Manan Shah
@MananShahmd
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Acquired an old medical practice. Scaled it nationally at https://t.co/sFDdNZnIMw (YC W21) Tweet about building a healthcare startup, allergies, ENT
Fix your allergies for life
Joined April 2014
Starting a healthcare company sounds like ‘changing healthcare’ but often means answering the phone yourself, learning graphic design, and packaging and mailing stuff to patients yourself.
@telmudic @ESYudkowsky A nontrivial part of the value of YC is that we give people a high-status brand under which to do low-status things. Being able to tell your parents "I got funded by YC" gives you cover to do things that don't scale.
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A friend recommended charging a fee for ‘faster surgery and appointment scheduling’ Is that even legal? Can you sell fast passes in healthcare?
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It’s amazing to me how many patients start by telling me they’re going to sue the last doctor… And then are surprised when I’m hesitant to work with them.
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With avg deductibles skyrocketing 🚀 You effectively *have* catastrophic insurance with low reimbursement killing primary care, if you want good care, you have to pay for a dpc. somehow we still have high premiums crushing employers 🤷🏽♂️ Untenable future.
DPC, HSA, and a catastrophic plan, all of a sudden people can afford homes, employers can expand, and the economy booms. Instant political legacy for whatever politicians get this done.
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The truth/insinuation here is: if you use insurance the experience becomes a commodity. Use car insurance for a wreck? Get after market parts. Pay cash? You’ll go to a high end body shop. When something is a commodity experience can decline.
Everyone wants dental care covered by health insurance but treat the experience like the salon. Until we can decide how we want to treat it, it will remain in purgatory.
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Why do we have to *pay* to bring our patients/business to a hospital? Can anyone explain medical staff dues to me? I bring cases. They make $$. I take call, they make $$. Why do I have to pay for this privilege?
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The greatest trick insurers did is convince patients their bill is the doctors fault. We don’t choose the deductible or what’s covered. Or the confusing EOB. We have nearly no control over prices. But when you owe, it’s always easier to leave the doc a bad Google review
The point is that insurance companies are creating plans that they know the plan holders can't afford to use. It's just money in the bank for them. Then they game their relationships with PBMs to scam the Medical Loss Ratios. And I also would guess that they are mix and
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Remember when they tried to ‘ban’ surgeons caps?! The AORN decided we all needed to wear lunch lady hats. But then studies showed it made no difference. Such a random and wild example nonesense in medicine where doctors get told what to do.
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Kind of crazy that an *ENT* medicine is #4! Used for nasal polyps, asthma, eczema Cancer and weight loss makes sense but surprising on dupixent
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Biggest myth pts believe: ‘He’s trying to convince me towards surgery’ In ENT, we get paid less per time in surgery than clinic. With current reimbursement, surgery is almost an expensive hobby.
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Even if current reimbursement says no, cancer surgery is still *intrinsically* valuable to society But when pay drops, people follow incentives. so now young ents want to do ‘plastics’ But what do docs who can’t sell anything else do? Supplements
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What is this guys point? To cite to some random study and then imply doctors are dumb? Citing a random study is in poor faith
4 out of 5 Harvard doctors fail an introductory statistics question Expertise is real, but most "experts" are shockingly innumerate
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The worst part of your doctors day is their ‘inbox’ They get paid to see patients, but patient emails don’t pay. In our cash pay practice, it’s baked into the cost. But with insurance? Nothing. We do it- but Docs like humans not computers.
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Loyola Medicine Allergy Count for 9-2-2025 Trees - Absent Grass - Low Ragweed - High Weeds - High Mold - Moderate
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Doc friends- is there any amount of money you’d take to put your hand in here and shake it around? Haha no from me.
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I feel triggered! But he’s not wrong.
Another note: There are some fields where delegation and work / life balance is not possible. Like becoming a medical doctor. There is no option for delegation. If you stop working you stop earning, and the entire system is messed up to the point that there's a huge shortage of
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Insurers pay low amounts per visit to the providers, but facilities get a huge take. Providers end up seeing huge volumes (and burned out) Patients pay too much for 8 minutes of care But those who wrote the legislation are hidden and thriving.
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You can have access, quality or price. But you can’t have all three. In America we voted for lower price healthcare- and somehow we didn’t even get that. Everyone - docs, patients, politicians, is *unhappy* except the administrators.
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If you let others set the rules, you’ll always lose. In our practice we are upfront about what we can and can’t do for patients so we have a chance at success. We tell them- we can make sure you’re safe, recommend options, but we never promise a cure.
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In medicine we send out bills with effectively random amounts to insurers who in turn pay us totally unrelated random amounts back We cant even confirm if the amount they’ve paid is what they contracted with us to pay. 🤷🏽♂️
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