ER doc building @CounselHealth; prev virtual care hospital-at-home @MountSinaiNYC

Joined July 2010
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Incredible chart. My MIL got a lung transplant for ILD in 2023, and now I can thank Trikafta! This is a great example of "care abundance" -- the red line is some proxy for physically bounded care delivery, which we can allocate to more patients by substituting some demand.
Despite all the talk about AI making radiologists obsolete, the most striking example of a medical specialty being disrupted in the last decade may be adult CF care, and it wasn’t AI. It was Trikafta.
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Rishi Khakhkhar retweeted
Counsel's medical AI available soon in your Oura ring app
We’re incredibly excited to announce that @ouraring is partnering with Counsel to bring AI-enabled primary care directly into the Oura App 🩺 Starting June 16, Oura members can: - Ask medical AI health questions - Receive personalized medical advice - Connect with Counsel physicians within minutes All without leaving the app.
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Rishi Khakhkhar retweeted
In a recent @latimes op-ed, Dr. @HashemZikry, Medical Director at Counsel Health, explores the revolutionary potential of AI in delivering life-changing care at scale, and calls for serious, enforceable regulations to safely deploy this technology.
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Vibe shift: over the past few months, basically every computer in the community ER where I work has an @EvidenceOpen window up. Younger and older attendings alike. Huge usage everywhere.
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The house of medicine is at a crossroads, I think the path forward is obvious
Replying to @dvasishtha
We did this before! We villainized “Dr. Google” for 25 years and put our heads in the sand instead of building for the obvious access point of this century. AI care is coming, with or without us. We can help build it safely or accept the acceleration of our fading relevance.
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Rishi Khakhkhar retweeted
16 Oct 2025
@CounselHealth is a full-stack, AI-native medical group that makes medical care abundant - unlimited guidance from real doctors, 24/7, scaled by Counsel’s medical AI, in a now familiar chat interface. This system embodies the qualities that everyone should expect from "AI as a New Site of Care", which go far beyond the simplistic, early models of digital health that simply replicated offline visits on a computer screen - e.g. care that is always on, with pan-specialty intelligence, personalized, and exponentially scalable. Thrilled to have led the Seed and be co-leading the Series A with our friends at @GVteam as Counsel launches to the general public. Counsel has served over 100,000 patients through B2B2C partnerships to date, and now everyone can have a doctor in their pocket. Congrats to @malagappan and the whole Counsel team on the launch!
Today we’re launching @CounselHealth to the general public. We believe Counsel is the most advanced combination of medical AI and human doctors in a single interface, and the easiest way to go from “I need advice” to “I’m getting care,” all from your phone. Learn more about Counsel ⏬
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Rishi Khakhkhar retweeted
16 Oct 2025
Over 100 million people in the US are without a dedicated doctor. But it shouldn't have to be that way. The technology to scale medical advice exists today. I’m proud that @a16z is doubling down to co-lead @CounselHealth’s Series A alongside our friends at @GVteam. On top of that, Counsel's medical AI is now available to anyone. Our healthcare system is designed to ration access to our scarcest resource – doctor time. And in a world where clinician capacity is scarce, people are forced to turn to Google or ChatGPT for answers. Consumers ultimately need clinical resolution: the prescription, the lab test, the specialist appointment, the follow-up, the ongoing guidance and encouragement to change their lifestyle. Counsel is building healthcare abundance for the AI era. We led Counsel’s seed financing last year because of our conviction in this bold idea: that we can build a world in which everyone has their own doctor for life. They’ve seen immense progress under the leadership of @malagappan, who was previously a Stanford-trained physician, AI researcher, and healthtech executive. I’m delighted to expand our support as Counsel redefines how we access healthcare. @julesyoo @a16zBioHealth
Today we’re launching @CounselHealth to the general public. We believe Counsel is the most advanced combination of medical AI and human doctors in a single interface, and the easiest way to go from “I need advice” to “I’m getting care,” all from your phone. Learn more about Counsel ⏬
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Rishi Khakhkhar retweeted
Today we’re launching @CounselHealth to the general public. We believe Counsel is the most advanced combination of medical AI and human doctors in a single interface, and the easiest way to go from “I need advice” to “I’m getting care,” all from your phone. Learn more about Counsel ⏬
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Rishi Khakhkhar retweeted
31 Jul 2025
AI will be amazing for our health
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Rishi Khakhkhar retweeted
NEW: Industry Deep Dive — Counsel Health We spoke with CMO Dr. Rishi Khakhkhar on scaling physician-led, messaging-based care with AI woven into the workflow. They’re rethinking access, continuity, and what AI-powered care actually looks like. Link below! 👇
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Rishi Khakhkhar retweeted
26 Apr 2025
This will happen in healthcare - rather than having to use your judgment about which digital health app to use for what, there will be an AI doctor superapp that knows your full personal context and auto triages across a network of subcontracted providers in the backend based on your expressions of clinical need...
Replying to @DavidGeorge83
We discuss how AI disrupts the current app paradigm, why now for AI-assisted glasses, emerging competitive dynamics and startup biz models, and what the world could look like in a post-mobile phone era: youtube.com/watch?v=qEjTz2Zm…
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Rishi Khakhkhar retweeted
obligated by marriage to a bulls fan to share this insane giddey buzzer beater
28 Mar 2025
BULLS WIN ON AN ELECTRIFYING SEQUENCE ⚡️ Patrick Williams triple with 10.3 seconds left. Coby White for the lead with 6.1 seconds left. Austin Reaves takes the lead back with 3.3 to go. Josh Giddey hits the #TissotBuzzerBeater. CLUTCH BASKETBALL AT ITS FINEST!
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This is a huge accomplishment! When people ask me about my favorite applications of AI in clinical medicine, I often point to the Queen of Hearts ECG model - and now it’s approved. Big congrats to the team @RobertHermanMD @smithECGBlog @PendellM
We're proud to share that the #PMcardio STEMI AI ECG model has received the @US_FDA Breakthrough Device Designation, recognizing its potential to fill a critical gap in the early detection of acute heart attacks—among the most urgent and deadly conditions in medicine. #FDA #BDD
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Every time I re-enroll as a provider who treats Medicaid patients in NY, I have to print 40 forms, sign them all in blue pen, and physically mail them in. This is in a blue state that ostensibly wants to maximize the number of Medicaid-accepting providers! We have to do better.
6 Mar 2025
Two contractors spent 9 years and $200M working on a modern provider enrollment system at @CMSGov. After 14 missed deadlines, zero usable output was produced.
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Rishi Khakhkhar retweeted
This may be true, but the current provider enrollment system at @CMSGov is much more efficient for provider users than the systems used by most private insurers. For users, the efficiency win would be to take over provider enrollment for state Medicaid programs, which are awful.
6 Mar 2025
Two contractors spent 9 years and $200M working on a modern provider enrollment system at @CMSGov. After 14 missed deadlines, zero usable output was produced.
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Rishi Khakhkhar retweeted
26 Feb 2025
For our 3rd installment of "Healthcare in a Post-LLM World": Dr. @malagappan, CEO of @CounselHealth, has built a 24/7 superhuman "doctor in your pocket", an LLM-powered implementation of the long-studied physician-in-triage (PIT) concept, but highly scalable, and designed for the masses. Muthu discusses how Counsel's new care model enables consumers to unlearn the traditional notion that doctors' time is so scarce and precious that they should only contact them when things get really bad... Counsel's physicians are there to answer any and all medical question at any time, and can do so with high quality responsiveness because of their AI-powered "Ironman Suits" for conducting real-time triage, leveraging full patient history and context, synthesizing insights from the entire corpus of medical literature and evidence-based guidelines, and applying customer- and benefit design- specific protocols to deliver hyper-informed, actionable responses to the patient. @a16zBioHealth @a16z
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I think the most interesting way to think about GLP-1s right now is as a treatment for the modern condition. Humans got very good at hijacking our own reward systems — with food, with screens, with fentanyl, etc — and these medicines seem to miraculously save us from ourselves.
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