How Insight Health used a free AI scribe to turn EHR companies from competitors into a distribution channel | Jaimal Soni

Insight Health is automating the clinical work that surrounds the patient visit — from history capture and intake to referrals and chronic disease follow-ups — so that specialty providers can deliver more care with the capacity they already have. The company completed its first fully autonomous patient interaction for an oncology practice on the West Coast and has since surpassed four million AI-powered encounters. In a recent episode of BUILDERS, we sat down with Jaimal Soni, Co-Founder & CEO of Insight Health, to hear how a founding team of engineers and practicing physicians built the credibility, infrastructure, and go-to-market motion to move fast in one of the hardest industries to sell into. Topics Discussed: Why up to half of a first specialty visit is history capture — and why that insight shaped the entire product roadmap

How Insight Health chose mid-market healthcare (seven to sixty providers) to close its first paid customer in under four months — while Kaiser-scale enterprises take twelve to eighteen months

Why they built an AI scribe, offered it for free, and how that decision turned EHR companies from competitors into a distribution channel How the team built Safe AI — their proprietary real-time and near-real-time evaluation framework — when no off-the-shelf evals solution existed for live patient interactions

The three-stakeholder map required to win any healthcare deal: clinical champion, administrative champion, and economic buyer

GTM Lessons For B2B Founders: Pick your initial segment based on sales cycle math, not just market size. Insight Health chose mid-market healthcare because those organizations close in three to four months. Kaiser-scale enterprises take twelve to eighteen months and require infrastructure Insight Health simply didn't have at the time. Jaimal's framing: "You never want to go out fishing for a whale in a dinghy." The lesson is tactical — run the procurement cycle math for each segment before you pick your entry point, and match it honestly to what your team can actually support and deploy.

Post-close is where discovery actually matters most. Jaimal's biggest carry-out from seven years at Segment was that discovery is not a pre-sales activity. Economic buyers change. Deployment scope shifts. Champions lose their internal standing. The teams that treated discovery as a closed chapter after signing were the ones caught flat-footed when accounts churned or contracted. Build a standing cadence for re-qualifying the key stakeholders inside your accounts after the contract is signed.

Healthcare deals require three distinct stakeholders — and only one of them needs to be a champion. Insight Health mapped this buying committee directly from their physician co-founders' experience on the procurement side: a clinical champion (often the CMO or a lead clinician carrying the torch internally), an administrative champion responsible for day-to-day operations, and an economic buyer who signs off on spend. Critically, the economic buyer does not need to be a champion — they just need to not block the deal. Conflating these roles wastes sales cycles. Enter every enterprise deal knowing which of the three you have and which you still need to develop.

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