Coldgamr

Akute Health | Senior Full-stack JS Engineers | REMOTE - U.S. | Full-time

We make the tech stack and patient management software for the next generation of DTC healthcare businesses. Our customers consist of SMB businesses run by independent doctors (direct primary care) all the way to VC funded startups similar to Ro, Hims, Nurx, etc.

Get to work directly with the founder and have a huge impact on our engineering team and product. We have a full-time team of 2 engineers (including me, the founder) with several part-time as well. I wrote all the code up until recently after we were able to hire more people. We're hiring 1-2 more full-time engineers to join us as we scale the product feature set, add/improve APIs & infrastructure, and also launch a react native app.

Tech Stack: Javascript, React, React Native, Redux, Node, Express, Mongo, AWS, Netlify

We have a launched product, paying customers, and strong revenue growth. We're a seed stage company with great angel investors including Startup Health.

Apply here: https://www.notion.so/akutehealth/Akute-Health-Careers-5b313...

https://www.akutehealth.com/

The average price for a DPC membership is about $65/month. In most states, the doctor can even dispense prescriptions at or near wholesale cost.

The idea is that higher utilization of primary care results in lower hospitalizations and specialist visits, which are very expensive for all parties. This has actually been proven in studies comparing total health spend by large employers before and after adding DPC for their employees. So spend a bit more in primary care, get high touch service, and lower cost in the long run.

Medicaid, btw, is our social safety net health insurance program. Most Americans have insurance though their employer which is usually a high deductible plan. Meaning, you have to spend thousands of dollars before insurance will start helping to cover the cost of healthcare for you.

Thank you for sharing this anecdote. I don’t think enough people understand the value of direct primary care. Of note, concierge primary care is more associated with something like one medical where you pay a membership in addition to your regular insurance co-pays. Direct primary care, or DPC, is full stop no insurance, only membership. And the doctor will limit their patient panel (the patients they see) to about 600 or even less to ensure they can provide amazing service to those patients. Generally, primary care doctors see 3000 or more patients.

Disclosure: I am the founder of a DPC software company. I absolutely love this model for so many reasons. I’d love to answer questions people have.

DPC Frontier has a mapper with many, many practices on it along with prices, open date, and if it’s a “pure DPC” (i.e. no insurance) or hybrid (i.e. they also accept insurance for Medicare or other reasons). https://mapper.dpcfrontier.com/

Disclosure: I am the founder of Akute Health which makes software for DPC practices. https://www.akutehealth.com

A more broad question. Why is it that corrupt officials continue to get re-elected? Especially in a small town (speaking as someone who has never lived in a small town), it seems like the residents would be better informed of a representative's corruption.

Janesville: An American Story. This is about Paul Ryan's hometown and how it flourished until the Great Recession and what happened after. If you want to try to truly understand the thought process of Paul Ryan and expand your political horizons a bit (if you're liberal), then this is a good read. Full disclosure, I haven't finished yet, but mostly done and it has at least helped me understand his thinking a bit more.

Children of Blood and Bone: Really good and gripping. Listened to the audiobook of this one and it keeps you on your toes.