Rich P Wong @RWong
GP @ Accel, BoD Atlassian (TEAM), UIPath (PATH), Checkr, Instabug, Middesk - prev Sunrun (RUN), Rovio (ROV.HE), MoPub, Airwatch, Admob, Osmo, ServiceChannel Palo Alto Joined April 2007-
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Accel raises $5B in late stage capital to fund growth technology companies globally — expanding to $36b in $ aum accel.com/noteworthies/o…
Medicaid fraud (and all forms of govt fraud) impose a systemic cost on everyone in our society. We all pay a price for this … independent of politics. The @MiddeskHQ team is leveraging their business identity infra to break down this fraud from the open source HHS data. Details below:
Yesterday we posted what @MiddeskHQ found when we cross-referenced the @DOGE_HHS dataset against our business identity infrastructure. 300K+ views later, people are asking: what does this fraud actually look like up close? 🧵
TLDR we mapped $1.7B in Medicaid payments to high confidence fraud
HHS just open-sourced the largest Medicaid dataset in history. About $1T in claims data, free for anyone to analyze via @DOGE_HHS. Everyone's looking at what was billed. At @MiddeskHQ, we're looking at who's behind the billing. Here's what we found 🧵
If you're a journalist, researcher, or data analyst looking at this data we'd love to help. DM me or reach out at [email protected] Fraud hides in identity. Let's find it.
This is just a conservative pass of blacklisted providers, revoked licenses, and the businesses directly connected to them. There's much more to dig into: anomalies in average claim sizes, geographic clustering, further validation of individual provider legitimacy.
It gets worse. Using our graph, we traced from the 1,489 highest-risk providers to 1,329 additional connected providers who share exact operating addresses and/or officers. Total payouts to this network: $1.7B. Shell entities are used to funnel money to excluded providers.
$563M in payouts went to 1,175 providers blacklisted from federal healthcare programs for criminal activity or misconduct. They shouldn't be receiving a single dollar. They received half a billion. $155M was paid to providers with suspended, inactive, or revoked licenses.
From 2018–2024, $1.09T in Medicaid payments went to ~1.6M providers. The biggest category was personal care services (in-home visits) at $122B. The fastest growing was behavioral health/substance abuse claims, up 450%+ over 5 years.
HHS just open-sourced the largest Medicaid dataset in history. About $1T in claims data, free for anyone to analyze via @DOGE_HHS. Everyone's looking at what was billed. At @MiddeskHQ, we're looking at who's behind the billing. Here's what we found 🧵
Like everyone else, I’ve been spending the weekend reading all about this alleged Minnesota fraud and wanted to use the tools that we have at @MiddeskHQ to see what we could learn. Verifying a business is a challenge but not an unsolved problem. There is a difference between a business that is real on paper (i.e. they have registered with the Secretary of State) and one that has legitimate business operations. This evaluation is contextual, so you wouldn’t automatically decide that a business that has only formed last week and doesn't have a credible office location is illegitimate. When we started Middesk, we didn’t really have a business for at least 6 months and were running the company out of my apartment. But there are signals that we can look at to build a more complete picture of a company, even if they are just getting their business off the ground. I pulled 2,000 child care and home health care companies formed in Minnesota with a registered operating address in Minneapolis. To build the list, I focused on companies that mentioned child care or home care in their entity name to expand the scope beyond what we might have found if we only looked at industry specific licenses. I placed the businesses on a graph to show the relationships, which looked like this: Then I looked at clusters of businesses that were using the same or similar addresses as their operating location. You can see the heatmap of address density below, but consider that a single block in MN has more than 100 companies from the sample of businesses that we used for this dive. We can also see some of the businesses visited in the @nickshirleyy video within that block, along with other high density blocks. Next, I looked at the connections between companies, since businesses are easy to shut down and re-open on paper. Connections were based on shared addresses, individuals, and ownership structures. For example consider this cluster of related businesses: 12 companies connected through 3 shared addresses and a shared officer. 2 of the companies in this cluster are visited in the video. These businesses are the red ones. And TBC, it doesn't mean that all businesses in the cluster are fraudulent, just an example of higher risk. To go a bit further, I looked at the online web presence of the entities in the cluster above and found that of the 12 companies, all have no credible online web presence (Google Places page, recent reviews, online/available website, etc.). When you consider that the average age of these 12 businesses is 8 years, this increases the risk of the cluster further. You would expect businesses formed in the last 8 years to have some meaningful online presence. Next step would be expanding beyond Minneapolis and layering in funding data like grants, PPP loans, etc. But the clustering patterns alone tell you a lot.
@Saboo_Shubham_ thx for pulling this together!
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Something great The world of neoclouds is full of fluff and endless comparisons of apples to oranges, and that's all in an environment of extremely expensive infrastructure. nebius.com/economics-of-a… We spent the past few months analyzing the key factors that truly define the cost of AI model training, and showing how high-quality infrastructure can streamline development and maximize return on investment.
v0.app is free0 this week the full-featured agent. for $0. enjoy!
Thank you @alexandr_wang
We’ve been fortunate to partner with @alexandr_wang and the @Scale_AI team since the days when they were working out of @daniel_levine’s basement. Thanks for bringing us along for the ride, and here’s to what’s next. 🚀 Read more about Scale, Meta, and our continued partnership here: accel.com/noteworthies/t…
Catch Accel’s Rich Wong in conversation with Laela Sturdy at #BloombergTech, diving into the future of innovation and venture capital. Happening today in SF at 10:30am PT / 1:30pm ET: bloom.bg/4bShbgl @RWong @LaelaSturdy @Katie_Roof @BloombergLive @CapitalG
I am incredibly proud and thrilled to share that @circle is now a public company listed on the New York Stock Exchange under $CRCL! 12 years ago we set out to build a company that could help remake the global economic system by re-imagining and re-building it from the ground up natively on the internet. Our mission – to raise global economic prosperity through the frictionless exchange of value – has animated our work ever since. When we founded the company, I told every employee and every investor that this was a multi-decade opportunity, and that I sought to build a deeply lasting internet technology platform. Now, just over a decade in, we are just starting to realize our early vision. Our transformation into being a public company is a significant and powerful milestone – the world is ready to start upgrading and moving to the internet financial system. From inception, we have been deeply focused on being trusted, transparent, compliant, ethical and well governed. Holding ourselves to the high standards of the NYSE and SEC rules and regulations further deepens those attributes. To every single person, project and firm who’s been part of this journey, thank you. I am humbled and deeply grateful. This is not only a moment for each of us personally, I believe it's a significant moment in the future development of our global economic system as it inexorably synthesizes with the internet.
Congratulations to the SHP Boys Lacrosse team, your 2025 @cifccs Champions! The Gators defeated SI 8-7 to claim the programs first CCS title since 2021!
Jason ✨👾SaaStr.A... @jasonlk
242K Followers 2K Following GET funded ➡ $200m https://t.co/AVvPIrIdFP🦄🦄🦄🦄🦄🦄🦄 FREE PLAYBOOK ➡ https://t.co/TIsMr22AhO CHAT Digital Jason ▶ https://t.co/bwkZCtvqlr Founder AdobeSign
Dan Primack @danprimack
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Matt Turck @mattturck
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Mike Maples, Jr @m2jr
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Stewart Butterfield @stewart
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McNeil @REFLOG18
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Josh Constine 📶�... @JoshConstine
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Mathieu Baudet @ma2bd
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Nik Daruwala @nikdaruwala
135 Followers 532 Following Lover of business, technology, basketball, golf, cappuccinos and old school hip hop. Views are my own.
Piyush @PimaBD
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Benjamin Humphrey @humphreybc
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Juan Pablo Arias @Juanpi_
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Madhu Yalamarthi @MadhuYalamarthi
2K Followers 6K Following Believe in the power of hardwork, learning, and compounding. Love history, tech, and fintwitter. Founder @modakmakers alum @Stanford and @IITKgp
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Teddy Owen @ItsTeddyOwen
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Julia Hornstein @julia_hornstein
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Dr. Tina Clarke @tinaclarkedur
326 Followers 368 Following Population Health Scientist at @GrailBio, Visiting Senior Research Scientist @StanfordCancer. Recruiting thousands who will help us detect cancer earlier!
Chris Cunningham @C2cunningham
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Geoff Hamilton @gham1lt0n
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Chitranjan @chitranjanjain1
384 Followers 5K Following Investing in AI/Deeptech @Westbridge_cap | Prev @accel @BITSPilaniIndia | Views are my own
Siri Srinivas @pjux
18K Followers 3K Following raised by the internet. pls take these tweets seriously, never literally. Previously @google @drapervc @guardianus
Robert Scoble @Scobleizer
585K Followers 50K Following San Francisco/Silicon Valley AI | Robots, holodecks, BCIs, analysis of new things | Ex-Microsoft, Rackspace, Fast Company | Wrote eight books about the future.
Karan Mehandru @kmehandru
3K Followers 2K Following MD @Madrona, GP @trinityventures, Steadfast, Dad x3, 🇺🇸🇨🇦🇮🇳@auth0 @outreach_io, @zapier, @klaviyo, @algolia @cohesity @unstructuredIO @jumpcloud @clerkdev
Shuly Galili @shulygalili
5K Followers 2K Following Founding Partner @UpWestVC. First Investor @SentinelOne @stampli @Zenitysec @HoneyBook Making things happen at Silicon Valley/TelAviv tech junction.
Ron Alfa @Ronalfa
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Jay Patel @JayKPatel9999
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Edu Rigonato @EduRigonato
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TrustedCofounder @TrustedCoFound
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Aditya Vellanki @aditya_vellanki
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Harry Stebbings @HarryStebbings
450K Followers 374 Following 🎤 @twentyminutevc, 🏦 @20vcfund, @projecteurope_😇 @fuseenergy @linear @fyxerai @cognition @lovable @airwallex @mercor_ai @workos
Jason ✨👾SaaStr.A... @jasonlk
242K Followers 2K Following GET funded ➡ $200m https://t.co/AVvPIrIdFP🦄🦄🦄🦄🦄🦄🦄 FREE PLAYBOOK ➡ https://t.co/TIsMr22AhO CHAT Digital Jason ▶ https://t.co/bwkZCtvqlr Founder AdobeSign
Tomasz Tunguz @ttunguz
125K Followers 342 Following Venture capitalist at @theoryvc Student of Startups Backer of 9 unicorns Author of https://t.co/IWw3R3RVLm Subscribe https://t.co/iDgoLXaF98
Dan Primack @danprimack
161K Followers 5K Following Biz editor @Axios. Pro Rata newsletter. [email protected]. Native Masshole. DM for Signal/Telegram.
Semil @semil
164K Followers 861 Following Investor via @HaystackVC focused on seed-stage investments // Venture Partner w/ @LightspeedVP
Jeff Richards @jrichlive
66K Followers 3K Following Venture capitalist @notablecap, 2X founder, 4X dad, praying for @Dartmouth 🏀 return to Final Four *not investment advice *wrong often 🤞
Matt Turck @mattturck
140K Followers 2K Following VC at @FirstMarkCap. Host: MAD Podcast; Organizer: Data Driven NYC, Author: MAD Landscape.
Bill Gurley @bgurley
747K Followers 2K Following Founder/President @p3institute Author: Runnin' Down a Dream, pre-order link below! Founder: Runnin' Down a Dream Foundation VC @benchmark Trustee @sfiscience
Mike Maples, Jr @m2jr
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Mark Suster @msuster
357K Followers 2K Following 2x entrepreneur. Sold both companies (last to @salesforce). Now @UpfrontVC looking to invest in passionate entrepreneurs.
Josh Elman @joshelman
161K Followers 3K Following I have been very lucky to work on or invest in many products I use every day including this one when it had a different name.
nihal @nihalmehta
28K Followers 2K Following @eniacvc @pitchandrunnyc @humanunicornpod. blessed dad 👦🏽👨🏽🐶. proud husband @reshmasaujani. jodhpur jain born in iowa 🇮🇳🇺🇸
Bijan Sabet @bijan
83K Followers 292 Following Dad • Husband • 10th U.S. Ambassador to the Czech Republic (retired) • co-founder & partner emeritus @sparkcapital • 🦋@bijansabet.com • 🧵@bijan
villi @villi
27K Followers 573 Following Founder of @Category_VC. Investing early in enterprise software startups. Ordinary thinker. Athlete. Dad. Strong opinions about sneakers.
Zach Coelius @zachcoelius
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alex 🏴☠️�... @alex
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Chris Fralic @chrisfralic
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saar gur @saarsaar
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Apoorv Agrawal @apoorv03
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Joanne Jang @joannejang
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378 Followers 160 Following The leading platform for trading private shares | Home of The Setter30
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Farza 🇵🇰🇺�... @FarzaTV
114K Followers 2K Following hi. i make things. hacking on @heyclicky. prev founder @_buildspace.
Joe Lonsdale @JTLonsdale
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Max the VC 👨�... @mreiffy
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18 Followers 99 Following The Business Identity Platform that enables any business to instantly onboard and transact
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Shaun Maguire @shaunmmaguire
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Matt Shumer @mattshumer_
368K Followers 2K Following Investor in @GroqInc @Etched @Rork @DaytonaIO @OpenRouter + more. Prev: CEO @HyperWriteAI, @OthersideAI Try: https://t.co/gupFzizHCd Press: [email protected]
Dartmouth Men’s Lac... @DartmouthMLax
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US Tech Force @USTechForce
14K Followers 157 Following The US Tech Force is an elite corps of top engineering talent building the future of American government technology.
Roman Chernin @romanchernin
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Ty Xanders @tyxanders
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ASPIRE PAC @ASPIRE_PAC
839 Followers 70 Following We champion AAPI candidates and candidates who support the AAPI community. We’re committed to electing more AAPIs to the House & Senate.
Sam Liccardo @sliccardo
35K Followers 2K Following Official: @repliccardo. US Rep for CA 16th District. Former Mayor of San José. Despite being 60% water, I’m a big eater. @kohl_garcia's Husband. He/Him.
Olivia Moore @omooretweets
103K Followers 920 Following Partner @a16z and twin to @venturetwins | Investor in @gammaapp, @happyrobot_ai, @krea_ai, @tomaauto, @partiful, Salient, @scribenoteinc & more
Henry Shi @henrythe9ths
21K Followers 510 Following AI @ Anthropic. I help founders, write about AI and share lessons from founding https://t.co/JPQUw7ggAp ($200M+ rev/year). Raised $150M in VC. Angel Investor.
Alexei Oreskovic @lexnfx
9K Followers 2K Following Deputy Tech Editor, Fortune. Previously Business Insider, Reuters...
Arfur Rock @ArfurRock
40K Followers 5K Following anon GP at your favorite multi-stage VC // OS intel for the private markets
Citron Research @CitronResearch
384K Followers 544 Following Citron Research | Since 2001, delivering bold market analysis & investment insights. Led by Andrew Left, empowering informed financial decisions worldwide.
Superman & Lois @cwsupermanlois
98K Followers 40 Following Stream the final season of #SupermanAndLois free on @TheCW App!
pramodsharma @pramodsharma
765 Followers 308 Following Founder CEO @napkin_ai, transforming text into engaging visuals for business storytelling | Prev: Co-founded @playosmo
Ambassador Mike Waltz @michaelgwaltz
219K Followers 3K Following 32nd U.S. Ambassador to the UN; Fmr NSA; Fmr Congressman from FL; Colonel (ret) U.S. Army Green Beret; Author “Hard Truths” Fmr CEO; Proud Husband & Father 🇺🇸
Napkin AI @napkin_ai
10K Followers 2 Following Napkin empowers anyone to communicate their ideas visually. Transform your text into compelling visuals perfect for presentations, blogs and more at https://t.co/TUGnuPEs6l
Robert Costa @costareports
674K Followers 2 Following National Correspondent, @CBSSunday and Chief Washington Analyst, @CBSNews; co-author of “Peril” with @realBobWoodward
John Heilemann @jheil
365K Followers 4K Following @PuckNews partner, @MSNOWNews analyst, @HacksOnTap cohost, @SHO_TheCircus creator, Game Change/Double Down coauthor, Great Dane valet. #WuTang4Life 👐
Chuck Todd @chucktodd
1.9M Followers 2K Following Host of The Chuck ToddCast | Head of Politics & Host of “Sunday Night with Chuck Todd" for @NoosphereApp | Oh, and yes, I tweet about sports too.
Mark Halperin @MarkHalperin
390K Followers 10K Following For conversations like no other: @2WAYtvapp * Host @NextUpHalperin video podcast Tues/Thur * Sign up now for Concierge Coverage https://t.co/yNkpCTQPX2
Abigail Shrier @AbigailShrier
271K Followers 2K Following Senior Fellow @ManhattanInst ║ Columnist @thefp ║ NYT Bestselling Author ║ https://t.co/tRlHtt2jQi ║ Tips: [email protected]
Jonathan Haidt @JonHaidt
465K Followers 2K Following Social psychologist at NYU-Stern, working to roll back the phone-based childhood. Please visit https://t.co/ZjBuXdDYYg & https://t.co/7aVAmOTTcT
Will Sussman @realWillSussman
9K Followers 3K Following Long Islander. Professor @YUNews. Candidate for AD-4. Alum @Yale and @MIT. Opinions my own.


























