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&lt;p&gt;What if the biggest lever for improving U.S. healthcare isn’t clinical, but operational?&lt;/p&gt;&lt;p&gt;In this episode, recorded live at New York Tech Week, a16z General Partner David Haber speaks with Trey Holterman (Tennr) and Christophe Rimann (Camber), two founders tackling the core infrastructure problems slowing healthcare down - from broken referral handoffs to denied insurance claims.&lt;/p&gt;&lt;p&gt;They discuss building trust in high-stakes workflows, how better incentives (not just better tech) drive adoption, and why the most defensible products aren’t just smart - they work 97%+ of the time.&lt;/p&gt;&lt;p&gt;Plus: advice for founders, the cultural edge of New York startups, and what they’d fix first if they ran HHS.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Timecodes:&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;00:00 Introduction to Healthcare Payment Innovation&lt;/p&gt;&lt;p&gt;00:48 Meet the Founders: Trey Holman and Christophe Reman&lt;/p&gt;&lt;p&gt;02:31 The Broken Healthcare System: Identifying the Problems&lt;/p&gt;&lt;p&gt;03:47 The Why Now: Technological and Market Shifts&lt;/p&gt;&lt;p&gt;05:29 Understanding the Customers and Their Needs&lt;/p&gt;&lt;p&gt;06:34 Challenges and Misconceptions in Healthcare Technology&lt;/p&gt;&lt;p&gt;08:31 Building a Company in New York City&lt;/p&gt;&lt;p&gt;10:29 Leveraging AI and Technology for Better Outcomes&lt;/p&gt;&lt;p&gt;12:29 Defensibility and Differentiation in Healthcare Solutions&lt;/p&gt;&lt;p&gt;15:28 Impact on Providers and Patients&lt;/p&gt;&lt;p&gt;18:09 Advice for Aspiring Healthcare Entrepreneurs&lt;/p&gt;&lt;p&gt;23:17 Conclusion and Final Thoughts&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Resources:&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;Find David on X: &lt;a href=&quot;https://x.com/dhaber&quot;&gt;https://x.com/dhaber&lt;/a&gt;&lt;/p&gt;&lt;p&gt;Find Trey on LinkedIn: &lt;a href=&quot;https://www.linkedin.com/in/trey-holterman&quot;&gt;https://www.linkedin.com/in/trey-holterman&lt;/a&gt;&lt;/p&gt;&lt;p&gt;Find Christophe on X: &lt;a href=&quot;https://www.linkedin.com/in/christopherimann/&quot;&gt;https://www.linkedin.com/in/christopherimann/&lt;/a&gt;&lt;/p&gt;<br />


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