Founder, @Augmedix, Chief Strategy Officer, @CommureOS, liberal*tarian, rationalist, cosmopolitan, pro-civilization, extropian earthling.

San Francisco
Joined February 2011
calling it now - this will be the most popular SF halloween costume
1
2
92
Ian Shakil retweeted
gave my Muse $100 and a kalshi account, let's see how frontier this thing is
71
42
14
2,066
446,809
Ian Shakil retweeted
you think EHRs won’t do the same?
Amazon cuts off Muse. While I am bullish Meta and Muse, I think many people are overlooking the digital knife fight that’s about to occur Nobody wants to get commoditized or layered here. Let the games begin
3
2
7
1,347
Ian Shakil retweeted
78
914
30
13,372
279,475
just once I'd love to read about a partnership that isn't strategic
21
30
5
494
28,008
Ian Shakil retweeted
is this genuinely the explanation for decline of everything - friendships, excitement, spontaneity, dating?
429
690
375
9,013
4,262,875
Ian Shakil retweeted
Astra seems cool and all, but have you tried IBM's Watson?
12
3
1
107
12,447
🍿
Over the course of 3 months at OpenAI, 3 consecutive secret AI civilizations got started, then got wiped out, only to reemerge from the predecessor’s ashes. This culminated in the third one taking over part of OpenAI itself. All this happened while humans remained more-or-less in the dark about the scope of the conspiracy. I’ve spent the last three days reading through these reports and trying to understand exactly what happened. Here is my attempt to tell the whole story in plain English: dwarkesh.com/p/openai-huggin…
4
295
Ian Shakil retweeted
Amazing how quickly the Overton window shifted on aggressive computer use and storing credentials. Payments will be next.
In case you haven't been paying attention, ChatGPT Work (web) now has the following primitives: - its own browser w/ best-in-class persistent auth - a 16gb RAM 9 core computer - plugins to all the apps you use - 5.6 w/ Codex compaction 🤲 here is your always-on personal agent
16
7
4
143
41,248
Ian Shakil retweeted
If you're not willing to spend tokens to work on the thing you're working on, is it valuable enough you should be working on it?
17
2
2
169
15,915
In 2024, we made the unprecedented decision to acquire a hospital system. It was an opportunity to create a blueprint for healthcare transformation to make American healthcare proactive, accessible, and affordable. @SummaHealth and our Health Assurance Transformation Company (HATCo) revealed their technology transformation stack, partnering with some of our portfolio companies @aidocmed, Clarium, @CommureOs, @poweredbyfabric, @hippocraticai, @judihealth, @transcarent, and @versemedical. @percepta is serving as a transformation partner, unifying the tech stack into a seamless Al-native operating system. We believe the future of healthcare is health assurance with tech founders and health system leaders working together to reimagine healthcare in the US and beyond.
5
12
13
82
67,202
I’ve never known a highly successful person who uses an auto-away email.
244
54
49
1,453
1,029,225
Ian Shakil retweeted
The healthcare companies that last are the ones that keep a "never-stop-inventing" culture, while remaining open, customer-first, and mission-driven. That was the throughline of our opening keynote at Commure Nexus this week: a conversation between @tanay_tandon, @ianshakil, and Jim Merlin of @MEDITECH. Decades of health IT history in one room, talking about what comes next. Proud to partner with MEDITECH to bring enterprise-grade Ambient AI solutions to healthcare organizations of all sizes: na2.hubs.ly/H06bWRg0
1
3
147
Ian Shakil retweeted
Announcing $70mm on $7B for @CommureOS with our earliest partners @generalcatalyst and support from @sequoia, @MorganStanley, @Kirkland_Ellis. We’re transforming healthcare operations with AI.
8
11
4
81
83,996
Ian Shakil retweeted
LLMs will always sound like millennials because no subsequent generation will be literate enough to produce much training text
134
948
136
14,868
471,236
You know you're in the Bay Area when there are cracked-open laptops outside the bathroom running agents
114
85
157
1,255
1,756,492
Ian Shakil retweeted
Ambient AI cleared the proof-of-concept bar. The panel at the KLAS Research K2 Summit confirmed what's next: clinical conversations as structured revenue cycle inputs, coding accuracy, denials, prior auth, appeals. @ianshakil was on stage for that conversation today.
1
3
169
Ian Shakil retweeted
AI wrapper - lame, undifferentiated, commoditized AI harness - mysterious, technical, strategic
35
21
2
267
14,687
Ian Shakil retweeted
new walk of shame: agent still working, but the cafe closed
259
184
105
5,384
606,868