Post by CEO Pajama Time Podcast

On the latest CEO Pajama Time Podcast , Aytza CEO Sari Kaganoff sits down with Demetri Karagas, co-founder of Thirty Madison, the telehealth platform behind Keeps, Cove, and Nurx from Thirty Madison, recently acquired by Remedy Meds. In this conversation, Demetri talks about early structural decisions, like which pieces of the value chain to own vs partner, why controlling that first patient touchpoint was worth a slower launch, and how Thirty Madison pioneered asynchronous telemedicine. Demetri opens up about the hubris trap after Keeps hit big, adding 20-30 people a week in early scaling days, and how they lost some of the rigor that made the first brand work. Finally, he dives into being on both sides of M&A - acquiring two companies and then exiting via acquisition to get to scale. M&A can leapfrog years of organic growth, but integration is hard. Demetri shares how the team kept multiple paths open until the very end, including seriously considering another acquisition before deciding that selling was the right move. Listen here →https://lnkd.in/eiP_KvG3