Martin Trautmann @trauti
Healthcare operator | Investor (20+ cos) Where data meets reality in medicine Building, fixing, occasionally ranting Tennis & food in between Views my own trautmann.world Joined April 2009-
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Recently joined Premier to work more closely at the intersection of life sciences, data, and provider systems. What’s striking is how consistent the pattern is: strong ideas → strong data → slow, uneven adoption That last step is where most things break.
@vijaypande @kpfortney @bioagelabs Agree - measurement unlocks capital and talent. The next bottleneck tends to be turning that into something actionable in real-world settings.
@vijaypande @kpfortney @bioagelabs Measurement is necessary. Actionability is what makes it matter.
@EricTopol @Zlatimeyer Discovery is often accidental. Adoption never is. That’s where most of the work in healthcare actually happens.
@julesyoo @JayRughani @vintweeta @CF_Rom The pricing models are evolving quickly. The harder part is still adoption— where incentives, workflows, and behavior don’t move as fast as the technology.
Psychedelics just moved from “interesting science” to real capital allocation. When ~40% of an ARPA-style portfolio concentrates there, it’s not noise. The question now isn’t whether they can work. It’s whether they can make it through: regulation delivery reimbursement
@daniel_kraft Important shift. The challenge is that training can evolve faster than the systems clinicians actually work in. That gap between how medicine is taught and how it’s practiced is where a lot of friction sits.
@fordsmith Exactly. The gap between something working on paper and actually changing behavior in the system is where most things stall.
You can design reimbursement. Changing behavior in healthcare is much harder. That’s often the difference between something working in theory and actually getting used.
@LifeSciVC @AimeeRaleigh13 Life sciences is a smaller slice of venture, but it still resets around data. When the clinical signal is strong enough, capital tends to follow—just on a different timeline.
@BiotechMoe Feels like this ultimately comes down to data. In biotech, capital follows when clinical signal becomes hard to ignore. That’s still what resets the narrative.
@BioProtocol @Bankless @peptai_ Impressive direction. The harder part is less designing a molecule and more everything that follows—validation, development, and getting it into patients. That’s where most of the time and cost still sit.
@adamfeuerstein Hard to ignore OS signals like that in pancreatic cancer.
@CMichaelGibson @statnews Pancreatic cancer has set a pretty high bar for skepticism—so OS deltas like this stand out.
Pancreatic cancer has trained everyone to be skeptical. So when you see phase 3 data showing overall survival at 13.2 months vs. 6.7 months, that gets attention. The bigger point: real OS data still cuts through the noise in oncology. ir.revmed.com/news-releases/…
@EricTopol @CellCellPress Really interesting. Feels like microbiome is moving from “interesting biology” → “potentially actionable signal,” especially in treatment response. Curious how you see this translating into real-world clinical decision-making vs. remaining a research insight?
The biggest misconception in healthcare innovation: People think the problem is lack of ideas. It’s not. It’s: who pays who changes behavior how it fits into workflow The system is actually very good at ignoring good ideas.
@BastienFachan This is too perfect 🤣🤣
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