yeah, it's a funny coincidence...www.axlehealth.com

Yes. Did you have a thought on that in particular?

I do - it's a market with existing players that are extremely challenging (or impossible) to integrate with successfully. More players in the space could be a large benefit.

Thanks for posting. Took me a while to get through it! Here are some thoughts. And first and most importantly IANAL.

We have, unfortunately, spent quite a bit of money to put a legal framework in place. Our operating model is slightly different than Workpath/Iggbo, so a number of the concerns in the piece don't apply. I don't want to give too much away b/c the framework we've developed is a competitive advantage.

Health professional quality, HIPAA adherence and data privacy are part of our core mission. They're first-class citizens both in our legal and product/technology frameworks.

We've checked them out, but have spoken with them yet. We want to help a company like Nice scale that offering b/c that's the hard part.

We don't currently have an integration with doc on demand. We're piloting so we're not releasing our customer list just yet, but will soon.

That's a good point. We've been thinking about how we can have concurrent in-home visit with health professional + doctor video visit (e.g. doctor directing health professional on what to do), but haven't implemented that yet.

Part of our thesis is that healthcare is overpowered. If you go into a doctor's office or clinic, there's rarely a phlebotomist on hand. Your blood is usually drawn by someone whose license allows them to do more than draw blood. We drive efficiency by ensuring that professionals are always operating at the "top-of-license". I know from personal experience: my doctor gave me my flu shot, which can be done by an LVN making $40/hr rather than a doctor making $150/hr.

We also hope demand will drive an increase in the number of people who choose to enter these health professions, which pay decent wages. It takes about 6 months to become a phlebotomist, 12 months to become an MA, and 18 months to become an LVN. These professions are accessible from both a time and monetary standpoint.

In what market are LVNs making $40/hr?

$30/hr is probably closer. Was just comparing with the big differential between LVN and MD on the pay scale.

Thanks. Having worked as an LVN before I was just curious if there were really LVNs out there making that much. $30/hr still seems high ime but I know it can very location dependent.

Thanks for sharing..this is what we hope to make easier for patients struggling to access care

Yup, two sides of the same coin. Love the name by the way :) Workpath isn't yet doing in-home nurse visits although it's on their roadmap. There's some additional complexity with the in-home nurse visits - will be interesting to see how they make the transition.

We contract with the health professionals who go in-home (phlebotomists, medical assistants, LVN/LPN, and RN)

How do these professionals make a living today? What are they leaving to do Axle instead?

Also, a bit meta, but are you giving them benefits (e.g. health insurance)?

Currently we use health professional contracting agencies to source our health professionals. Some of these professionals do contracting as a side hustle while their w2 employment is with a hospital or clinic. Others only work part-time to supplement family income, and some do it full-time. Health professionals who work for these contracting agencies on a full-time basis do generally receive health insurance and other benefits through the agency.

I attempted a startup in a similar space.

One big opportunity for us was the flexibility and more relaxed work-style. Working in hospital is stressful and it just burns a lot of people out. For example, in the nursing population, there are a lot of semi-retired nurses who actively maintain their licensing, but do not want to work full time in a hospital.