Devin Mehta, MD

About

The balance sheet and the bedside tell different stories about the same broken system.

I became a physician to help diagnose and treat complex health problems. The diagnosis that now occupies me most is the fragmented healthcare system itself. I trained in internal medicine, cardiovascular disease, and advanced heart failure, and have spent my career at the intersection of the most complex and consequential problems in care delivery.

Over time that work expanded beyond the clinic into health system leadership, population health infrastructure, and national quality policy. I've built programs, led teams, advised policymakers, and founded a global health nonprofit that I ran for nearly a decade.

I've always carried two instincts simultaneously, a clinical one and a structural one. Where many see a patient problem or a business problem, I tend to see both at once. That perspective is what makes solutions more patient-centric and companies more durable. It's how I'm wired.

What I Believe

Four things most people in the room won't say out loud

Scale is not the same as sustainability

What gets funded and what gets adopted are two different markets, and right now they're being treated as one. Until the unit economics of digital health reflect the actual cost structure of care delivery, scale will continue to masquerade as proof.

AI at the point of care is being adopted before it's been honestly stress-tested

I've used generative AI in my own patient visits under real time pressure. The gap between what these tools promise in a boardroom and what they deliver at 2pm on a Tuesday in a cardiology clinic is real, meaningful, and largely undiscussed.

The patient should be the design anchor — and right now, they're not

Patients have trouble finding an available physician, affording their medications, and keeping up with preventive care. The question I ask of every health technology is simple: does this make it meaningfully easier for every individual to get good care? If the answer requires a footnote, the design isn't finished.

Adding solutions to fragmented systems creates more fragmentation

A solution dropped into a fragmented health system without deep workflow integration adds to fragmentation. The health technology solutions that survive are designed around how care is actually delivered. That requires a clinician in the room as a co-architect.

The healthcare ecosystem needs people who understand its frictions from the inside.