Ignition by RocketTools
Dan McCoy, MD
Publishing Details
About This Podcast
Healthcare is getting optimized by AI. But optimized for whom? Ignition by RocketTools breaks down the systems, incentives, and technology reshaping how care gets approved, denied, and paid for — with data, not hype.
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Recent Episodes
S1E25 How One Reused Password Cost Change Healthcare $2.5 Billion (Healthcare Security, Part 1)
In February 2024, hackers walked into the largest healthcare clearinghouse in America through a Citrix portal that didn't have multi-factor authentication. They used credentials stolen from a…
S1E24 The Target Story Isn't About Coupons. It's About Healthcare AI.
Twelve years ago, a Target statistician built a model that could predict pregnancy from 25 shopping items. The story usually gets told as a privacy parable. I'm telling it differently — as a preview…
S1E23 The 9-Person Insurance Company and the Real Line in AI-First Healthcare
Y Combinator has a name for it: burn tokens, not headcount. A health insurance company called Decent runs with nine people total. Twofold does revenue cycle management with three. Deep Cura Health…
S1E22 Are the Blues AI-Ready? Blue Cross vs. the Optum Platform Race
In March 2026, the Blue Cross Blue Shield Association published research blaming hospitals' AI billing tools for $2.3 billion in added healthcare costs. It was a grievance — not a strategy. And it…
S1E21 The Hospital Cost Crisis: How Washington Banned Cheaper Care
You've been told American healthcare is expensive because of greedy insurers, pharma profits, or the cost of innovation. That story is incomplete to the point of being misleading.The largest single…
S1E20 Is Your Local Hospital Doing Exactly What Musk Says OpenAI Did?
There's a billionaire fight happening in an Oakland federal courtroom right now. The headlines are calling it Elon Musk versus Sam Altman—tech titans, AI drama, billions at stake. But here's what…
S1E19 21st Century Cures, 20th Century Accounting: Why a $3M Gene Therapy Just Broke Insurance
A 6-month-old named KJ Muldoon just received the first personalized CRISPR gene therapy ever made — designed, manufactured, and administered for his exact mutation in six months. Nature named him to…
S1E18 Med Students Are Choosing the Wrong AI Specialty
If you're a medical student picking a specialty in 2026, you're being asked to bet a decade and $300,000 in debt on a market nobody is teaching you to read.This episode is the framework I wish…
S1E17 Nobody In The MultiPlan Lawsuit Is The Good Guy
Last week the Texas Medical Association joined a federal antitrust lawsuit against MultiPlan — recently rebranded as Claritev. The story being told is doctors versus insurers, an unlawful cartel,…
S1E16 The Stop-Loss Crisis: Why Your Safety Net May Have a $4 Million Hole
49% of plan sponsors reported claims exceeding $1 million last year — double the rate from the year before. And stop-loss carriers are responding not by covering you better, but by finding creative…
S1E15 Karpathy's $0.35 AI vs. Your Benefits Broker's 20 Hours
Andrej Karpathy just released AutoResearch — a 630-line Python tool that lets AI agents run hundreds of experiments overnight on a 35-cent GPU rental. In one test, 35 autonomous agents completed 333…
S1E14 How to Build an AI Startup with Other People's Money
The AI labs are selling you $10,000 a month in computing power for $600. They're doing it at massive losses. And they have very specific reasons you should understand.In this episode, I break down…
S1E12 Amazon Just Put a Doctor in Your Shopping Cart
Amazon launched an AI health agent inside the Amazon Shopping app — the same app where you order paper towels. It books appointments, manages prescriptions, explains lab results, and connects you to…
S1E13 Hacking DNA: What Anthropic's Mythos Model Means for Medicine
Anthropic just announced Claude Mythos Preview — an AI model so capable at finding software vulnerabilities that they won't release it publicly. Instead, they launched Project Glasswing with Apple,…
S1E11 The Injection Economy: When AI Whispers in Your Ear
Meta acquired Moltbook. OpenAI put ads in ChatGPT. Microsoft found 31 companies actively poisoning what AI assistants recommend. Everyone's calling it AI-native marketing — but what they're really…
S1E10 Why Healthcare AI Keeps Failing — It's Not the AI, It's the Integration
What's really happening with AI in healthcare? The common story is that health systems just need to find the right tool — the best ambient scribe, the smartest chatbot. But the reality is more…
S1E9 Tele-Doom: Why AI Is Rewriting the Future of Telehealth
The telehealth boom was supposed to revolutionize healthcare forever—but what went wrong? In this episode, Dan McCoy unpacks the dramatic fall of industry giants like Teladoc and Amwell, revealing…
S1E8 The Network Arbitrage Game: How Employers Are Overpaying for Healthcare
Most employers think they're getting a deal on healthcare. They're not. The exposed rate data tells a different story — one where the same knee replacement costs wildly different amounts depending on…
S1E7 When AI Knows the Diagnosis But Misses the Action
Mount Sinai just published the first independent safety evaluation of ChatGPT Health — and the findings should change how you think about AI in healthcare.Published in Nature Medicine, researchers…
S1E6 The 15% Trap: How a Single Number Broke Healthcare Pricing
Mark Cuban's Cost Plus Drug Company sells a cancer drug for $47 a month. That same drug often costs well over $2,000 at your pharmacy. Both include a 15% markup. The markup is the same — the price is…
Frequently Asked Questions
Ignition by RocketTools has published 25 episodes since March 2026, covering topics in Business, Science.
Ignition by RocketTools is currently highly active with new episodes weekly. Average episode length is 10m.
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