Aligning Mutual Interests to Build Long-Term Partnerships

Interview with Alio CEO Dave Kuraguntla

Dave Kuraguntla is a visionary healthcare entrepreneur making waves in the medtech industry. Initially aspiring to become a medical doctor, Dave’s journey took a turn once he realized the potential of improving healthcare through technology. 

He spent several years at the National Institute of Health conducting medical research, which gave him a unique perspective on patient problems. This exposure, coupled with his experience in surgical residency, carved out a vision of improving patient care with Alio, the company he co-founded.

Alio is a healthcare technology company developing products to improve kidney health, including an end-to-end remote patient monitoring platform known as the Alio Remote Monitoring Platform, aiming to solve what Dave refers to as a "sampling error problem in medicine."

The SmartPatch, a component of the Alio Remote Monitoring Platform, is a wearable device designed to collect essential health data passively throughout the day. Once the data is collected, the patch automatically transmits it to the Alio portal in the cloud to be processed by the company's proprietary algorithms.

Alio's platform is differentiated through its clinical accuracy and the range of measurement metrics. Apart from standard vitals like heart rate and skin temperature, the Alio platform non-invasively measures auscultation, hematocrit, hemoglobin, and potassium, which are crucial in preventing hospitalizations for kidney patients.

The company's journey initially started as a smart implantable technology and has now evolved into a comprehensive, differentiated, and clinical-grade remote patient monitoring platform. As of mid-2023, Alio has secured FDA clearance for its Remote Monitoring Platform and continues to develop new technologies for improved patient care.

Key Learnings From Dave’s Experience

  • It’s important to kill risk ruthlessly, especially in the early stages, by aligning the interests of key stakeholders, being responsive to customer needs, and remaining open to pivots if necessary. 
  • To effectively manage the fundraising process, you first need to demonstrate your company’s commitment to long-term, sustainable growth. 
  • It’s critical to foster the right partnerships with individuals and organizations whose vision aligns with yours. This will benefit all parties involved, especially the patients your company aims to serve.
Guest
Dave Kuraguntla
CEO of Alio

Dave holds a degree from the West Virginia School of Osteopathic Medicine. While pursuing a surgical residency, he co-founded Alio, developers of transformative solutions for kidney health, including a remote patient monitoring platform that provides non-invasive, highly accurate, and multi-metric patient data. 

Nipping Technical Risk in the Bud

The CEO's role as the primary risk manager is to identify and mitigate potential pitfalls before they snowball into problems. Mitigating risk early on is advice that is often echoed amongst medtech leaders, including a recent conversation with Sam Mazin, co-founder of RefleXion Medical. He, too, stressed the importance of using early-stage capital to address high-risk items. 

Dave also advises early-stage CEOs to “be ruthless about killing risk." The concept of “killing risk” is multifaceted and encompasses various aspects of business operations, from stakeholder alignment to quick and decisive decision-making. 

One of Dave's key strategies in forging a strong company culture and setting the ground for sustainable growth lies in aligning the interests of the '4Ps': patient, physician, product, and provider. 

He notes, "I'm sure we're not original in aligning the 4Ps, if you will. With that being said, I think we’ve fully embraced that concept." When you provide value to every key stakeholder and encourage team solidarity, you set the tone for success and prevent any party from feeling undervalued.

Next on Dave’s risk management checklist is reacting proactively to customer needs, especially considering the user experience is the most important factor for your product to gain traction. In Dave’s case, Alio initially focused on the vascular access component of monitoring, only to receive customer feedback that they were only partially addressing the reasons patients land in the hospital. This feedback was crucial in helping the company to broaden its scope.

When it became apparent that their original direction of developing an implantable device was not viable, the company, as Dave says, "made a transition from an implantable to a wearable in about two months." The capacity to make quick decisions wouldn’t be possible without a cohesive team. And the pivot was a further demonstration of the value Alio was looking to showcase to customers, partners, and investors.

In short, by responding quickly to customer needs and being ready to pivot when needed, you can significantly reduce the risks for your startup, secure the necessary financial support, and ensure your long-term vision is aligned with current market needs.

Mastering Fundraising and Capital Management

When it comes to fundraising, Dave again emphasizes the importance of alignment: "I think getting alignment quickly is important. It leads to either fast yeses or fast noes. I think the worst is anything that's a slow no or even a slow yes." 

Dave's view of fundraising is not just about securing the necessary capital; it's about creating synergy between the startup's vision and the investor's passion. He raises two important questions when looking for the right investors: “Do they want to go on this journey and are they as passionate about this arena as you are?” This alignment can make the difference between an interesting opportunity and a grueling process that drains energy and resources. 

Investors expect startups to tackle low-hanging fruit, but the ability to quickly mitigate significant risk is a differentiating factor. In Dave’s case, this relentless pursuit of risk mitigation has allowed Alio to raise an impressive $60 million without traditional VC dollars.

But being a CEO also means you have to face rejection quite often. Dave encourages startup leaders not to take these responses personally: "Don't be offended by it. Don't take it personally. Once again, it's people trying to make decisions in a very short amount of time." Not giving up on the deal and keeping potential investors updated, even those who initially decline, can yield fruitful relationships down the line.

This approach has helped Dave attract financial partners who resonate with Alio’s long-term vision and are willing to stay the course. He believes that "the best way to build a company is to build a business," and this strikes a chord with investors who understand that building a sustainable business is more valuable than short-term gains. This strategic approach has also allowed Alio to circle back to investors who initially said no, but later reconsidered their decision thanks to the company’s demonstrated commitment to building a long-term, viable business.

Finding Alignment Through Strategic Partnerships

Dave acknowledges that making direct contracts with medical service organizations and integrated delivery networks is crucial. In his case, establishing a partnership with Carium, a virtual care delivery company, was a turning point. 

Carium provided a unique and compatible perspective that aligned with Dave's mission. He explains: "They've done the work, they've spent the time, and they made it really easy because I think it has to be frictionless and sticky all the same time."

The value of such partnerships, however, goes beyond channeling opportunities. As Dave puts it, "A great partner like Carium has already reduced the friction for clinicians to interact with data." In essence, the partnership with Carium helped Alio establish a solid foundation for future growth.

From Dave's point of view, partnerships rooted in alignment lead to more fruitful discussions and are more satisfying than transactional relationships.

At the end of the day, shared values and perspectives can forge the foundation for successful, long-term alliances that benefit all parties involved, particularly the patients they aim to serve.

Download a copy of the interview transcript right here.
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Dave Kuraguntla is a visionary healthcare entrepreneur making waves in the medtech industry. Initially aspiring to become a medical doctor, Dave’s journey took a turn once he realized the potential of improving healthcare through technology. 

He spent several years at the National Institute of Health conducting medical research, which gave him a unique perspective on patient problems. This exposure, coupled with his experience in surgical residency, carved out a vision of improving patient care with Alio, the company he co-founded.

Alio is a healthcare technology company developing products to improve kidney health, including an end-to-end remote patient monitoring platform known as the Alio Remote Monitoring Platform, aiming to solve what Dave refers to as a "sampling error problem in medicine."

The SmartPatch, a component of the Alio Remote Monitoring Platform, is a wearable device designed to collect essential health data passively throughout the day. Once the data is collected, the patch automatically transmits it to the Alio portal in the cloud to be processed by the company's proprietary algorithms.

Alio's platform is differentiated through its clinical accuracy and the range of measurement metrics. Apart from standard vitals like heart rate and skin temperature, the Alio platform non-invasively measures auscultation, hematocrit, hemoglobin, and potassium, which are crucial in preventing hospitalizations for kidney patients.

The company's journey initially started as a smart implantable technology and has now evolved into a comprehensive, differentiated, and clinical-grade remote patient monitoring platform. As of mid-2023, Alio has secured FDA clearance for its Remote Monitoring Platform and continues to develop new technologies for improved patient care.

Key Learnings From Dave’s Experience

  • It’s important to kill risk ruthlessly, especially in the early stages, by aligning the interests of key stakeholders, being responsive to customer needs, and remaining open to pivots if necessary. 
  • To effectively manage the fundraising process, you first need to demonstrate your company’s commitment to long-term, sustainable growth. 
  • It’s critical to foster the right partnerships with individuals and organizations whose vision aligns with yours. This will benefit all parties involved, especially the patients your company aims to serve.
Guest
Dave Kuraguntla
CEO of Alio

Dave holds a degree from the West Virginia School of Osteopathic Medicine. While pursuing a surgical residency, he co-founded Alio, developers of transformative solutions for kidney health, including a remote patient monitoring platform that provides non-invasive, highly accurate, and multi-metric patient data. 

Nipping Technical Risk in the Bud

The CEO's role as the primary risk manager is to identify and mitigate potential pitfalls before they snowball into problems. Mitigating risk early on is advice that is often echoed amongst medtech leaders, including a recent conversation with Sam Mazin, co-founder of RefleXion Medical. He, too, stressed the importance of using early-stage capital to address high-risk items. 

Dave also advises early-stage CEOs to “be ruthless about killing risk." The concept of “killing risk” is multifaceted and encompasses various aspects of business operations, from stakeholder alignment to quick and decisive decision-making. 

One of Dave's key strategies in forging a strong company culture and setting the ground for sustainable growth lies in aligning the interests of the '4Ps': patient, physician, product, and provider. 

He notes, "I'm sure we're not original in aligning the 4Ps, if you will. With that being said, I think we’ve fully embraced that concept." When you provide value to every key stakeholder and encourage team solidarity, you set the tone for success and prevent any party from feeling undervalued.

Next on Dave’s risk management checklist is reacting proactively to customer needs, especially considering the user experience is the most important factor for your product to gain traction. In Dave’s case, Alio initially focused on the vascular access component of monitoring, only to receive customer feedback that they were only partially addressing the reasons patients land in the hospital. This feedback was crucial in helping the company to broaden its scope.

When it became apparent that their original direction of developing an implantable device was not viable, the company, as Dave says, "made a transition from an implantable to a wearable in about two months." The capacity to make quick decisions wouldn’t be possible without a cohesive team. And the pivot was a further demonstration of the value Alio was looking to showcase to customers, partners, and investors.

In short, by responding quickly to customer needs and being ready to pivot when needed, you can significantly reduce the risks for your startup, secure the necessary financial support, and ensure your long-term vision is aligned with current market needs.

Mastering Fundraising and Capital Management

When it comes to fundraising, Dave again emphasizes the importance of alignment: "I think getting alignment quickly is important. It leads to either fast yeses or fast noes. I think the worst is anything that's a slow no or even a slow yes." 

Dave's view of fundraising is not just about securing the necessary capital; it's about creating synergy between the startup's vision and the investor's passion. He raises two important questions when looking for the right investors: “Do they want to go on this journey and are they as passionate about this arena as you are?” This alignment can make the difference between an interesting opportunity and a grueling process that drains energy and resources. 

Investors expect startups to tackle low-hanging fruit, but the ability to quickly mitigate significant risk is a differentiating factor. In Dave’s case, this relentless pursuit of risk mitigation has allowed Alio to raise an impressive $60 million without traditional VC dollars.

But being a CEO also means you have to face rejection quite often. Dave encourages startup leaders not to take these responses personally: "Don't be offended by it. Don't take it personally. Once again, it's people trying to make decisions in a very short amount of time." Not giving up on the deal and keeping potential investors updated, even those who initially decline, can yield fruitful relationships down the line.

This approach has helped Dave attract financial partners who resonate with Alio’s long-term vision and are willing to stay the course. He believes that "the best way to build a company is to build a business," and this strikes a chord with investors who understand that building a sustainable business is more valuable than short-term gains. This strategic approach has also allowed Alio to circle back to investors who initially said no, but later reconsidered their decision thanks to the company’s demonstrated commitment to building a long-term, viable business.

Finding Alignment Through Strategic Partnerships

Dave acknowledges that making direct contracts with medical service organizations and integrated delivery networks is crucial. In his case, establishing a partnership with Carium, a virtual care delivery company, was a turning point. 

Carium provided a unique and compatible perspective that aligned with Dave's mission. He explains: "They've done the work, they've spent the time, and they made it really easy because I think it has to be frictionless and sticky all the same time."

The value of such partnerships, however, goes beyond channeling opportunities. As Dave puts it, "A great partner like Carium has already reduced the friction for clinicians to interact with data." In essence, the partnership with Carium helped Alio establish a solid foundation for future growth.

From Dave's point of view, partnerships rooted in alignment lead to more fruitful discussions and are more satisfying than transactional relationships.

At the end of the day, shared values and perspectives can forge the foundation for successful, long-term alliances that benefit all parties involved, particularly the patients they aim to serve.

Download a copy of the interview transcript right here.
Share:
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