Origin Shifts from Build vs Buy Strategy

This title was summarized by AI from the post below.

The great "build v. buy" debate is about to shift big time. When we launched Origin back in 2020, 9 out of 10 times it did not make sense to build. We were a rapidly evolving startup and there were relatively cost effective, off-the-shelf tools that could get us quite far. Over the years, we've of course built several of these products ourselves as our needs became more specialized and we could gain efficiencies in house. But in the last 18 months, the pendulum has swung dramatically to BUILD. Why spend $20, $50 or $200 per employee per month on features we can build in hours or days? Plus, our AI products are build on our proprietary data set and for our workflows, customization that would be truly impossible with a third-party in a time frame that would make any sense. Super bullish on the future of "full stack," likely with the exception of core EHR / billing features. Shout out to our amazing CTO Nick Kavassalis for making this possible at Origin. Thanks to Halle Tecco, MPH, MBA for sharing these use cases! PS - no AI was used in this post, I'm just pumped 😂

In “Services: The New Software,” Julien Bek of Sequoia argues that the next wave of AI winners will come from companies that sell outcomes rather than tools. In other words, the value is shifting away from selling software and toward delivering the service itself. In that sense, healthcare is already there. The industry has always been built around companies that provide care, with third-party software increasingly layered throughout. Many of those tools have been valuable, but they are starting to look interchangeable, whether because incumbents (ahem, Epic) replicate and underprice key features, or because it’s becoming increasingly easy to build them in-house. That shift puts healthcare services startups in a strong position. They have something pure software plays do not: a full stack. They own the care model, the patient relationship, the clinical data, and the operations. When AI is embedded across that stack, it strengthens the core service and reinforces a competitive advantage. I wanted to share eight tangible examples of healthcare services companies putting AI to work in ways that already move the needle, including cases from: Honor Ro Akido Labs Everlywell Origin Cityblock Health Aledade, Inc. Virta Health Thank you to these founders for sharing your insights. Check it out today on my (entirely free) Substack. Link in comments.

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I’d love to learn more about how you make a buy versus build decision in this new era. Are there still categories of software where it makes more sense to buy, leveraging mature software categories with years of learning curve and hardening? And save your own engineering team for solving problems that are unique to your business?

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I loved this post and Substack Halle Tecco, MPH, MBA! Great to see how others are tackling some of the same things Clarity Pediatrics is working on.

Interested. Will check it out.

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