What happens when life-changing therapies cost millions of dollars, but the healthcare system was never built to manage them?

In this episode of Entrepreneur Rx, host John Shufeldt sits down with Annie Collins, Co-founder and Chief Commercial Officer of Aradigm, to discuss her journey from healthcare consulting and venture capital to building a company tackling one of the most complicated challenges in modern medicine.

Annie shares how her early interest in medicine led her from pre-med studies to Bain & Company and eventually to Andreessen Horowitz, where she invested in early-stage healthcare and life science companies. While at a16z, she became increasingly focused on the disconnect between groundbreaking therapies and the healthcare system’s ability to sustainably pay for and deliver them. Eventually, Annie and her co-founders stopped looking for a company solving the problem and decided to build one themselves.

The conversation explores the complex world of cell and gene therapies, where a single treatment can cost hundreds of thousands to more than $4 million. Annie explains how Aradigm works across payers, providers, manufacturers, and patients to create a more predictable and sustainable model while helping patients navigate an incredibly complicated treatment journey.

John and Annie also discuss what it was like to leave one of the world’s leading venture capital firms to become a founder, why entrepreneurship turned out to be even harder than she expected, and what she has learned moving from evaluating companies to actually building one. They also talk about persistence in venture capital, female founders and leadership, and why having other founders and mentors to lean on matters when the startup journey gets lonely.

About Annie Collins: Annie Collins is a Co-founder and Chief Commercial Officer at Aradigm, where she oversees launches of new programs, the success of existing customers, and operational execution of Aradigm's program. She began her career at Bain & Company as a strategy consultant for large healthcare and life science companies before joining Andreessen Horowitz as an investment partner focused on early-stage healthcare and life science companies. While there, she was introduced to the commercial complexities posed by high-cost drugs like cell and gene therapies and the largely unsolved challenge of managing those therapies on the medical benefit. That experience ultimately led her and Will Shrank to leave a16z and start Aradigm alongside Spencer Carrucciu.

About Aradigm: Aradigm is an incentive-aligned, cost-plus platform managing the financial and clinical complexities of cell and gene therapies (CGTs). Our mission is to create sustainable, affordable access to life-saving medicines through a novel financial and delivery model that brings together every stakeholder — payers, providers, manufacturers, and, most importantly, patients.

About Xcellerant Ventures: Xcellerant Ventures is a venture capital firm that invests in innovative companies across healthcare, technology, defense, and other emerging industries. Through multiple funds and investment vehicles, including the Jetstream Venture Fund, Xcellerant partners with visionary founders, provides strategic guidance, and helps connect investors with opportunities in the private markets.

About Deal Titan:  This week's episode is brought to you by Deal Titan. Deal Titan is an AI-powered platform that helps investors evaluate early-stage companies faster by turning pitch decks into structured diligence reports covering the market, team, financials, competition, and key risks. Use code EntrepreneurRx for a free solo membership, including 10 full analysis reports.

What if vascular disease could be detected years earlier, before patients face the most serious consequences?

In this episode of Entrepreneur Rx, host John Shufeldt sits down with Josh Hanson, founder and CEO of ImageAiD, a Jetstream Venture Fund portfolio company, to discuss his path from biomedical engineering student to healthcare entrepreneur. Josh shares how growing up in Rochester, Minnesota, surrounded by Mayo Clinic and a culture of healthcare innovation, shaped his desire to build technology that could help save lives.

The conversation explores the problem ImageAiD is working to solve: diagnosing peripheral artery disease, or PAD, earlier and at scale. Josh explains how ImageAiD combines handheld Doppler ultrasound, cloud-based software, and AI to help clinicians capture and analyze blood flow waveforms in minutes, reduce diagnostic variability, and identify vascular disease risk earlier.

John and Josh also discuss Mayo Clinic mentors, ASU’s Biodesign training, building for all healthcare stakeholders, and turning peer-reviewed research into a platform that can reach patients. Beyond the technology, the episode covers entrepreneurship at a young age, imposter syndrome, humility, mentorship, and the courage to simply start.

About Josh Hanson: Josh Hanson is a biomedical engineer, entrepreneur, and founder focused on advancing cardiovascular diagnostics through medical technology and AI. As founder and CEO of ImageAiD, he is leading the development of an AI ultrasound platform designed to improve early detection of peripheral artery disease and broader cardiovascular risk. His work has been shaped by experience at Mayo Clinic’s Gonda Vascular Center, ASU’s biomedical engineering program, and the Mayo Clinic and ASU Alliance for Health Care’s IMPACT Program, where he trained in the Biodesign process.

About ImageAiD: ImageAiD is a medical technology company developing a handheld Doppler ultrasound platform that combines portable hardware, cloud-based software, and AI to make vascular disease easier to detect before it causes life-altering complications. The platform is designed to capture and analyze blood flow waveforms in minutes, helping clinicians identify signs of peripheral artery disease and better understand a patient’s risk of serious cardiovascular events, including heart attacks, strokes, and amputations. Initially focused on PAD, ImageAiD aims to make vascular diagnostics faster, more consistent, and more accessible in settings where traditional vascular testing may not be available.

About Xcellerant Ventures: Xcellerant Ventures is a venture capital firm that invests in innovative companies across healthcare, technology, defense, and other emerging industries. Through multiple funds and investment vehicles, including the Jetstream Venture Fund, Xcellerant partners with visionary founders, provides strategic guidance, and helps connect investors with opportunities in the private markets.

About Jetstream Venture Fund: Jetstream Venture Fund is an interval fund managed by Xcellerant Ventures, that seeks to provide investors access to early-stage, high-growth companies with flexible terms, lower minimums ($5,000 minimum), and no carried interest. Jetstream is one of the first funds of its kind, bringing venture-style investing opportunities to a wider professional audience.

Disclosure for Jetstream: Investors should carefully consider the investment objectives, risks, charges, and expenses of the Fund before investing. The prospectus contains this and other information about the Fund and can be obtained by emailing jetstream@sweaterfunds.com or by visiting www.jvf.vc. Please read the prospectus carefully before investing.