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Ep 38: From Lawyer to $18 5B Healthcare Deal — How Lee Shapiro Made the Leap

Boombostic Health

Release Date: 08/19/2025

Brain & Spinal Injuries: When Insurance Says You’re Done | Ep. 60 show art Brain & Spinal Injuries: When Insurance Says You’re Done | Ep. 60

Boombostic Health

Insurance funded therapy often ends fast. Recovery does not. In this follow up episode, Bradley Bostic talks with Chris Leeuw, CEO of NeuroHope, about the “rehab cliff” facing spinal cord injury, brain injury, stroke, and MS patients when they leave inpatient care and quickly run out of covered visits. Chris shares what NeuroHope is building in Indianapolis to keep recovery going: a model that blends skilled therapy, trained kinesiologists, adaptive fitness, and a true community so patients can continue progressing long after insurance stops paying. They also unpack the expanding vision...

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A $2,000 Voucher and 600 Patients: The Math Behind Fixing Care | Ep. 59 show art A $2,000 Voucher and 600 Patients: The Math Behind Fixing Care | Ep. 59

Boombostic Health

🤔 Did you know that 30-50% of Americans lack access to primary care? That's a staggering number! Bradley Bostic sits down with Matthew Holt (The Health Care Blog) for a blunt diagnosis of what’s broken in U.S. healthcare and a concrete, numbers-driven proposal to fix it. Holt doesn’t just complain. He names incentives, calls out the money flows, and lays out a primary-care “voucher” model designed to cut downstream costs while making primary care a top-tier, high-status job again. If your organization is still treating primary care like a loss leader and “leakage” like a...

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The $1 Trillion Problem Nobody Talks About in Healthcare show art The $1 Trillion Problem Nobody Talks About in Healthcare

Boombostic Health

Guest: Fawad, Founder & CEO, Penguin AI (former CDO/data leader across major payer/provider organizations) Healthcare isn’t broke because we lack innovation. It’s broke because we spend a staggering amount of money moving paper, arguing over rules, and chasing “documentation” instead of outcomes. From the HC1 booth at Health 2025 in Vegas, Bradley sits down with Fawad—a veteran healthcare data operator turned founder—to talk about the real enemy: administrative waste at trillion-dollar scale… and why slapping GPT on top of messy systems just gives us a confident-sounding...

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Ep 57: IU Health CEO Dennis Murphy on Building a Healthcare System That Actually Works show art Ep 57: IU Health CEO Dennis Murphy on Building a Healthcare System That Actually Works

Boombostic Health

IU Health CEO Dennis Murphy joins Bradley Bostic to unpack what it takes to drive innovation at scale—across 16 hospitals and 300+ clinical sites. They cover values-based culture, platform-first AI strategy, statewide data collaboration, philanthropy as a “margin of excellence,” and IU Health’s new flagship campus—set to see its first patients in December 2027.   Chapters 00:00 Introduction to Healthcare Innovation 01:56 Leadership and Organizational Values 04:50 Flagship Hospital Project Overview 08:18 Optimism in Healthcare 12:08 Technology and AI in Healthcare 17:40...

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Ep 56: How At-Home Lab Testing Works (Behind the Kit) show art Ep 56: How At-Home Lab Testing Works (Behind the Kit)

Boombostic Health

At-home diagnostics isn’t “a kit.” It’s an operating system. From the outside, it looks simple: order → kit arrives → collect → mail back. Behind the scenes, scaling that experience requires automation, reliability, and speed. In this conversation, Jeff Shattuck explains how DOT Corp uses automation, robotics, and AI to reduce the time from order to shipment, expanding what’s possible for home diagnostics and precision medicine. Key moments DotCorp transitioned from printing to healthcare logistics. AI and robotics are streamlining healthcare processes. At-home testing is...

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Ep 55: Stigma is a barrier. At-home testing breaks it. HIV + STI Testing. show art Ep 55: Stigma is a barrier. At-home testing breaks it. HIV + STI Testing.

Boombostic Health

Show Notes Healthcare keeps talking about AI, affordability, and outcomes… But most systems are still ignoring the front door that drives care decisions: diagnostics. Recorded In the Wild at HLTH 2025 in Las Vegas, Bradley Bostic sits down with James York (Chief Commercial Officer + Head of Government Affairs, Molecular Testing Labs) to unpack a hard truth: If you can’t make testing accessible, convenient, and trackable… you can’t build reliable care pathways. In this episode, James breaks down why diagnostics is a flywheel—the top-of-funnel that activates patients—and why “we...

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Ep 54: The Business of Making Healthcare Data Trustworthy show art Ep 54: The Business of Making Healthcare Data Trustworthy

Boombostic Health

Summary Healthcare is racing to be “AI ready.” But most of the industry is still trying to turn billing exhaust into strategy. In this episode, Bradley Bostic sits down with Ryan Leurck, Co-Founder & Chief Analytics Officer at Kythera Labs, to cut through the noise and get blunt about what actually makes AI work in healthcare. Because the truth is simple—and uncomfortable: If your data can’t be trusted by humans, it can’t be trusted by AI. And in healthcare, much of our data was never designed for the questions we’re now demanding it answer. Takeaways Why claims, EHR, and lab...

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Ep 53: Screening for Dementia with AI - Your Brain’s Early Warning System show art Ep 53: Screening for Dementia with AI - Your Brain’s Early Warning System

Boombostic Health

Summary By the time most people hear “dementia,” their brain has been sounding the alarm for years. In this episode of Boombostic Health, Dr. John Showalter shares his journey from internist to healthcare technology innovator. He explains how AI and digital tools can support early detection and intervention for cognitive decline—before daily life starts to fall apart. The conversation highlights how lifestyle changes can improve cognitive health, why screening the brain should be as routine as checking blood pressure, and how integrating technology into healthcare systems can scale...

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Ep 52: Mental Health, Cancer, and the Gut Data We’re Not Using show art Ep 52: Mental Health, Cancer, and the Gut Data We’re Not Using

Boombostic Health

We talk a lot about “data-driven healthcare,” yet we’re still blind to one of the most important data layers: the microbiome. Mental health, early-onset cancer, autoimmunity—much of that risk is already visible in the gut years before a diagnosis code ever hits the chart. Most care models, benefits designs, and longevity strategies simply don’t account for it. In this episode of Boombostic Health, I sit down with Paul Denslow, CEO & co-founder of Intus Bio, to dig into how GutID turns the microbiome into hard infrastructure: high-resolution gut data, a score you can track, and a...

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Ep 51: AI Can’t Fix Virtual Care’s 70% Lab Problem show art Ep 51: AI Can’t Fix Virtual Care’s 70% Lab Problem

Boombostic Health

Virtual care is scaling. AI is everywhere.   But when lab completion falls from ~70% in-clinic to ~30% in virtual care, the whole model breaks. Virtual Care Without Labs Is Just Zoom - Even with AI.   In this Boombostic Health in the Wild episode from HLTH 2025, Bradley Bostic sits down with Maitham Dib, founder of Junction, to unpack the "real" bottleneck: turning lab orders into lab results.   They dig into how Junction:   * White-labels lab infrastructure so any virtual or hybrid care model can deploy labs across all 50 states   * Uses data from ~3.4 million lab...

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More Episodes

What does it really take to build and scale a healthcare company?

In this episode of Boombostic Health, Bradley Bostic sits down with Lee Shapiro—Managing Partner at 7wire Ventures, former President of Allscripts, and co-founder of Livongo—to talk about his journey from “recovering lawyer” to building one of the most successful companies in digital health.

Lee shares how he and Glenn Tullman grew Livongo into a public company and ultimately merged with Teladoc in a landmark $18.5 billion deal. He breaks down why healthcare innovation is never an overnight success, how to spot “Uber moments” in healthtech, and why solving consumer hassles is the future of care.

Whether you’re an entrepreneur, investor, or operator, this conversation offers a masterclass on building meaningful healthcare businesses that last.

 

Key Moments

00:00 – Intro: Bradley Bostic welcomes Lee Shapiro of 7wire Ventures

01:40 – From lawyer to entrepreneur: Why Lee left law to build companies

05:20 – Allscripts and the early days of digital health

10:30 – The Livongo story: 6-year grind to IPO and $18.5B Teladoc merger 

13:50 – The B2B2C model in healthcare explained

15:20 – Consumer hassle mapping: Finding healthcare’s “Uber moments”

17:20 – Value-based care & empowering the patient

19:40 – Scaling through M&A: The $620M Accolade–Transcarent deal 

25:30 – How 7wire Ventures supports portfolio founders beyond capital

29:20 – Doing well by doing good: Investing with purpose in healthcare

31:10 – Cubs or Sox? Lee’s Chicago roots and final thoughts

 

Key Topics

  • Digital health entrepreneurship
  • Venture capital in healthcare 
  • How Livongo scaled to an $18.5B deal with Teladoc 
  • The future of value-based care 
  • Consumer hassle mapping and patient empowerment
  • Healthcare M&A and scaling strategies