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Ever wonder what really drives success? Fearless risk-taking, AI-powered interns, and, uh… a chicken heart?! ππ This week on #TheShot of #DigitalHealth Therapy, Jim Joyce and I sat down with the energetic Rachel Loui, who’s been through everything from management consulting, big pharma and big tech to hacking fear itself. She’s teaching companies how to conquer AI anxiety, embrace neuropsychology in business, and—oh yeah—how to not bring an actual chicken heart to a meeting.
Tune in to learn why fear is the biggest enemy of growth, why pharma is still playing catch-up, and before your AI intern takes over your job.
π₯ Top 5 Key Takeaways
π Fear blocks growth—hack it, don’t fight it.
π Gen AI is your (nearly) free 24/7 intern.
π Pharma still lags behind in AI adoption..
π Data and psychology....
π oh and ... a chicken heart can get you an A.
π Show Breakdown
β³ 00:00 - 02:00 | Back to Normal Format & AI Backgrounds π
Jim and Eugene discuss returning to regular podcasting and Jim’s AI-generated hotel room mishap.
β³ 02:01 - 05:00 | Meet Rachel: Life Starts with Death π‘
Rachel shares her philosophy on making bold life choices by imagining her 102-year-old self looking back.
β³ 05:01 - 08:00 | The Chicken Heart Story ππ
Rachel’s childhood experiment with a real chicken heart sets the tone for her lifelong passion for efficiency and impact.
β³ 08:01 - 12:00 | From Pharma to Strategy in China π
Rachel’s path from management consulting to Boehringer Ingelheim and leading strategy in China, Taiwan, and Hong Kong.
β³ 12:01 - 16:00 | Startup Lessons & the Reality of Selling to Doctors π
How Rachel’s digital health startup failed, but taught her valuable lessons about sales, psychology, and tech adoption in healthcare.
β³ 16:01 - 20:00 | Google & Sales Psychology π
Applying data-driven insights from pharma to Google, managing $500M in revenue, and why sales is ultimately about psychology.
β³ 20:01 - 25:00 | Gen AI = Your Free Intern π€
Rachel explains why AI is like a 24/7 intern and how companies can leverage it instead of fearing it.
β³ 25:01 - 30:00 | Pharma & AI: Playing Catch-Up (Again) π
The industry’s slow AI adoption, learning from consumer brands, and struggles with data-driven decisions.
β³ 30:01 - 34:00 | Global Pharma Strategy: Germany vs. China π
Rachel breaks down the cultural challenges of working between German HQ and the Chinese healthcare market.
β³ 34:01 - 36:00 | Final Advice: Be Bold, No Fear π₯
Rachel’s key advice for entrepreneurs: push past fear, take risks, and explore new skills—even improv! -
π Kicking Off #TheShot of #DigitalHealth Therapy 2025 with a new format! πWe're thrilled to launch the first episode of 2025 experimenting with long-form content β a whopping ~2-hour deep dive.. and I could not think of anyone better to be our guinea pig than than Jay Parkinson, MD, MPH, the legendary pioneer of virtual care. From childhood dirt bikes to reimagining healthcare through design thinking, Jay took us on a fascinating journey.This isn't just another episodeβit's a masterclass on disruption, grit, and patience. Plus, we had a few laughs along the way (who knew golf courses could inspire healthcare innovation?).Top 5 Key Takeaways:1οΈβ£ π― "Patients need relationships and resultsβit's all about balance."2οΈβ£ π€ Virtual care thrives with teamwork, not silos.3οΈβ£ π‘ Healthcare innovation = simplifying complexity creatively.4οΈβ£ π± The iPhone revolutionized how docs and patients connect.5οΈβ£ π Burnout is real; staying curious is the antidote.Fun mentions as always: Steve Seuntjens Matt Loeb Christie Pitts Yoky Matsuoka Peter Pronovost MD, PhD, FCCM Mark Hyman, MD grant harrison David Karp Bryce Roberts Scott Shreeve, MD John Hallock Guy Friedman Alex LeBrun Vinod Khosla Panasonic Well YourCoach.Health--------------------------------------------------------------------------Play-by-PlayKickoff & 2025 Vision (00:00 - 08:00)A lively intro to the new format, reflections on CES & JPM, and a warm welcome to Jay Parkinson.Jayβs Origin Story (08:01 - 20:00)From Missouriβs dirt roads to WashU, Jay shares his unique path, early inspirations, and love for design.Preventive Medicine Redefined (20:01 - 35:00)Insights into Jayβs time at Hopkins and how systems thinking shaped his view of population health.The Birth of Virtual Care (35:01 - 51:00)How the iPhone and tech-savvy culture in Williamsburg catalyzed Jayβs first practice model.Hello Health: Disrupting Primary Care (51:01 - 01:06:00)The challenges, funding, and lessons learned in creating a tech-forward physical + virtual care model.Sherpaa: The Pioneer of Virtual Primary Care (01:06:01 - 01:23:00)Building the foundations of sticky patient-doctor relationships via virtual care.Crossover Health & Strategic Scaling (01:23:01 - 01:32:00)The hybrid care model and Jayβs role in revolutionizing care delivery infrastructure.Tech Evolution & The Role of AI (01:32:01 - 01:41:00)AI's role in healthcare: tools, challenges, and why behavior change is the ultimate hurdle.Reflection on Healthcare Complexity (01:41:01 - 01:51:00)A candid discussion about systemic collapse, resilience, and the future of care.Parting Wisdom (01:51:01 - End)Jayβs advice to young disruptors: "Be patient, stay curious, and always keep learning."
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Welcome to Wednesday - Jim Joyce and I are bringing to you #TheShot of #DigitalHealth Therapy from the same EST timezoneπ This week, we had the pleasure of speaking with the amazing Yael Berman, CEO of Big Health—a woman who has tackled German oil rigs, Lehman Brothers stress balls, and for over a decade, the complexities of mental health. Yael shared her journey from Duke to transforming insomnia care, all while proving that sleep isn’t just a luxury—it’s healthcare! π€
π₯ Cracking reimbursement codes
π€ Digital CBT - a step-care model for sleep & mental health
π° How following the money can make—or break—a startup
π‘ “Be scrappy, but respect operational details.”
π€ “Provider trust drives digital health adoption.”
π “Follow the money to navigate healthcare challenges.” -
On this Thanksgiving episode of #TheShot of #DigitalHealth Therapy π Jim Joyce and I were delighted to welcome Umang Patel, Chief Clinical Information Officer at Microsoft who still finds time to be a pediatrician one day a week:
Few key takeaways:
β° Time-saving tools can transform healthcare outcomes
π€ Trust is the foundation of better care
π Value-based care is the way forward
π©Ί Healthcare needs delight!
π€ Trust and time: the secret sauce in healthcare
πΏ Why prevention always beats cure (and paperwork!)
β¨ AI tools actually making a difference
Tune in for insights and whole lot of wisdom!
Fun mentions as always: Edward Kliphuis Ali Parsa Mairi Johnson BABYLON HEALTHCARE SERVICES LIMITED Peter Foley LetsGetChecked Truepill Neko Health -
Happy Wednesday! I am super proud of Jim Joyce and I for staying consistent again with #TheShot of #DigitalHealth Therapy. Those podcast coaching sessions must be working! π This week, we sat down with Chris Cera, CEO of Arcweb Technologies—a man who’s gone from peeling bananas for cash to peeling back the layers of healthcare’s complexity. π Chris shared his journey from chocolate bananas and chemistry to building cutting-edge digital healthcare solutions, all while keeping his Linux stack perfectly balanced:
Some Key Takeaways:
π Peeling bananas builds character—and a strong work ethic
π§π» Open source drives healthcare innovation, slowly but surely
π₯ EMRs, EHRs, Interoperability.. oh my...
π― Design thinking in healthcare
π‘ "Find your purpose and build around it.”
Fun mentions as always: Chandana Fitzgerald Jonathan Weiner HLTH Inc. ΕURA Tom Hale Dexcom -
Happy #WorldKindnessDay and welcome to another episode (#153) of #TheShot of #DigitalHealth Therapy. π Today Jim Joyce and I welcomed the fascinating Brian Murphy, Co-Founder & Chief Scientific Officer of Cumulus Neuroscience. Brian’s journey is a blend of global exploration, multidisciplinary brilliance and a mission to revolutionize brain health measurement. We discussed his path from cognitive neuroscience to founding a company tackling some of healthcare’s toughest challenges.
Key topics and nuggets of wisdom:
π§ Objective measurement of brain and mental health
π The role of scalable, non-invasive technologies in trials
π Global experience fuels multidisciplinary innovation
π― “Precision tools can transform clinical trial outcomes
Fun mentions as always: Liam Kaufman Caramazza Alfonso
#BrainHealth #DigitalBiomarkers #NeuroscienceInnovation #CognitiveHealth #DigitalHealth #CumulusNeuroscience -
This week on #TheShot of #DigitalHealth Therapy, Jim Joyce and I wished that we had booked our guest for at least 3 hours as the nuggets of wisdom kept coming. It was our pleasure to π host Glen Tullman, the legendary CEO of Transcarent. Glen took us through his journey—from launching companies to pioneering the way we think about healthcare with his vision for better, more affordable, and accessible care. Glen’s perspective on innovation, category creation, and putting patients at the center of healthcare offers invaluable insights for leaders everywhere.
Top 5 Nuggets:
π “Innovate by doing, not talking.”
π‘ “Different, not better, defines a new category.”
πͺ “Failure is just learning—go for it!”
π₯ “Healthcare must be affordable, accessible, effective.”
π “Customer-focused partnerships drive real change.”
Fun mentions as always: Lee Shapiro Robert Garber Naomi Allen Mike Rolla Mark Cuban Pat Geraghty Livongo Teladoc Health Hemant Taneja Allscripts Evernorth Health Services -
Another meticulously unproduced episode (#151) of #TheShot of Digital Health Therapy is here ! π This time, we invited one of the OGs in "mHealth" π, Drew Schiller, Co-Founder & CEO of Validic. Drew took us through his journey, from starting a neighborhood newspapers as a kid to building a health data platform that’s reshaping healthcare. He shared valuable insights on entrepreneurship, the evolution of Validic, and the ever-crucial role of understanding your customer:
π° The impact of pricing and partnership strategies
π Navigating digital health’s shifts and staying agile
π Validic’s pivotal journey from API to enterprise solutions
π Value-based pricing wins over low-ball offers
π€ Client partnerships must be win-win to last
π Know your customer’s story as if it’s yours
Fun mentions as always: Matthew Holt Mark Cuban Ryan Beckland -
On Episode #150 Jim Joyce and I sat down π with Ross Harper, Founder of Limbic. Ross is our first guest on the show that neither one of us had met before! Ross shared his journey from neuroscience to founding Limbic and diving deep into AI’s potential to transform mental health care:
π§ The intersection of #neuroscience and #AI in mental health
π€ How AI can enhance the clinician-patient relationship
π€ The role of empathy in AI & patient engagement
πΊπΈ A UK startup entering the US market
Fun mentions as always: Edward Kliphuis HLTH USA Jonathan Weiner Frontiers Health Amber Bullis -
Jim Joyce and I realize its Thursday but we decided to do #TheShot of #DigitalHealth Therapy Live from Frontiers Health conference this week. π There is a lot of "firsts" in this episode.
First time doing this live on one screen and in person...
First time I said "Jim Joyce!!!!!" live!
First time basically kidnapping David Benshoof Klein after his ground breaking keynote.
First time David and the team at Click Therapeutics, Inc. proposed: "Software Enhanced Drugs π" as the term
But you will have to watch OR listen to the full episode to hear other things that David never shared publicly before :)
Fun mentions as always: Roberto Ascione Kristin Milburn Frontiers Health Sarah Jackson Omada Health
#DigitalHealth #PharmaInnovation #SoftwareEnhancedDrugs #digitaltherapeutics #Entrepreneurship #HealthcareTransformation #ClickTherapeutics #DTX -
Jim Joyce and I are back, continuing our tradition of staying consistently inconsistent and meticulously unproduced π. In episode #148 of #TheShot of #DigitalHealth Therapy, we chatted with Cris De Luca, Partner at Sanofi Ventures. (I still can’t believe we haven’t had him on before, especially since we go to the same barber π)
Cris shared his incredible journey through his own startup, healthcare innovation, corporate venturing, and the evolving dynamics of digital health—but we covered a lot more, including:
π How to scale ventures with patient empowerment at the core
π‘ The role of corporate venturing in transforming healthcare
π’ Swinging for the fences
π― Key insights on building sustainable, scalable businesses
π The importance of seeking mentorship early and often
Fun mentions as always: Steve Seuntjens Dave Ricks All-In Podcast Alex Fair Paul Hudson -
"Being an immigrant child meant figuring things out fast – from homework to speaking English. That mindset is what drives me in healthcare.’ – Dorsa Barzin
Jim Joyce and I got a shot of energy on today's #TheShot of #DigitalHealth Therapy - even though Dorsa did the recording from a hopistal room and suppsedly at 50% energy! Thats dedication! Her unique journey through public health, case management, and risk adjustment (yep you heard that right) is fascinating:
π» Blending Technology with Clinical Care
π₯ Risk Adjustment in Medicare
π©βοΈ Nurses as Innovators
π Operational Efficiency in Healthcare
π©π» Learning from Tech Failures
Fun mentions as always: Bryan Sivak Marina Borukhovich BABYLON HEALTHCARE SERVICES LIMITED Meritage Healthcare, LLC -
Jim Joyce and I had so much fun today on #TheShot of #DigitalHealth Therapy. On this episode, we covered the whole health care "system" with the super energetic Amanda Goltz. Tune in now - you wont regret it:
π Healthcare isn’t a system
π₯ Doctors and autonomy
π» AI in healthcare will thrive only if we move beyond claims data to real health outcomes.”
πΌ Employers role in healthcare
π§ Cognitive load in healthcare
Fun mentions as always : Missy Krasner Matthew Holt Amazon Mass General Brigham -
Jim Joyce and I, were super honored that Rachel Trobman agreed to spend a full hour with us on her birthday!! Happy birthday π On today's edition of #TheShot of #DigitalHealth Therapy we had a bit of #startup therapy - thank you Rachel for joining us on your birthday and being super open about a topic not many are willing to openly talk about:
π From journalism to healthcare, it’s all about telling the right story
π« Husband and wife founders: trust is your greatest asset
πΌ Every startup journey has its highs and lows, but resilience is key
π Superpowers of every successful entrepreneur
π The decision to shut down your startup
π©β€οΈππ¨ ooh and... is there a Couples Startup Therapy podcast looming?
Fun mentions as always: Marina Borukhovich Jason Trobman Bayer G4A StartUp Health Connected Health Alliance -
From living on four continents by the time he was 18 to breaking barriers in health tech... On this week's hashtag
#TheShot of hashtag
#DigitalHealth Therapy, Jim Joyce and I chatted with Samir Batra, Managing partner at HIP:
π€οΈ Navigating a career path is all about zigging and zagging
π Living on four continents before 18
π₯ Healthcare delivery should be multidisciplinary and team-based – just like investing should be
πΌ Checking your ego at the door is crucial for success in entrepreneurship
π "From building alarm clocks to leading health tech innovations, the journey is all about learning and pivoting.”
π« and... power of a community
Fun mentions as always: Matthew Holt Ann Mond Johnson Arundhati Parmar Neil Patel Frank Williams Tom Peterson -
Jim Joyce and I had a blast recording ποΈ episode #143 of #TheShot of Digital Health Therapy today. We loved hosting Ryan Koo who has spent over a decade at Aetna (did you know Aetna is 171 years old π€―) and now is an Employee Benefit Consultant at Marsh McLennan:
π Consumer shift for healthplans?
π‘ Tiny habits and behavior change
πΌ Navigating the complexities and opportunities in the employer space for digital health solutions.
π€ The importance of networking and partnerships in the healthcare ecosystem.
π§ Mental Health Focus: The critical need for mental health services and innovative solutions is not slowing down...
Fun mentions as always: Amanda Goltz Matthew Holt BJ Fogg, PhD Brian Kalis Shawn Ellis Dmitry Gurski Brook West -
Jim Joyce and I seem to be consistently inconsistent with #TheShot of #DigitalHealth Therapy but we welcome you all to Episode #142. Today we had a blast speaking with Dominick Kennerson, SVP at HSBC Innovation Banking
π The early days of digital health and working with Steve Case
πΈ Working as a bartender in DC
π€ AI and impacts to pharma
π₯ SVB Collapse
π Investment Trends
π·οΈ Oh, and we hear a pitch from Jim Joyce on his new venture Clear IP
Fun mentions as always: Steve Case Matthew Holt Bryan Sivak Megan Coder Jessica J. Federer Milind Kamkolkar Zsuzsanna Varga, PhD Steve Agular Rock Health Bayer G4A -
Jim Joyce and I are trying to stay consistent with #TheShot of Digital Health Therapy" though life gets in the way! Nonetheless, here we are... a day late with the upload but we know it was worth the wait as we get into deep convo with Stephen Konya, Senior Advisor to the Deputy National Coordinator at Office of the National Coordinator for Health Information Technology (ONC) From his early days in the Marine Corps to building innovation ecosystems at local and federal levels, Stephen's journey is nothing short of inspiring:
π The complexities and triumphs of building healthcare ecosystems
π Stephen's perspective on innovation and its impact across various sectors
π The evolution of healthcare ecosystems and the critical role of public-private partnerships
π₯ Insights into "CancerX" and its aim to transform oncology through digital innovation
π Stephen's personal growth from Marine Corps to a leader in healthcare innovation
π The Three C's of Innovation: Convene stakeholders, Collaborate on shared goals, and Catalyze action to transform ideas into impactful solutions.
Fun mentions as always: Rasu Shrestha MD MBA Tamara SrzentiΔ MS MBA Ritesh Patel Micky Tripathi Jennifer Goldsack -
Another Wednesday, another #Shot! In episode #140 of #TheShot of #DigitalHealth Therapy, Jim Joyce and I got to know Eli Ben-Joseph, CEO of Regard:
π The evolution of healthcare data
π€ AI's role in enhancing diagnostic accuracy
π‘ The clinical insights gap...
π₯ Real-world impact of AI tools in hospitals
π The future trajectory of AI in healthcare
β‘ and how those oh crap moments change trajectories...
Fun mentions as always: Rob Cronin Dori Zweig Young Epic OpenAI Particle Health Sentara Health -
Welcome to Wednesday! In episode #139 of #TheShot of #DigitalHealth Therapy, Jim Joyce and I really enjoyed chatting with Bryan Sivak, who has a lustrous career across both public and private sectors now investing into government-driven tailwinds at Evidenced :
π Early Career and Entrepreneurship: His journey from starting a company in the tech boom to navigating the bust.
π Transition to Public Service: His move from private sector
ποΈ Government Challenges: Insights into the complexities and incentives within government roles and the impact on technology implementation.
π Healthcare System Analysis: Comparing the operational and cost differences between U.S. and French healthcare systems.
π€ Tech in Government: Experiences with integrating advanced technology within the public sector.
π Regulatory Impact on Innovation: How changes in regulations create opportunities for new healthcare solutions.
Fun mentions as always: Isabelle Von Kohorn MD PhD Adrian Fenty Sara Salek, M.D. Kathleen Sebelius Barack Obama - Visa fler