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Operating in Healthtech by Arvita Tripati

Arvita Tripati

What it takes to build healthcare technology that survives enterprise procurement, regulation, and reality. For investors, operators, and founders building in regulated healthcare and AI.

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Artwork for Operating in Healthtech by Arvita Tripati

Latest Issues

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...

6 days ago
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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...

6 days ago
2

Better isn’t enough

Healthtech companies spend a lot of time thinking about competitors. They map features, compare clinical performance, track funding, watch product launches and build slides explaining why their technology is faster, more accurate or easier...

13 days ago
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The P&L is moving downstream

Hey folks! I’m trying out a new format. Let me know what you think! Love it, hate it, indifferent? Leave a comment or send me an email.


On July 31, CMS finalized CJR-X, making episode-based payment for hip, knee, and ankle replaceme...

20 days ago

The federal Healthcare AI disclosure rule may disappear. The questions won’t.

The final HTI-5 rule is now pending at the White House Office of Information and Regulatory Affairs. The proposal behind it would remove 34 health IT certification criteria, including the standardized source attributes and public risk-manag...

25 days ago

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  • Arvita Tripati

    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

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