Opinion
Tandon: US antitrust targeting Google and Facebook ignores healthcare monopolies
“The fact that they're coming after like Facebook and Google makes no sense. Like it's so easy to switch between Google and some other search engine if you want. It's almost impossible to change the hospital that you visit because it is quite literally a region…”
Opinion
Tandon: Healthcare systems must adopt AI or lose their staff
“And now it's just, there's no option. You either adopt AI or you lose your physicians, you lose your nurses, you lose your admin staff.”
Insight
Tandon: Healthcare's core bottleneck is administrative overhead, not clinical tools
“The clinicians had the tools they needed for the average patient to get the job done. The real problem was administrative. It was in how they ran their telehealth operations and how did, and how they did their billing and how they, you know, fought insurance c…”
Prediction Not checkable as stated
Tandon: AI agents will make clean APIs obsolete by processing unstructured data
“Number two is I think the concept of agents where you don't really need A clean API per se. You can make do with unstructured data and take inputs and shoot out outputs that are processable, human readable, but also machine readable. And that to me is going to…”
Opinion
Tandon: Commure is not a success unless it reaches $100B valuation
“If you think about the scale of problem that we're trying to solve in healthcare we're, I wouldn't consider it a success in, we really wouldn't have penetrated much of healthcare at all if we weren't a hundred billion dollar company.”
Insight
Tandon: People Addicted to Pain Make the Best Startup Leaders
“When you find someone who actually is addicted to pain, they tend to perform really well at startups and they tend to make great leaders. They tend to grow very quickly. And our thesis has always been find these people and make them celebrities in the company.”
Prediction Not checkable as stated
Tandon: AI and LLMs will transform healthcare labor by late 2020s
“The story of the late 20 twenties in healthcare is definitely one of language models and AI replacing standard labor or augmenting that labor to make it much more efficient.”
Assertion Supported
Tandon: US healthcare creates $500B in annual administrative bloat
“And then if you just look at what we call work tax or admin bloat and admin expense, probably about half a trillion dollars. So there's like five hundred billion dollars worth of exhaust that the system creates.”
Assertion Supported
Tandon: Healthcare transaction costs run at 15% to 20%
“That, that system runs at, you know, two to three percent cost of transact. Healthcare probably runs at 15 to 20% cost of transact. So there's so much room to make it more efficient and look and feel more like a credit card swipe.”
Insight
Tandon: Early healthcare startups without distribution will lose to legacy players
“My recommendation to the early stage founders is, unless you have that distribution advantage, healthcare is still actually a very hard market to get into, and you're better off either working with a larger company or distributing through a larger company or c…”
Insight
Tandon: Point Solutions Cannot Win the Largest US Healthcare Customers
“The issue in some ways, though, is if you're a one trick pony, you're not going to get the biggest customers in the country. The biggest customers and most important customers in the country want a platform partner.”
Assertion Not checkable as stated
Tandon: Commure Powers 7% of All US Healthcare Visits
“So for Ambien and charge entry and charge capture, the, it's about seven percent of all healthcare visits in the US run on our platform.”
Assertion Supported
Tandon: Agentic AI resolves healthcare claim denials in seconds
“I think the thing that many health systems haven't realized is just how we gentick some of these models have gotten in terms of solving tasks end to end, getting a claim back, reading the contents, reading the patient's demographic file and their chart history…”
Opinion
Tandon: Purely AI-Driven Clinical Care Is the Wrong Approach
“And that's why, you know, purely AI driven care, in my opinion, is not the right approach. You need to have a human in the loop. And that's what physicians are trained for. They're trained for accountability.”
Assertion Not checkable as stated
Tandon: 85% of Commure's Claims Are Processed Entirely Autonomously by AI
“And for us, 85% of our claims don't touch a human. They're entirely autonomous. And everything from the packaging of the claim, the submission, the coding of the claim, and then the back and forth with the pair is done by a model, which is very exciting.”
Assertion Supported
Tandon: HCA cited AI appointment gains and reduced denials on earnings calls
“And HCA talked about this in their earnings call. I think a couple of our other customers have now talked about this on earnings calls as well. They've seen the productivity lift very clearly in terms of the number of appointments that a physician can do. And …”
Opinion
Tandon: Medical robotics and devices are monopoly-run and ripe for disruption
“When it comes to the provider stack itself, the physical parts of the provider stack, the medical devices, the robotics, the surgery instrumentation, it's an entire part of the economy that is run basically by four or five companies that operate again as monop…”
Insight
Tandon: Strong Natural Writers Excel in Chaotic Startup Environments
“People that are good natural writers do well because in a chaotic environment, you need to be able to distill your thoughts, present them in written form, And then really disseminate that across the org as quickly as possible.”
Assertion Supported
Tandon: Cerner generates more revenue than Epic
“Cerner is actually does more revenue than Epic.”
Assertion Partly supported
Tandon: Epic holds only 30% to 40% of the EMR market
“And so Epic is a chunk of the market, probably like thirties to 40%, but it's still not a majority of the market.”
Assertion Partly supported
Tandon: US healthcare software spending is $70B to $80B
“What is clear is that in aggregate, the spending on software and software-related expenses is probably, like, somewhere between, like, 70 to eighty billion bucks.”
Assertion Not checkable as stated
Tandon: Commure Generates Hundreds of Millions in Annual Revenue
“We're a company that's doing hundreds of millions of dollars. It's almost unheard of to be doing hundreds of millions of dollars in annual revenue”
Prediction Not checkable as stated
Tandon: EMR apps and tooling volume will grow tenfold over three years
“I would say in the last three years, the volume of apps and types of tools you can ship on top of the MR has increased by tenfold. And I think in three years from now, it'll have increased by tenfold again”
Insight
Tandon: LLMs make international healthcare software localization 10x easier
“And so adapting our tools to the needs of the region It was an order of magnitude easier than we initially thought, and language models have made localization and workflow optimization for a region much easier.”