02 December, 2019

Doctors and techies are clashing at digital health companies, and one start-up exec is seeking a fix

One San Francisco-based physician recalled the excitement he felt when he first showed up to work in 2018 at a diagnostic testing start-up. The company seemed to be growing quickly and was backed by tens of millions of dollars in venture capital.

But during his first month on the job, he saw behavior that would surely raise questions if regulators were aware of it. The company used doctors from a staffing agency to prescribe tests to patients. Those doctors appeared to be liberally issuing prescriptions, without doing thorough reviews, out of concern that the agency would lose its contract with the company if it was perceived to be limiting business.

After bringing up the issue with management, the “CEO flipped out,” the physician said, and accused him of not being a team player. He was subsequently put on a performance improvement plan.

“I stayed away from the regulatory issues after that,” and then left the company a year later, the physician said.