Operating in Healthtech by Arvita Tripati
Arvita Tripati, Erica BreeseWhat it takes to build healthcare technology that survives enterprise procurement, regulation, and reality. For investors, operators, and founders building in regulated healthcare and AI.
| Platform |  | Pricing | Only free issues | Publishes | Twice weekly |
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| Issues | 105 | Founded | 3 years ago | Last Issue | 3 days ago |
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operatinginhealthtech.substack.comLatest Issues
The next data problem in healthcare?
Healthcare has spent the better part of two decades trying to solve a data-access problem.
How do we get information out of one system and into another? How do we connect records across sites of care? How do we make longitudinal patient da...
Before you add more funnel, diagnose why customers are not buying
A through line showed up in two advisory conversations I had recently with companies in very different markets.
Both were wrestling with conversion. Both had customers who could plausibly benefit from what they were selling. And in both ca...
Guest Post: The Value Problem Between Providers and Payers
This week, I’m doing something a little different: an article swap with my friend Erica Breese of Covered, who demystifies healthcare’s complexity. I recently joined her publication to explore why care management can create real value witho...
The new advantage in healthcare AI is the cost of change
For most of medical technology, regulatory maturity has meant creating control around change: establish the design, validate it, document modifications, and limit unnecessary variation. The logic is sensible. If a product behaves differentl...
When the AI company becomes the healthcare company
I spent some time going through the 37 healthcare companies in Y Combinator’s Spring and Summer 2026 batches. There is, predictably, a lot of AI: agents for primary care operations, autonomous medical billing, new approaches to clinical res...
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Authors
The writers behind this newsletter.
I write Operating in HealthTech, about how healthcare technology gets bought, adopted, governed and scaled. 18 years across digital health, medtech, diagnostics, and clinical trials. Founder of Vahana Labs. https://operatinginhealthtech.substack.com
Erica Breese has spent her career inside American healthcare — at CMS, advising health plans, and in consulting. She knows how the system works and why it's so hard to understand. Now she's breaking it down for everyone else, three facts at a time.
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