Alex Frommeyer
@AlexFrommeyer
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Founder and CEO Stack Health Co-Founder of @BeamBenefits #ownyourhealth advocate for free market healthcare
Columbus, OH
Joined June 2009
One reason why houses get more expensive over time is because buyers purchase homes with only about 10-20% of the price, so the asset is being mostly purchased by the bank, not the homeowner. Today, employees similarly provide only about 10-20% of the total cost of healthcare,
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This will definitely happen in healthcare. Docs already have complained for years that patients use 'Dr. Google'; AI will compound. However, a huge opportunity to integrate the symptoms/diagnostics with insurance plans to be able to query one's coverage and route effectively.
Hard to know exactly how this nets out, but if I had to bet on AI simplifying the legal space or making it more complex, I’m going with the latter. When you drop the cost of anyone asking a legal question and generating increasingly more exotic and bespoke conditions, you will
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Yes and all the winners will be much, much bigger. This is a pie expansion story and this is inning 2.
BTC will lose its marketcap dominance to competitors; this is inevitable A purely speculative asset, such as BTC, cannot possibly compete with the economics of functional blockchains This was never part of the plan for BTC, but neither was arbitrarily restricting its capacity!
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From 1947 to 2002, corporate profits grew at 2.7%, That has accelerated to 5.1% since 2002 personal incomes haven't kept pace: 3.4% pre 2002, 2% since 2002. this at least partially explains why assets at near all time highs but sentiment is so bearish. @bravosresearch
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There are 3 major schools of thought in VC 1. the Paul Graham/Y Combinator world 2. the Sequoian world (most funds are here) 3. the Thielian world all on an overlapping ven diagram of shared values and stylistic approaches to building companies but stark differences as well
It's a mistake for startups to treat fundraises as a series of milestones. There's something even more impressive than raising a series whatever: to be making so much that you don't need to. Eventually all companies have to reach this point. The sooner you do, the better.
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Wise words. In life, it's all relative.
"Always beware the downwardly mobile. Those of us who live a better life than we were born into cannot begin to understand the trauma of going in the opposite direction. A small drop in status can unhinge people, even if their absolute position remains good."
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Like Dorothy in The Wizard of Oz, think to yourself: America will have a healthcare election soon. America will have a healthcare election soon. America will have a healthcare election soon. perhaps truer and sooner that we would like to admit, from @TrilliantHealth's Hal
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this is fascinating...most complaints in life is a small group of gigacomplainers. 'In 2015, for example, 6,852 of the 8,760 complaints submitted to Ronald Reagan Washington National Airport originated from one residence in the affluent Foxhall neighborhood of northwest
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We need to figure out how AI will be billed, and how individuals can define their own care pathways, to choose to use these AI tools for both clinical purposes and task management (scheduling appt, reading docs, negotiating a bill, etc).
We are at the start of a once-in-a-century transformation of medicine in America. Government has to get a lot right to make clinical AI a win for patients, physicians, and taxpayers alike. I discussed this topic with CMS Innovation Center Director Abe Sutton at 8VC earlier this
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Im hitting the BNPL for my burrito Draining the 401k for the corner lot ripping my HSA allocation into some PLTR calls and hedging my crypto portfolio with some Polymarket bets I think that covers all the finoptimal strategies for 2026
BREAKING: The Trump administration is going to allow people to take money out of their 401(k)s and use that for a down payments, per Bloomberg
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If money is tied to politics: whoever controls the state controls the ledger, sets the rules, and can reshape incentives with taxes, spending, regulation, sanctions, and bailouts. If money is tied to energy: whoever can reliably produce, store, and transmit energy cheapest and
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If money is tied to politics, then currency becomes a weapon. If money is tied to energy, then currency becomes a battery.
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This, at least in part, extends from the dentist being both the diagnostician and the practitioner. In general, their incentive is to do more services to get their fee ('fee for service'), and in general patients give a lot of trust to their dentist. This market will undergo
@DrDiGiorgio this soft fraud extends to dentistry as well. it's very common practice now to fill cavities that are in their earliest stage of development and won't need a filling for 10+ years. Entire businesses are built to increase 'case acceptance'
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Gold is now beating the S&P going back to 2000. Independent, critical thinkers are voting with their money that they want to anchor their wealth to the realest, hardest things they can find. Currencies, education, treasuries etc are losing product:market fit as it becomes
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Doing deep dive on RKO pictures. Howard Hughes buying RKO = Elon buying Twitter
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An $8,000 MRI and a $400 MRI coexist in the same city. Why? No benchmark index. No tradable spread. No way to short the markup. The $8,000 version survives because opacity protects it from capital discipline. Build the index and that protection evaporates.
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One of the many reasons why we need to end group health insurance is the retention mismatch, which will be exposed with gene and cell therapies and other specialty meds in particular. The U.S. insurance model is typically built on annual budget cycles. Insurers are hesitant to
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Americans may be starting to notice the drawbacks of trying to design a large and intimate industry as an explicitly political topic. Long live free market healthcare. #ownyourhealth
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How bad has the Canadian healthcare system gotten? It now takes 3 or 4 months just to get a doctor’s appointment. We have real problems in America, but let this be a reminder that universal coverage is only good for ensuring you are dead before you can see a doctor. As midterms
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The affordability agenda, whether coming from left or right, is only about engineering your paycheck so the number goes up and you think you have more money for healthcare, groceries, childcare, and savings. Politicians will never give you more purchasing power.
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If labor was the foundation of the industrial economy, scarcity + energy + cryptography may be the foundation of the post-AI one #BTC
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