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Josh Kushner

๐Ÿ‘ค Speaker
510 total appearances

Appearances Over Time

Podcast Appearances

Invest Like the Best with Patrick O'Shaughnessy
Josh Kushner - Building Thrive Capital - [Invest Like the Best, CLASSICS]

The why now is always fundamentally important because irrespective of people and capital, you always need tailwinds. So I think it's always a fundamental part of our conversation. The why now in Oscar was so extreme. But I also think the interesting part about Oscar was...

Invest Like the Best with Patrick O'Shaughnessy
Josh Kushner - Building Thrive Capital - [Invest Like the Best, CLASSICS]

The why now is always fundamentally important because irrespective of people and capital, you always need tailwinds. So I think it's always a fundamental part of our conversation. The why now in Oscar was so extreme. But I also think the interesting part about Oscar was...

Invest Like the Best with Patrick O'Shaughnessy
Josh Kushner - Building Thrive Capital - [Invest Like the Best, CLASSICS]

a recognition entering the founding of a company that it would be something that we would do for decades because we knew how fundamentally difficult it would be. And what's the scale of Oscar now? So we're 10 years into the company. Oscar has a million members, six and a half billion of revenue. But... The first decade, in our opinion, is only a couple chapters through what the ultimate story is.

Invest Like the Best with Patrick O'Shaughnessy
Josh Kushner - Building Thrive Capital - [Invest Like the Best, CLASSICS]

a recognition entering the founding of a company that it would be something that we would do for decades because we knew how fundamentally difficult it would be. And what's the scale of Oscar now? So we're 10 years into the company. Oscar has a million members, six and a half billion of revenue. But... The first decade, in our opinion, is only a couple chapters through what the ultimate story is.

Invest Like the Best with Patrick O'Shaughnessy
Josh Kushner - Building Thrive Capital - [Invest Like the Best, CLASSICS]

Oscar has been an incredible journey in terms of, we call it, the 10 plagues of Oscar. Affordable Care Act was extremely volatile. I think there were 33 new insurance companies that were created as a part of the Affordable Care Act, and only two are remaining. There was obviously a new administration that was very opposed to the Affordable Care Act, which led to increased volatility.

Invest Like the Best with Patrick O'Shaughnessy
Josh Kushner - Building Thrive Capital - [Invest Like the Best, CLASSICS]

Oscar has been an incredible journey in terms of, we call it, the 10 plagues of Oscar. Affordable Care Act was extremely volatile. I think there were 33 new insurance companies that were created as a part of the Affordable Care Act, and only two are remaining. There was obviously a new administration that was very opposed to the Affordable Care Act, which led to increased volatility.

Invest Like the Best with Patrick O'Shaughnessy
Josh Kushner - Building Thrive Capital - [Invest Like the Best, CLASSICS]

There was the global pandemic. When we started Oscar, I think one of the core insights that we had as we think about the next decade is if you were to start an e-commerce business today, You can launch on Shopify, you can plug in Stripe, you can plug in any basic data analytics service, and you're ready to go.

Invest Like the Best with Patrick O'Shaughnessy
Josh Kushner - Building Thrive Capital - [Invest Like the Best, CLASSICS]

There was the global pandemic. When we started Oscar, I think one of the core insights that we had as we think about the next decade is if you were to start an e-commerce business today, You can launch on Shopify, you can plug in Stripe, you can plug in any basic data analytics service, and you're ready to go.

Invest Like the Best with Patrick O'Shaughnessy
Josh Kushner - Building Thrive Capital - [Invest Like the Best, CLASSICS]

If you were to start a health insurance company 10 years ago or even today, there is very limited technology that you can utilize. So our idea was not only should we build a health insurance company that consumers loved, we also had this vision of what would it look like to actually create the operating system that would enable us to run a health insurance company end-to-end.

Invest Like the Best with Patrick O'Shaughnessy
Josh Kushner - Building Thrive Capital - [Invest Like the Best, CLASSICS]

If you were to start a health insurance company 10 years ago or even today, there is very limited technology that you can utilize. So our idea was not only should we build a health insurance company that consumers loved, we also had this vision of what would it look like to actually create the operating system that would enable us to run a health insurance company end-to-end.

Invest Like the Best with Patrick O'Shaughnessy
Josh Kushner - Building Thrive Capital - [Invest Like the Best, CLASSICS]

And as we actually think about the next decade, we are the only people that have created this end-to-end system that enables you to operate a health insurance company and have a longitudinal view of a member from end-to-end. And as we think about deploying LLMs across this product, we get extremely excited about the transformations that are going to come.

Invest Like the Best with Patrick O'Shaughnessy
Josh Kushner - Building Thrive Capital - [Invest Like the Best, CLASSICS]

And as we actually think about the next decade, we are the only people that have created this end-to-end system that enables you to operate a health insurance company and have a longitudinal view of a member from end-to-end. And as we think about deploying LLMs across this product, we get extremely excited about the transformations that are going to come.

Invest Like the Best with Patrick O'Shaughnessy
Josh Kushner - Building Thrive Capital - [Invest Like the Best, CLASSICS]

If there's one takeaway from founding businesses over my career, it's just as hard to start a small business as it is to start a large business. And it only gets harder the larger the business gets. It only gets more complex. I remember, it was probably six or seven years ago, we had made an offer to a CTO. And I remember having dinner with Carly.

Invest Like the Best with Patrick O'Shaughnessy
Josh Kushner - Building Thrive Capital - [Invest Like the Best, CLASSICS]

If there's one takeaway from founding businesses over my career, it's just as hard to start a small business as it is to start a large business. And it only gets harder the larger the business gets. It only gets more complex. I remember, it was probably six or seven years ago, we had made an offer to a CTO. And I remember having dinner with Carly.

Invest Like the Best with Patrick O'Shaughnessy
Josh Kushner - Building Thrive Capital - [Invest Like the Best, CLASSICS]

And I said to her, if he accepts, everything will be in a good place. And she said, Josh, we've only been together for a couple of years now, but... You've been saying that for a lot of things and you just have to accept the reality that the challenges are only going to increase. That wisdom was so incredible for me.

Invest Like the Best with Patrick O'Shaughnessy
Josh Kushner - Building Thrive Capital - [Invest Like the Best, CLASSICS]

And I said to her, if he accepts, everything will be in a good place. And she said, Josh, we've only been together for a couple of years now, but... You've been saying that for a lot of things and you just have to accept the reality that the challenges are only going to increase. That wisdom was so incredible for me.

Invest Like the Best with Patrick O'Shaughnessy
Josh Kushner - Building Thrive Capital - [Invest Like the Best, CLASSICS]

She made me realize if you're building something and the ambition is extraordinary, the challenges are only going to continue to come because the problem that you're trying to solve is only increasing over time.

Invest Like the Best with Patrick O'Shaughnessy
Josh Kushner - Building Thrive Capital - [Invest Like the Best, CLASSICS]

She made me realize if you're building something and the ambition is extraordinary, the challenges are only going to continue to come because the problem that you're trying to solve is only increasing over time.

Invest Like the Best with Patrick O'Shaughnessy
Josh Kushner - Building Thrive Capital - [Invest Like the Best, CLASSICS]

So I think as we invest in any company at the early stages or even invest in the companies at the later stages, our views are always oriented towards we should only try to be a part of things that have really grand ambitions. We should only invest in companies whose ambitions are to be standalone public companies.

Invest Like the Best with Patrick O'Shaughnessy
Josh Kushner - Building Thrive Capital - [Invest Like the Best, CLASSICS]

So I think as we invest in any company at the early stages or even invest in the companies at the later stages, our views are always oriented towards we should only try to be a part of things that have really grand ambitions. We should only invest in companies whose ambitions are to be standalone public companies.