Colton Ortolf (@ColtonOrtolf) header
Colton Ortolf (@ColtonOrtolf) profile picture

Builder. I also think space is neat. Opinions my own - or stolen from someone smarter

Nashville, TN
Joined June 2013
Photo by Colton Ortolf (@ColtonOrtolf)Photo by Colton Ortolf (@ColtonOrtolf)Photo by Colton Ortolf (@ColtonOrtolf)Photo by Colton Ortolf (@ColtonOrtolf)Photo by Colton Ortolf (@ColtonOrtolf)Photo by Colton Ortolf (@ColtonOrtolf)Photo by Colton Ortolf (@ColtonOrtolf)Photo by Colton Ortolf (@ColtonOrtolf)
It is incredible how few people realize that Teslas generally drive themselves
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AI alone is slop. Humans alone are dumb (relatively). Humans + AI = masters of the universe. For now …
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What if we gave patients the ability to make informed decisions about their healthcare? Freaking radical.
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Let’s assume fraud has pretty much remained constant. If that’s the case, increase in overall costs of healthcare is providers getting better at playing the game. Then insurers will also get better. Rinse and repeat. The system is the problem, not the rational actors.
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Who could have predicted this.
In the short term, AI will drive up the cost of healthcare. In the long term, it will drive the cost to the minimum. The question is how fast we move between the phases.
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Disruptive technology forms new businesses in every other industry but healthcare.
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I feel for health system CIO / CTO getting pushed to adopt AI. Lots of theoretical ROI out there akin to the “digital health boom” a few years ago.
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When will insurers start paying for virtual agent-only visits? Free max subscription to your favorite LLM might be the highest ROI investment they can make.
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A lot of labs still live in PDF and XML; healthcare loves lots of different formats. If that import path is second-class, a lot of people never get a usable chart in there no matter how the EHR pipe is built.
Trying out @ChatGPT Health. My health provider network is not on the platform, and I don’t see a way to just import my health records manually. Am I missing something?
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Just because we have smarter tools doesn't mean we should stop thinking about how we get clinicians to use them; accuracy isn't enough. An LLM in a live ED (nature.com/articles/s41591-0…; @Nature), sitting on the chart to help physicians work through clinical decisions had 99 of 100 sampled outputs rated clinically appropriate and the team still stopped opening it later in the shift. Use went from 68% to 30% as the shift got long, and the authors recommended it NOT be deployed.
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This is the best time to be a product designer / product manager / engineer … cause they are all the same job
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Jayden Daniels won’t like it when he hears Lou Bega for the first time @barstoolsports
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RCM is a wedge for AI companies, it’s not the goal.
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Adoption of AI tools has revealed who is truly curious vs who thinks they are.
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Direct pay for the vast majority of healthcare services is insanely cheap
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There is a pandemic of older adults who refuse to use headphones despite clear hearing loss. The living room is not the cinema.
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This is the way and one of the most exciting ways of looking at the future of AI. I definitely feel it every day
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Insurance only for catastrophic care, cash pay for everything else, HSA plans for everyone. - there fixed it.
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Remember when we were scared to give AI access to the internet?
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Can we all agree that needing to file taxes is dumb in the year of our lord 2026? AI is building space robots and I’m stuck filling out a form that the government already knows the answer to.
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