Techy Surgeon Podcast

Digital health raised $7.4 billion in the first half of 2026 and nearly half of it went to nineteen companies. I ad a great opportunity to connect with Nevin Ramanujan of InnovateHealth Ventures on what actually gets an early health AI company funded.

I raised our last round at RevelAi Health, so I asked Nevin Ramanujan the question I really wanted answered: What makes you close the deck and say “No”? He runs seed invest...

Thank you to everyone who tuned into my live video! Join me for my next live video in the app.

Prompt With CARE

What watching someone else prompt taught me about the skill we all think is basic—plus two prompt packs that set up your Claude Cowork in one afternoon

Yesterday I asked a student to sit at my computer and prompt Claude Cowork to build a presentation. He typed a single sentence, hit enter, and waited. Watching him, I r...

Thank you Doug Fullington, MD, Alex Rivero, HealthMind Insights, Eric Burgh, MD, and many others for tuning into my live video! Join me for my next live video in the app.

I can publish a paper in an upper-tier orthopedic journal and, if I’m being candid, a few hundred to maybe a few thousand people will read it. Some of those people ...

Thank you to everyone who tuned into my live video! Join me for my next live video in the app.

I went live at 6:45 the other morning to open three tabs, ChatGPT for Clinicians, Doximity GPT, and OpenEvidence, and ask them the same questions. A few dozen clinicians and subscribers joined at that hour on a Sunday, which I did not expect, and...

Thanks to everyone who joined this morning to tune in. I have below linked to my other techy flows, and please stay tuned for the follow-up article with a walkthrough of shorter clips of how you can use AI to make images and PowerPoints.

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https://techysurgeon.substack.com/t/techy-flows

Thank you Edward M. DelSole, MD, Danny Goldenberg, Audley Mackel III, Darren Michael, and many others for tuning into my live video with Hadi Javeed! Join me for my next live video in the app.

The Skill Is the New Workflow

Clinical AI won’t scale through better models. It will scale through better instructions.

Interested in deploying clinical AI for your practice, value-based care organization, or health system?

RevelAi Health p...

Thank you Doctor Steven Murphy, Edward M. DelSole, MD, The Counterweight Pod, John Lee, Rez, and many others for tuning into my live video with Mike Logan, MD! Join me for my next live video in the app.

Fourteen payers representing 165 million Americans just pledged to align with CMS’s ACCESS model by 2028. Venture capital funds are spinning up dedicated vehicles. Digital health companies are scrambling to retool their pitch d...

Thank you Shaleen Vira, MD, MBA, Audley Mackel III, Nick Lella, Darren Michael, and many others for tuning into my live video with Edward M. DelSole, MD! Join me for my next live video in the app.

Techy Surgeon is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.

A spine surgeon in rural Pennsylvania just found out his entire practice was selected for a mandatory CM...

I first became aware of Doximity GPT the way many clinicians do—through a peer's recommendation. My brother who was an internal medicine resident at the time, (now a hospitalist), was using their AI scribe over a year ago when it was still in beta. “Have you seen this thing? It’s free,” he texted me. That early signal—clinicians organically discovering and adopting a tool—turns out to be core to ...

Knowtex is a 2022 women-founded company led by Stanford AI scientists that is headquartered in San Francisco, building ambient clinical intelligence to transform how clinicians capture and use medical information. Designed to be EHR-agnostic, specialty-specific, and deeply integrated into workflows, Knowtex enables providers to generate complete, accurate notes, codes, and orders in real time. By combining clinical-grade AI with en...

We’re taking a short break from health policy and the 12 days of ACCESS to rehash a clinical AI story. In 2025, ambient scribes proliferated and they got squeezed as well. I anticipate as native EHRs roll out more of their ambient scribes, the market is going to contract and contort in interesting ways. Ambient scribes have become the default “first use case” for clinical AI.Vendors promise hours back to doctors, ...

Part 2 of a 12-part operator series on the CMS ACCESS Model

Today, we’re covering how ACCESS fundamentally restructures Medicare payment for chronic disease management. This is truly a different financial architecture than fee for service. Here’s how the mechanics work.

The 50% Withhold Structure

The payment model uses a split disbursement approach with backend reconciliation. During the 12-month care period, CMS distribut...

The ACCESS Model, Explained

Part 1 of a 12-part operator series on the CMS ACCESS Model

There has been no shortage of commentary since CMS released the 61-page Request for Applications for the ACCESS Model.

The early reactions were predictable. Medicare finally opens to digital health. A direct threat to fee-for-service. A gold rush for chronic disease management.

I shared my initial impressions shortly after the RFA dropped and create...

Hey everyone,

I know 2025 was tough. New regulations dropping without warning. AI tools promising everything and explaining nothing. Value-based care models that sounded great until you tried to implement them.

So I’m doing an end of year discount run. Some of the items on the agenda for 2026.

* Exclusive interviews with leaders from Doximity, OpenEvidence, and Notex

* AI tool guidance to help you cut through the marketing noise...

Techy Surgeon is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.

Osteoporosis is one of those conditions that stays invisible until it suddenly isn’t. People often feel perfectly fine, their daily routines unchanged, and then a fall from standing height leads to a broken hip or spine. The diagnosis arrives way after the damage is done.

My goal with this expl...

Techy Surgeon is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.

Parenting a toddler while juggling surgery, a startup, and a six-month-old is…a lot. There were nights when my son was screaming over bedtime or dinner and I found myself sneaking into the kitchen, typing frantic prompts into ChatGPT: “He’s jealous of the baby and throwing toys&md...

I hit “record” on the very first Techy Surgeon podcast with all the swagger of a resident doing their first solo case: a little shaky, very excited, ready to learn in public. My guest, Dr. Alex Crespo—orthopaedic trauma surgeon and Director of Orthopaedic Research at Endeavor Health in Chicago—showed up with someth...