“How badly do you want this deal?” Ryan, our general counsel, called me while I was at dinner.
Turns out @joinAdaptive redlined the term sheet we sent them to lead their Series A, and they put in a clause that gave me second thoughts.
For context: I’m a die-hard @49ers fan. Beating the Cowboys is always a good feeling. Winning the last 4 games against the Dallas Cowboys including 2 playoff games? The best.
The clause they inserted was a tough one to accept. We ultimately agreed that when the company reaches a significant revenue milestone, @Felicis board members will attend a Cowboys game in Dallas with the founding team… in full Cowboys gear.
Today, over 40% of patients referred to home health don’t get the care they need. Adaptive is using AI to help home health agencies serve more patients, reduce overhead, and expand access to care.
AI has been transforming the digital world, but is only just beginning to change the physical world. Home health is the fastest-growing outpatient sector, on pace to nearly double over the next 5-6 years. The current foundation of fragmented small home health providers is not ready for that influx. Adaptive is rebuilding from the inside out to lay a foundation for an industry positioned to scale.
I’d prefer to keep my 49ers loyalty intact. But if wearing a Cowboys jersey is the price of helping build a company that improves healthcare for millions of people, I’ll survive. To @AlexRWendland, @ryanatolsma, Logan, and Hunter, I’m rooting for you...but not your football team.
Two in every five patients referred to home health care in America never get the care they need.
Not because clinicians aren't available. Not because the patient doesn't qualify. They get turned away because the paperwork costs more than the visit pays. Roughly $40B in referrals get rejected this way every year.
So the agency says no, and the patient ends up in a nursing facility or gets sicker at home until the ER takes over.
We led @joinadaptive's Series A because they stopped trying to sell better software to broken agencies and became the provider instead. AI runs the intake, scheduling, prior authorization, documentation, and billing that traditional agencies burn $.60 to $.90 of every clinical-labor dollar on. When those costs collapse, the patients who would have been rejected instead get the care that they deserve.
So far in Adaptive's first market: Patients served by Adaptive have a 4.9% rehospitalization rate compared to the 12.9% Texas state average and 10.2% national average. More than 95% of patients see improvement in ambulation, meaning they are back on their feet, no longer homebound, compared to an 89.5% national average. Patients are set up with a home care provider extremely quickly, with 99% of patients admitted within 48 hours of referral. They have a 4.5-star CMS quality rating against an industry average of around 3.
Hear from co-founders @AlexRWendland and @ryanatolsma on the future they're building with Adaptive. 👇
cc: @pxd@EricFlaningam
https://t.co/Bl3vkqdcif
The @joinadaptive team is tackling one of the most important, under-the-radar problems in the American healthcare system, and we at @felicis are excited to be leading their $50M Series A.
https://t.co/hHuDid2c13
Excited to share Adaptive Innovation’s (@joinadaptive) $50M Series A led by @felicis and $10M Seed led by @BainCapVC.
Adaptive is an AI-native healthcare provider rebuilding the way care is delivered in America, starting with home health
The best part of being at a generalist firm is the freedom to refresh your mental model for where the world is going without being constrained by a predetermined worldview.
The most interesting companies right now don’t fit neatly into a single category. They blur the lines between software, services, infrastructure, consumer behavior, and the physical world.
Today we're publishing the @Felicis Forecast: nine themes we keep coming back to and that keep showing up in the companies we're most excited about.
1/ Today we launch the @Felicis Forecast. It's our map of the changes that defy neat categorization but matter most to what’s next. Where AI’s potential cuts across industries to collide with consumer, organizational, and socio-economic fault lines. Where the old structures have ruptured, and new ones are just coming into view.
Because even to people like us – generalists who’ve spent the past 20 years studying change – this moment feels different. Everything’s up for grabs. Rules, tidy bell curves, and comfortable patterns no longer apply.
So instead of following patterns, we forecast: 9 themes we just can’t get out of our heads, that seem to pop up everywhere once you notice them.
https://t.co/cQrirqWdBd
@joannejang So true. Those who work for fun are playing infinite games. Infinite gamers generate motivation from within and rarely burn out because the game itself gives them energy.
@roeytechai By waiting for consensus, you're outsourcing your conviction. By the time the world agrees you're allowed to do something, someone else with the right mindset has already done it.
For every leadership role I took on, one of the first things I did was to become best friends with my recruiting partner.
Building an exceptional team takes time, and the people on your team drive the results. The best companies establish an insane talent bar, which leads to high talent density, which leads to outlier outcomes.
For such an important concept, the way we measure it's been pretty squishy until now. Excited for @paraformtalent's new Talent Density Index. Looking forward to seeing how this updates over time.
Most startup rankings tell you who’s raised the most money or grown the fastest.
We ranked them on what matters more: Talent Density.
Using @paraformtalent's proprietary hiring dataset, we built a Talent Density Index that accurately quantifies which companies are building the strongest and most talented teams in tech.
Top 50 + full methodology: https://t.co/OwRLxupbOW
GPT-Image-2 had a 93% win rate in Image Arena.
Arena rankings come from blind, pairwise battles where voters pick between two anonymized image outputs for the same prompt.
GPT-Image-2 from @OpenAI was preferred 93% of the time, resulting in a record-breaking +242 point leap ahead of the competition on Arena's Text-to-Image leaderboard.