Out-Of-Pocket, for Business
If you want your employees to actually learn, not "check the box". Out-Of-Pocket's courses are taught by people that have built healthcare businesses. We will teach you the practical things you need to know so you can get up and running quickly.
Why L&D Cares about
Out-Of-Pocket for Business?
Save Hours Developing Content

Your internal team has enough to do - leave the teaching to us. We keep it up to date, fresh, and fun.
Born from Operating

The courses are all built from people that actually ran the call center, did the claims analysis, etc. We'll teach you the mistakes we learned the hard way.
Engagement-Focused

We focus on making the content fun, engaging, and jargon-less. Your employees might even WANT to come back and learn (...I hope).
What do we offer?
Group seats
Recorded versions
Custom workshops
Engagement comes first:
Comprehensive but not overwhelming:
Quickly moves into Key Stakeholder Needs:
No jargon:
Follow-on courses are highly tactical:
Some examples from the courses

Inhouse vs. outsourcing: the debate of the century

Different Claim Types

Problems In Healthcare

Setting up your continuous improvement function

Healthcare Customer Segments

Payor processes

Documentation can be your best friend (promise)

Kaiser Permanente Case Study

What's in a claim?

The Native Digital Health PM

Forecasting, org design, & the hiring playbook

Selecting software successfully
Courses we offer
AI Product Evaluation 101

Things You'll Get From This Course
Clarity
Methods & Tools
Practical Experience
Confident Decision-making

Meet Your Instructor, Andrew Hines
Andrew Hines is the founder of Canvas Medical, where he has spent the past decade building modern electronic medical record and developer platforms used by leading healthcare organizations across all specialties and care models. His work focuses on safely accelerating AI adoption in care delivery and advancing rigorous, scalable methods for evaluating AI-powered tools for that purpose.
Andrew holds degrees in Mathematical Statistics and Business Administration from San Francisco State University and a master’s in Management Science and Engineering from Stanford University. He brings a unique perspective at the intersection of technology, healthcare, and product evaluation, making complex AI capabilities safe and useful in practice.
Got Questions?
Get In Touch with the
Out-Of-Pocket for Business team

Get notified when they reopen.
AI Product Evaluation 101
AI x RCM Masterclass
.gif)
Things You'll Get From This Course
Workflow Evaluation
Real Use Cases
Risk & Escalation
Implementation Strategy
Meet Your Instructor,

Meet Your Instructor, Becky Carlson
Becky has been working in Revenue Cycle Management for nearly a decade, with the last seven years focused specifically on digital health. She’s seen the industry from every angle starting on the payer side at Blue Cross Blue Shield, moving to the provider side leading RCM teams at Cerebral, Bicycle Health, and Two Chairs, and then stepping into the vendor world as the founding Head of RCM at both Adonis and now Joyful Health.
She lives in Alabama with her husband and their dog. When she’s not working on RCM (which is admittedly rare), she’s a big college football fan.

Meet Your Instructor, Eliana Berger
Eliana Berger is the co-founder and CEO of Joyful Health, an AI startup transforming the financial operations of healthcare. Prior to founding Joyful Health, she held product management roles at high-growth startups, including the mental health company Charlie Health.
Got Questions?
Get In Touch with the
Out-Of-Pocket for Business team
.gif)
Get notified when they reopen.
AI x RCM Masterclass
Healthcare 101 Crash Course
%2520(1).gif)
Things You'll Get From This Course
Breakdowns
Case Studies
Expert Guests
Community

Meet Your Instructor, Nikhil Krishnan
Nikhil Krishnan is a healthcare research analyst, writing about the intersection of healthcare, business, and software. He has a beautiful smile. He was a senior research analyst at CB Insights, where he built out the healthcare research team. He also authored the weekly CB Insights Digital Health Newsletter, which grew to 90K+ subscribers. He was also on the Strategic Partnerships team at TrialSpark, a technology company creating a distributed network of clinical trial sites to run faster and more efficient clinical trials. Currently he writes a healthcare analysis/comedy newsletter called Out-of-Pocket. He is unofficially aiming to be the Guinness World Record holder for most newsletters authored.
Got Questions?
Get In Touch with the
Out-Of-Pocket for Business team
%2520(1).gif)
Get notified when they reopen.
Healthcare 101 Crash Course
Healthcare Call Center 101
.gif)
Things You'll Get From This Course
Meet your people
Templates galore
Real world examples
Foresight
.png)
Meet Your Instructor, Danielle Poreh
Danielle is a healthcare operator and partner at Out Of Pocket Health.., and a chef. She was the first employee and Head of Operations at Better Health. In this role, she built a call center that processed over 40,000 calls, supporting thousands of members. In that time she learned a lot of things the hard way and tbh, it was rough (and expensive).Since then, she's been committed to building educational programming to help operators in the trenches - from teaching, conferences and hackathons alike. Her goal is to give people the tools (and friends) she wished she had while building.
Got Questions?
Get In Touch with the
Out-Of-Pocket for Business team
.gif)
Get notified when they reopen.
Healthcare Call Center 101
ICHRA 101

Things You'll Get From This Course
Context
Real-World Insights
Implementation Strategies
Policy & Future Outlook
Meet Your Instructor,

Meet Your Instructor, Patricia Gorla
Patricia is a product manager at Thatch, where she cultivates tools to help employers navigate and implement ICHRA. She previously worked as a Solutions Architect at Stripe on key and strategic deals, and won regional and team awards for her work. Patricia's background is in software engineering at companies including Etsy and Apple.
In her free time, she enjoys studying ancient Greek and Roman history. And yes, she does think about the Roman empire every day.

Meet Your Instructor, Karun Kannan
Karun is a solutions engineer at Thatch, where he's helped employers evaluate and adopt Thatch's ICHRA solution. Before transitioning to customer-facing roles, he spent two years building Thatch’s core product offerings. Karun brings deep health tech experience from his time at Verily (part of Alphabet), where he built chronic care management point solutions.
When he's not working with customers, you can find him rooting for another Celtics championship or out for a run along the Charles River.

Meet Your Instructor, Bruce Johnson
Bruce Johnson is Head of Policy at Thatch, where he leads the company’s efforts to shape the future of healthcare regulation. He has fifteen years experience in law and public policy, with particular expertise in the regulatory frameworks governing financial services, labor and employment, and employer health benefits. Bruce previously served as Director, Federal Affairs for Boeing, a global aerospace manufacturer, and Assistant General Counsel for Policy at Brex, a leading b2b fintech focused on simplifying expense management for companies as they scale. At Brex, Bruce also served as Chairman of the Financial Technology Association, where he worked directly with other innovative fintechs to shape policy affecting the financial services industry. His work with Brex and the FTA earned Bruce recognition by Washingtonian magazine as one of the most influential people shaping policy.
Bruce is a veteran of the House Financial Services Committee staff and the United States Air Force. He holds a law degree from Georgetown Law and a Bachelor of Science from the U.S. Air Force Academy. In his free time, Bruce enjoys watching and collecting blu-ray discs and spending more time than reasonable on home DIY projects.
Got Questions?
Get In Touch with the
Out-Of-Pocket for Business team

Get notified when they reopen.
ICHRA 101
Intro to Revenue Cycle Management: Fundamentals for Digital Health

Things You'll Get From This Course
Understanding the RCM Landscape
Learn From Real Digital Health Failures & Wins
How to Build RCM Inside Your Organization
Practical Tools You Can Use Immediately
Meet Your Instructor,

Meet Your Instructor, Becky Carlson
Becky has been working in Revenue Cycle Management for nearly a decade, with the last seven years focused specifically on digital health. She’s seen the industry from every angle starting on the payer side at Blue Cross Blue Shield, moving to the provider side leading RCM teams at Cerebral, Bicycle Health, and Two Chairs, and then stepping into the vendor world as the founding Head of RCM at both Adonis and now Joyful Health.
She lives in Alabama with her husband and their dog. When she’s not working on RCM (which is admittedly rare), she’s a big college football fan.

Meet Your Instructor, Eliana Berger
Eliana Berger is the co-founder and CEO of Joyful Health, an AI startup transforming the financial operations of healthcare. Prior to founding Joyful Health, she held product management roles at high-growth startups, including the mental health company Charlie Health.
Got Questions?
Get In Touch with the
Out-Of-Pocket for Business team

Get notified when they reopen.
Intro to Revenue Cycle Management: Fundamentals for Digital Health
Legal Stuff for Telemedicine Companies

Things You'll Get From This Course
Context
Real Stories
Contracting Know How
How to work with lawyers
.jpg)
Meet Your Instructor, Andrew Briggs
Andrew has been working and living healthcare technology for over 10 years. After spending time in the customer service, account management and security and compliance realms of the health-tech industry, in 2018 Andrew helped found Trifecta General Counsel, a health-tech focused boutique law firm in Madison, WI. During his time at Trifecta, and now as a partner at Michael Best, Andrew has been on the front lines of working with healthcare companies at all stages of their business, with an increasing focus and specialization on issues specific to digital and telehealth providers. Andrew’s combination of client focused service, and health tech background makes him one of the friendliest health care nerds that you’d ever hope to meet. He’s definitely a lawyer you want on your team.
Andrew is a graduate of University of Wisconsin Law School, and he and his wife still live in Madison, with their new baby and a rowdy 3-year-old chihuahua-pug mix. When he’s not working or spending time with family, you’ll probably find Andrew out sailing on one of Madison’s beautiful lakes, or in his garage, engaged in his new winter hobby, painting tabletop wargame miniatures.
Got Questions?
Get In Touch with the
Out-Of-Pocket for Business team

Get notified when they reopen.
Legal Stuff for Telemedicine Companies
Network Effects: Interoperability 101
.gif)
Things You'll Get From This Course
The “Holy Grail”
The Mechanics
Real World Examples
Why Now?
Meet Your Instructor,

Meet Your Instructor, Dima Goncharov
Dima Goncharov is the Co-Founder and CEO of Metriport, an open-source platform transforming healthcare data exchange. With a background as a software engineer, Dima has built everything from aerospace and defense mission systems to highly available cloud database services at Amazon Web Services (AWS). Prior to launching Metriport in 2021, he worked on Amazon Aurora, contributing to its reputation as a reliable and performant database platform. Dima’s passion for transparent, secure, and accessible health data solutions is evident in Metriport’s mission and the APIs they’ve developed for seamless medical record retrieval. Dima holds a Diploma of Technology in Computer Systems Technology from the British Columbia Institute of Technology and is an alumnus of Y Combinator’s S22 cohort. Now based in San Francisco, he leads Metriport’s efforts to modernize and open up healthcare interoperability for providers everywhere.
.png)
Meet Your Instructor, Colin Elsinga
Colin Elsinga is the Co-Founder and COO of Metriport, an open-source healthcare data interoperability platform. A software engineer by training, Colin brings hands-on experience developing consumer health apps and previously worked for an online health retailer in Vancouver. Driven by a vision to simplify and modernize healthcare record access for providers and patients, he leads the operational direction and product strategy at Metriport. Colin and his long-time friend Dima Goncharov whom he met in middle school nearly 20 years ago & joined forces in late 2021, leaving their engineering roles to collaborate on Metriport’s landmark solutions. Colin is also an alumnus of Y Combinator’s S22 batch and is based in San Francisco, building state-of-the-art APIs and open-source tools that empower healthcare organizations to deliver timely, effective care with instant access to comprehensive patient medical histories.
Got Questions?
Get In Touch with the
Out-Of-Pocket for Business team
.gif)
Get notified when they reopen.
Network Effects: Interoperability 101
Risk Adjustment Changes: AI, V28, and compliance
.gif)
Things You'll Get From This Course
The Regulatory Convergence
From Pattern Matching to Reasoning
AI That Explains Itself
Defensible by Design
Meet Your Instructor,

Meet Your Instructor, Wynda Clayton
Wynda Clayton knows what makes documentation hold up under scrutiny because she spent years reviewing it for CMS. As a former RADV auditor, she examined medical records for Medicare Advantage plans under federal review. She saw which organizations passed and which faced clawbacks. More importantly, she learned to recognize the documentation patterns that separated them long before a final determination came down. After transitioning to health plan operations, she led teams through RADV audits from the other side. She understands the pressure of receiving an enrollee list and having a five-month window to gather medical records and validate years of HCC submissions.

Meet Your Instructor, Christopher Lally
Chris brings over 30 years of healthcare operations expertise, including extensive experience in risk adjustment, revenue cycle management, and AI-powered coding solutions across multiple industry-leading organizations.
As Vice President of Operations at RAAPID, he spearheads the implementation of advanced AI technology platforms that help healthcare organizations capture complete patient risk profiles and optimize financial performance.
In this course, Chris will share practical insights on operationalizing defensible coding workflows, including what successful implementations look like and where organizations commonly stumble.
.png)
Meet Your Instructor, Raxit Goswami
Raxit is a healthcare AI researcher with over 15 years of experience in clinical NLP, knowledge graphs, and machine learning. A published author with 70+ academic citations, he focuses on building explainable AI systems that deliver audit-defensible coding accuracy.
At RAAPID, Raxit leads the development of Neuro-Symbolic AI solutions that enhance risk adjustment precision and regulatory compliance.
In this course, Raxit will break down how Neuro-Symbolic AI works under the hood, why it produces defensible outputs where traditional NLP falls short, and what organizations should look for when evaluating AI technology for risk adjustment.
Got Questions?
Get In Touch with the
Out-Of-Pocket for Business team
.gif)
Get notified when they reopen.
Risk Adjustment Changes: AI, V28, and compliance
The Provider Back Office: What Can Be Automated and What Can't?

Things You'll Get From This Course
Optimize Current Operations
Leverage AI Automation
Navigate Regulatory Risks
Build a Future-Ready Provider Network

Meet Your Instructor, Christy Maselli
Christy Maselli has been tackling the thorniest problems in healthcare operations for half a decade, turning back-office chaos into tech-driven wins. After sharpening her strategic chops as Chief of Staff to the COO of Technology at Bridgewater Associates, Christy joined Grow Therapy in 2020 as their first non-founder employee. There, she built automations and APIs to process over 100,000 provider enrollments annually. Now, as an advisor to Assured, she’s empowering startups and payers to streamline administration with AI. Known for making complicated operations feel almost fun, Christy’s the automation expert you’ll want in your corner.
A proud Georgetown alum, Christy lives in New York City with her husband and their golden cavalier, Derby, who’s arguably the cutest pup in Manhattan. When she’s not revolutionizing healthcare ops as the VP of Incubation Operations for Evio VC or advising startups, you’ll likely find her exploring NYC’s art galleries or cheering on Derby’s zoomies in Central Park.
Got Questions?
Get In Touch with the
Out-Of-Pocket for Business team

Get notified when they reopen.
The Provider Back Office: What Can Be Automated and What Can't?
Value-Based Care 202

Things You'll Get From This Course
Risk adjustment
Quality
Utilization
Innovative solutions
Meet Your Instructor,

Meet Your Instructor, Dana McCalley, MBA
Dana has over 15 years of experience in healthcare, with a focus on quality improvement and risk adjustment. She previously led one of the top-performing ACOs in the U.S. for nine years, helping over 700 clinicians provide value-based care to roughly 230,000 patients. Dana holds a Bachelor of Arts degree in psychology from the University of South Florida and an MBA from Liberty University. Dana serves as VP of Value-Based Care at Navina, the leader in AI-powered Value-Based healthcare technology.

Meet Your Instructor, Gary Pilling
Gary Pilling, President of VBC Health Advisors LLC and former Senior Vice President, Central Operations Strategy at agilon health, is a recognized leader in value-based care with over 25 years in healthcare operations. He is known for transforming healthcare delivery through both diagnostic accuracy programs & reducing cost through efficiency gains. As a Senior Leader in both the At-Risk Provider space, as well as Medicare Advantage ecosystem, he has led high performing teams that drove the Quadruple Aim. He is passionate about leading high performing teams, leveraging data to solve complex problems, and being a collaborator in both the company he serves & the general healthcare industry.

Meet Your Instructor, Michael S. Barr, MD
Dr. Barr, President and Founder of MEDIS, LLC, is a board-certified internist with more than 35 years of clinical and leadership experience. He served as Executive Vice President of the National Committee for Quality Assurance (NCQA) and as Senior Vice President of Medical Practice at the American College of Physicians (ACP). He has also held executive roles in community healthcare settings and healthcare IT ventures, and has served as an advisor for a number of early-stage ventures.

Meet Your Instructor, Jonathan Meyers, FSA, MAAA
Jonathan Meyers is a seasoned Healthcare Management and Actuarial Executive with an extensive 30-year background in health and managed care sectors. He stands out as a strategic leader in managing risk across the healthcare continuum, adept at delivering innovative solutions for Medicare, Medicaid, ACO and Commercial plan members. Jonathan has been on all sides of the healthcare system starting out with United HealthCare followed by leadership positions at Horizon BCBS of New Jersey, InnovaCare Health (MMM of Puerto Rico), Towers and Milliman Employee Benefits Practices, Heritage Medical Systems and most recently Rubicon Founder’s HarmonyCares.
Got Questions?
Get In Touch with the
Out-Of-Pocket for Business team

Get notified when they reopen.
Value-Based Care 202
Value-Based Care 301

Things You'll Get From This Course
Operational Scale
Performance Optimization
Prospective Risk Strategy
Audit-Ready Operations
Meet Your Instructor,

Meet Your Instructor, Dana McCalley, MBA
Dana has over 15 years of experience in healthcare, with a focus on quality improvement and risk adjustment. She previously led one of the top-performing ACOs in the U.S. for nine years, helping over 700 clinicians provide value-based care to roughly 230,000 patients. Dana holds a Bachelor of Arts degree in psychology from the University of South Florida and an MBA from Liberty University. Dana serves as VP of Value-Based Care at Navina, the leader in AI-powered Value-Based healthcare technology.

Meet Your Instructor, Zac Oty
Zac Oty works with health systems, ACOs, and payers to evaluate and embed AI directly into clinical workflows and translate it into measurable clinical, performance, and financial outcomes. Prior to Navina, Zac was a Solutions Engineer at Aledade, where he co-founded and scaled the Solutions Engineering function. He supported the company’s largest and most strategic opportunities across MSSP, Medicare Advantage and other value-based arrangements, resulting in growth across hundreds of thousands of lives over multiple years. Zac brings a practical, operator’s perspective shaped by deep experience in Medicare data, ACO economics, and the realities of driving adoption and results at scale.

Meet Your Instructor, Kim Lynch
Kim Lynch Founder & CEO, Metis Health Technologies, Kim is a seasoned VBC strategist with extensive experience advising provider organizations on ACO program selection, MSSP and ACO REACH. Kim has also published peer-reviewed research on engaging clinical teams in value-based payment models.

Meet Your Instructor, Natalie McGann
Dr. Natalie E. McGann, D.O., is a board-certified family physician with a longstanding commitment to community-based care and clinical leadership. She currently practices at TriValley Primary Care in Telford, PA, where she also serves as a shareholder and holds key leadership roles, including Executive Committee Member and Clinical Chair of Strategy & Operations.
Dr. McGann earned her Doctor of Osteopathy from the Philadelphia College of Osteopathic Medicine and completed her Family Practice Residency at Abington Memorial Hospital, where she was named Chief Resident. Following her residency, she joined the Abington Family Medicine Residency Program as a faculty member, contributing to resident education from 2010 to 2014.
Her leadership extends beyond clinical practice. Dr. McGann serves as Medical Director for Tandigm Value Partners, the ACO in which her practice participates. In this role, she focuses on value-based care initiatives and population health management, consistently demonstrating a deep commitment to improving care delivery, fostering physician collaboration, and driving strategic improvements across the healthcare continuum.

Meet Your Instructor, Siera Gagne
Siera Gagne, MHA is an accomplished healthcare executive with over six years of progressive leadership experience in population health, value-based care, and physician practice operations. She currently serves as Director of Population Health at the Center for Primary Care in Augusta, Georgia, where she oversees value-based care programs, including transitional and chronic care management teams, and drives performance within the organization’s value-based care programs.Siera has demonstrated a strong ability to lead quality improvement initiatives and achieve measurable results, including significantly improving transitional care management outreach performance. She is recognized for her expertise in optimizing operational efficiency, advancing strategic growth, and strengthening team performance to enhance patient outcomes.Prior to her current role, Siera held leadership positions with Cone Health and HCA Healthcare, where she directed physician practice operations, supported hospital leadership, and executed growth strategies across multiple specialties. Her experience includes oversight of clinical operations, financial performance, regulatory compliance, and provider engagement, along with a proven ability to build collaborative relationships and support organizational success.Siera holds a Master of Healthcare Administration from George Mason University and a Bachelor of Science from Minnesota State University, Mankato. She is passionate about advancing value-based care and improving the quality and accessibility of healthcare delivery.
Got Questions?
Get In Touch with the
Out-Of-Pocket for Business team

Get notified when they reopen.
Value-Based Care 301
Claims Data 101 Course
.gif)
Things You'll Get From This Course
Context on Claims
Real Case Studies
Hands on Assignments
Community Learning

Meet Your Instructor, Vishnu Rachakonda
Vishnu Rachakonda is a senior data scientist at firsthand, a company creating an in-person, peer-driven model for recovery from serious mental illness. As firsthand’s first data hire, he has helped scale the company’s impact to multiple states and thousands of individuals. With 6+ years of experience across clinical, claims, and medical imaging, Vishnu is passionate about realizing the power of data in healthcare.

Meet Your Instructor, Vishnu Rachakonda
Vishnu is a senior data scientist at firsthand, a company creating an in-person, peer-driven model for recovery from serious mental illness. As firsthand’s first data hire, he has helped scale the company’s impact to multiple states and thousands of individuals. With 6+ years of experience across clinical, claims, and medical imaging, Vishnu is passionate about realizing the power of data in healthcare.
Got Questions?
Get In Touch with the
Out-Of-Pocket for Business team
.gif)
Get notified when they reopen.
Claims Data 101 Course
EHR Data 101
.gif)
Things You'll Get From This Course
Context on EHR Systems
Common Pitfalls and ‘Tar Pits’
Live Guest Speakers
Curated Readings and Recorded Content

Meet Your Instructor, Phil Ballentine
Phil Ballentine is a clinical data engineer with ~10 years of experience working with EHRs and making use of messy EHR data and currently leads data engineering at Atropos Health, the developer of the first physician consultation service powered by publication-grade real-world evidence derived from EHR data and claims. After working for three years as an Epic implementer transitioning Partners HealthCare (now Mass General Brigham) to Epic, Phil has worked in healthcare data integration and focusing on EHR data since 2017, including at athenahealth, OM1 Inc, and Health Catalyst. Phil holds a MSc in Health Informatics and Analytics from the Tufts University School of Medicine and created and teaches a graduate course at Northeastern University on healthcare data.
Got Questions?
Get In Touch with the
Out-Of-Pocket for Business team
.gif)
Get notified when they reopen.
EHR Data 101
Healthcare Product 201
%2520(1).gif)
Things You'll Get From This Course
Breakdowns
Case Studies
Expert Guests
Community
Meet Your Instructor,

Meet Your Instructor, Dhruv Vasishtha
Dhruv is a healthcare technologist with over ten years of experience building products that solve critical problems for patients living with complex conditions, and the care teams that support them. Dhruv is currently SVP Product at firsthand, a tech-enabled services business that engages and navigates individuals on Medicaid living with persistent Serious Mental Illnesses via a peer-led care team. Prior to firsthand Dhruv led product, UX, and data analytics at PatientPing, the nation's leading care coordination platform, through its acquisition and integration by Appriss Health. Dhruv also shipped mobile, biosensor, and data platform products to power the first decentralized clinical trials at Medidata ($MDSO), a global provider of clinical research technology.
Dhruv is an active angel investor in early stage healthcare startups and on the board of the Caregiver Action Network.

Meet Your Instructor, Julia Lin
Julia is a product manager with experience working with early startups like Memora Health and Tendo and health systems like PennMed and CHOP to uncover opportunities from user research and define new products. Julia is currently pursuing a Master’s in Clinical Informatics Management at Stanford School of Medicine. Julia also has a Master’s in Integrated Product Design and Bachelor’s in Mechanical Engineering from the University of Pennsylvania.
Got Questions?
Get In Touch with the
Out-Of-Pocket for Business team
%2520(1).gif)
Get notified when they reopen.
Healthcare Product 201
How To Contract With Payors
.gif)
Things You'll Get From This Course
Understand Payor Priorities
How to present
Negotiation
Community Learning
Meet Your Instructor,

Meet Your Instructor, Molly Moore
I’ve worked in healthcare since 1996. Spent 6 years in the provider and rev cycle side, 10 years at payors Aetna, United, and Regence BCBS. Earned my MBA in 2012 and after that, I worked in Rev Cycle Consulting, and then Venture Capital. Ran a 20,000 life self-funded Taft-Hartley plan. In 2018, I Co-Founded my first company called Decent, building an entire health plan from scratch in under 12 months. In 2021, I re-started my consulting company, Formidable Nerd. Zero Card in 2022 building a national bundled services network. In 2023, I co-founded Bramble and became its CEO. Turquoise Health acquired Bramble in 2024, where I currently serve as General Manager.
In addition - I have been a certified professional coder, I have worked with 30+ startups on GTM and business development plans, I have been working on Value-based contracts since 2008, and am passionate about creating efficiency in healthcare. I am truly here to help you disrupt, create, and ultimately improve the way healthcare works in the US.
Meet Your Instructor, David Ricupero
Over the past eight years, I've been deeply immersed in the digital health sector, focusing on business development roles with a primary emphasis on selling to health systems and payors. Today, I play a key role in leading a national provider contract with payors at various levels. Throughout the country, I've worked on both fee-for-service and value-based contracts, guiding them from the initial phone call through presentation, negotiation, and finalizing signed contracts. As a co-creator of this course, my goal is to provide a resource that I wish I had during my journey—a tool to quickly get up to speed and avoid unnecessary mistakes, ultimately accelerating your development in payor contracting.
Got Questions?
Get In Touch with the
Out-Of-Pocket for Business team
.gif)
Get notified when they reopen.
How To Contract With Payors
LLMs in Healthcare 101
.gif)
Things You'll Get From This Course
Breakdowns
Case Studies
Hands-on exercises
Community

Meet Your Instructor, Payal Patnaik
Payal Patnaik is a healthcare data product leader, working at the intersection of healthcare delivery transformation, emergent tech, and product for the past 12+ years. She moonlights as a singer-songwriter and you might spot her lugging around her GS mini guitar in the camberville, Massachusetts area.
Most recently, she led AI/Machine Learning product management at One Medical. Her team launched 6 LLM services and products within Amazon Health Services at One Medical within its first year. She internally trained product managers and designers on designing, experimenting, and building LLM services and products. Previously, she led the data product organization at Iora Health and the value-based care data product organization at One Medical.
She’s worked at athenahealth, Devoted Health, and served as a Medicaid policy consultant on value-based care delivery transformation through data science, policy, and products focused on patient and provider engagement. She believes that building a community of learning behind healthcare innovation is the fastest, most effective way to change the status quo of delivering healthcare.
Got Questions?
Get In Touch with the
Out-Of-Pocket for Business team
.gif)
Get notified when they reopen.
LLMs in Healthcare 101
Onboarding Clinicians to Tech and Startups
.gif)
Things You'll Get From This Course
Community
Tactical resources
Real world examples
Clinician guest speakers

Meet Your Instructor, Ellen Kourakos
Got Questions?
Get In Touch with the
Out-Of-Pocket for Business team
.gif)
Get notified when they reopen.
Onboarding Clinicians to Tech and Startups
Selling to Health Systems 101
.gif)
Things You'll Get From This Course
Ready-to-Deploy Tools
One-on-One Feedback
Guest Speakers
Community
Meet Your Instructor,

Meet Your Instructor, Neelesh Mittal
Neelesh has been in the medical device industry since 2010 working across sales, marketing, product management, regulatory affairs, and medical affairs. He has successfully sold to non-profit health systems, for-profit health systems, the VA Healthcare System, and private medical practices.
His company Bayside Operations Technology deploys service robots to healthcare systems and national senior living organizations, and previously sold startup medical devices and supplies into VA hospitals. During the pandemic, he built an end-to-end vetted PPE supply chain which responsibly provided PPE to state hospitals and governments.
He lives on the immediate left side of the Hudson River (a.k.a. New Jersey) with his wife and baby, and estimates that Coke Zero is at least 10% of his bloodstream.

Meet Your Instructor, Matt Papagno
Matt has been working in medical device commercialization since 2008. Matt started his career at Zimmer where he became the youngest Director of Sales. In 2018, Matt started a sales consulting firm with the goal of helping European medical device startups enter the US-market.
Today, Matt serves as the CEO of Clozex Medical, a medical device company in the wound space. Matt resides in Massachusetts with his wife and young children. In his spare time, he focuses on family activities and loves making his own wine!
Got Questions?
Get In Touch with the
Out-Of-Pocket for Business team
.gif)
Get notified when they reopen.
Selling to Health Systems 101
The Pharma And Life Science Breakdown - from discovery to bedside
.gif)
Things You'll Get From This Course
Comprehensive Industry Insight
Practical Tools & Techniques
Insights into Pharma Partnering & Buying Behavior
Strategic Networking Opportunities
Meet Your Instructor,
.png)
Meet Your Instructor, Ranga Yarlagadda
Ranga Yarlagadda is an accomplished leader in the pharma/biotech therapeutics space with a knack for tackling high stakes projects – from leading commercialization efforts to navigating complex deals and strategic partnerships.He currently leads Corporate Affairs and Business Development at a cell therapy company creating off-the-shelf therapies for blood disorders. Prior to this, he spent time at Rain Oncology and Stratus Therapeutics as Chief of Staff to the CEO where he led all aspects of commercialization, business development, and company growth initiatives. In his previous life he spent a decade at Amgen navigating x-functional groups and leading teams across market insights, competitive intelligence and forecasting/analytics.Ranga has a Bachelors in Biology from BITS Pilani, India and Masters in Business/Bioscience from the Keck Graduate Institute at Claremont Colleges.
.png)
Meet Your Instructor, Shruti Tibrewala
Shruti is GTM leader in biopharma partnerships. Her experiences ranges from in-house at Biopharma (portfolio mgmt infra @ Novartis, commercial planning @ Gilead) to external to Biopharma (market access consulting for life sciences and sales/BD for early stage Cos looking to commercialize to pharma). She spent most of her career at Flatiron Health, owning and growing major biopharma partnerships. She is currently building a company in the AI for life sciences space.Shruti has a BS in Biology from Stanford and MBA/MPH from UC Berkeley. She lives in San Francisco.
Got Questions?
Get In Touch with the
Out-Of-Pocket for Business team
.gif)
Get notified when they reopen.




