Ageless Master Plan 🤫

The U.S. spent ~$4 Trillion on healthcare in 2023. It’s the single largest line item making up ~20% of GDP – and growing. We spend more on healthcare than the total annual expenses of every other country on earth, except China.

And it gets worse. Our return on $4 trillion results in worse health outcomes. We are among the highest in death rates for treatable conditions. We have the highest rate of people with multiple metabolic and chronic conditions. One in five Americans hasn’t seen a doctor in 5 years or more, we’re obese, overly stressed, suffer with our mental health, our water is toxic, our food is coated in glyphosate, there’s PFAs in nearly everything, and Big Pharma has funded it all to sell you legal drugs that don’t tackle the root cause of the issue.

Healthcare has misaligned incentives from patient, payor, and provider. Insurers typically pay a certain amount for various treatments on a fee-for-service model so providers are incentivized to perform as many services as possible. The system ends up spending most of the money when it’s too late – when people have already gotten chronic conditions or have ended up in the hospital.

Poor engagement, which is caused by poor consumer experience, is one of the biggest problems in healthcare. UnitedHealth Group, is the largest healthcare company in the world and has an NPS of 4 – out of 100. Only 40 to 50% of patients who are prescribed medications for management of chronic conditions like diabetes and hypertension adhere to their medication, causing 100,000 annual deaths and $100 billion in preventable medical costs each year. Existing players are corrupt – and at best negligent in missing the opportunity that could come from building a better experience for consumers that would engage them in their care.

This has become a national crisis. We need to fix the complacency with the current state of healthcare — the health of our country literally depends on it.

If we reflect back to the early days of Uber, it was truly a magical experience. You pressed a button on your phone, and magically a car appeared and took you to your destination. At arrival, you just got out of the car without having to worry about payment. It just happened.

Health should be the same way. We shouldn't even know it exists — it's just magic. Somehow, in the water we drink, in the food we eat, in the habits we have and in our surrounding environment, we just maintain perfect health.

At Ageless, we want to bring that default magical experience to you.

Now, that’s a few steps into the future but this should become the default and you quickly forget that you ever had to strive for optimal health and wellness. To get there, we’re going to need to engage people to set up this optimal health and wellness default.

The high level process may look something like this:

1. Onboarding and initial assessment
2. Introduction to clinical team
3. Personalized health & longevity plan
4. Ongoing monitoring & continuous coaching adjustments
5. Progress measurement & celebrating success

As an initial go-to-market, we’ll target an affluent patient population like investors and venture backed founders who value convenience, personalization, and a data-driven approach to their health. These individuals have demanding schedules and require a healthcare solution that can adapt to their needs – and a growing employee base to offer services to in the future. Brian Chesky talks a lot about designing a 10 star experience for Airbnb guests. We’ll design such an experience for our early customers – just like Elon did with the Tesla Roadster, which led to strong margins and a sustainable business model. Something like this.

By re-thinking healthcare from first principles, we can break free from the traditional reactive model and develop a proactive approach that addresses the root causes of illness, metabolic and chronic conditions. This approach would move us to Medicine 3.0 and involve continuous patient monitoring, personalized care plans, and a great emphasis on setting up a healthy environment, nutrition, exercise, sleep, exogenous molecules, emotional health, and stress management.

Key components of designing this experience include:
→ Digital first – access a suite of digital tools to create a seamless, efficient customer experience
→ World class clinical team – everyone gets a world class care team in their pocket that specializes in different areas (i.e. longevity doctor, nutritionist, personal trainer etc) + a second opinion
→ Personalized plans
→ Data + Wearables for preventative care and monitoring.
→ Health at home revamp – do things that don’t scale but provide significant value for customers
→ Clinics of the future, Apple store-esque longevity clinics where customers get a premium experience
→ Align incentives – via measurement we can celebrate wins clients have as a personal touch + rewards could incentivize behavior.

We’ll start with a cash pay model but will have to explore value-based care, direct primary care, and self-insured employers to expand to a wider client base.

Fast forward 20 years, what could this full stack care delivery behemoth look like? It could be a company delivering 80% of healthcare through your iPhone. This company would allow you to access the world’s best doctors through your phone, integrating human and software driven diagnostics, therapeutics, and medication delivery. Hospitals would still exist for Med 2.0: surgery, emergency, and certain diagnostics and treatment, and home health workers + our Apple store-esque popup clinics would deliver some physical care and advanced testing. But for most healthcare, you’d hop on your phone, just like we do today for the majority of commerce.

So in short, the master plan is:

1. Build the world’s greatest evidence informed consumer healthcare experience that expands human longevity for investors and founders of venture backed technology companies.

2. Use that money to build software that can bring that experience to all their employees (and get into employment based insurance).

3. Use that money to bring it to even more people and underwrite insurance policies to become a ‘payvidor’ – a provider and a payor.

4. While doing above, bring to light the corruptness of the establishment. If you think the taxi medallions were corrupt, wait until you hear about big pharma.

We have the potential to alter the course of history, set a new standard for the healthcare industry, and fundamentally improve millions of lives.

It’s time to build.

But, don’t tell anyone 🤫

-Skylor