels steep for new ski goggles.
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@ottosipe
Otto
2 years
Lots going on right now, but these rats are thriving. Swear I walked through the set of Ratatouille 2 on my way home last night.
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@ottosipe
Otto
2 years
“The rise of telemedicine has exposed fundamental gaps in the current prescription network — consumer expectations in e-commerce settings have trickled into healthcare settings”  –  Michael Rado's take on what we lost in the move to eRx from paper scripts.
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