June 12, 2024

Dejan Nenov - Panaton

Episode Information

About the Guest(s):

Dejan Nenov is a seasoned technology entrepreneur and software engineer with roots in Sofia, Bulgaria. Having moved to the United States in 1984 and with a background in electrical engineering and computer science, Dejan dove into the startup culture of San Francisco in the early '90s. His entrepreneurial spirit has seen him involved in multiple startups, with notable work experience in Australia with Solution 6 and a continuous engagement with healthcare technology projects. Dejan is currently a co-founder and investor in a healthcare startup, emphasizing the importance of integration in the healthcare industry.

Episode Summary:

In this insightful episode of Shape the System, host Vincent Turner engages with Dejan Nenov to explore the intricacies of the U.S. healthcare system and the opportunities for technological innovation within. The conversation uncovers the historical reasons behind the system's unique complexities and challenges, providing a holistic understanding of why U.S. healthcare operates the way it does.

Dejan opens the discussion with an overview of the U.S. healthcare's origins, which were shaped by labor union negotiations and policy decisions that have led to employer-provided insurance being the norm. They examine why healthcare costs are so significant, the process-driven nature of the industry, and the ethical considerations that differentiate it from other sectors. The conversation then shifts to the potential of technology, specifically the crucial role of integration in advancing healthcare effectiveness and efficiency, and how AI might influence future developments.

Key Takeaways:

The U.S. healthcare system is unique due to historical decisions that tied insurance coverage to employment, leading to a complex interplay between various stakeholders.

Despite its inefficiencies, the U.S. excels in biomedical research and setting standards for drug safety and efficacy.

Integration is key in healthcare to ensure comprehensive and efficient care, especially since the industry lags in adopting newer technologies like cloud systems.

AI's application in healthcare is currently limited due to ethical concerns and the accuracy required in medical contexts, yet machine learning and NLP show immediate utility.

Future healthcare advancements may heavily rely on empowering patients to own and control their health information as a means of ensuring data security.

Notable Quotes:

"The U.S. healthcare system is complex, with many moving parts and historical circumstances that led to its current state."

"In healthcare, your first priority is not to be more efficient, but to do no harm. That is a fundamental difference from other industries."

"What I found particularly interesting personally is that because I come out of the Silicon Valley technology space... in healthcare, things are four times slower than any other industry."

"Integration is fundamental in healthcare and extremely immature... It is a huge opportunity, huge challenge..."

"Technology exists today to turn on a microphone in an exam room, record everything that's said... and have it correctly annotated and stuck in the medical record."


Shape the System Podcast:

KPMG High Growth Ventures: Home - KPMG High Growth Ventures (Not explicitly mentioned, inferred for context)

Panaton: Company Website (Not explicitly mentioned, inferred for context)

We invite you to listen to the full episode to gain a deeper under


Shape the System is  an independent podcast with support from KPMG High Growth Ventures

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