How are companies using AI to improve the healthcare journey for consumers? And how will things evolve at the limit, where wearable technology integrates with electronic medical records and medical agentic AI analyzes everything on the fly to issue recommendations and improve outcomes? In other words, what are the implications of everyone becoming equipped with their own superhuman medical agent?
Seen one way, a superhuman medical agent is what League is aiming to develop. Founded in 2014 in Toronto, League operates an AI-powered healthcare platform for insurance companies and other payers or providers. The platform allows users to manage health benefits as well as their own healthcare. As of early 2026, the company has more than 60 million contracted users and more than a billion consumer interactions annually. Customers include Highmark Health, Manulife, Shoppers Drug Mart, and Medibank. Last year, League gave 100 million healthcare recommendations, of which people clicked through or followed through about 65% of the time.
In this episode, the Derby Mill team explores where League’s technology might go at the limit with League founder and CEO Mike Serbinis, who aims to expand the company’s capabilities to create a 24/7 infinite care platform—basically, an all-knowing doctor who knows as much as possible about you, your healthcare data, and the science of medicine. It’s a fascinating conversation that sees Sendhil observing how little the medical profession currently knows about optimizing health, or patients themselves, and Ajay challenging Rich to decide whether superhuman AI doctors would be better than having a doctor as a spouse today. (Rich says yes.)
More on our guest: A serial entrepreneur, Michael Serbinis has also founded and run Kobo, the digital reading company, cloud storage pioneer, DocSpace, and Critical Path, a messaging service. Serbinis is chair of the board for the Perimeter Institute and on the board at the Vector Institute for Artificial Intelligence. He sits on Canada’s AI Strategy Task Force.
NUGGETS FROM THE EPISODE
How League can 10x engagement for its clients (and improve user outcomes)
League CEO Michael Serbinis explains
How customer archetypes help League optimize engagement
Sendhil asks CEO Michael Serbinis to break it down
A Superhuman AI Medical Agent
Ajay, Rich and Michael Serbinis discuss League at the limit
Inverting the Medical System
Sendhil Mullainathan imagines League at the limit
All-Knowing Robot Paramedics
Suzanne Gildert imagines League at the limit
HOSTS AND PANELLISTS
Mike Serbinis, founder and CEO, League
Ajay Agrawal, co-founder and partner, Intrepid Growth Partners
Richard Sutton, senior advisor, Intrepid Growth Partners, 2024 Turing Award recipient, pioneer of reinforcement learning and professor, University of Alberta
Sendhil Mullainathan, senior advisor, Intrepid Growth Partners, MacArthur Genius grant recipient and professor, MIT
Niamh Gavin, senior advisor, Intrepid Growth Partners, Applied AI scientist and CEO, Emergent Platforms
Suzanne Gildert, CEO, Nirvanic Consciousness Technologies, quantum physicist, co-founder of Sanctuary AI and Kindred
LINKS
League website. League explainer video. League on X.
Subscribe to The Derby Mill Series at our Substack (main site) or on YouTube, Spotify or Apple Podcasts
Derby Mill is created by the team at Intrepid Growth Partners and produced by Ghost Bureau.
DISCUSSION POINTS
00:00 Cold open
00:38 Introductions
01:19 League explainer
01:55 Serbinis explains League
05:28 League’s AI today
08:09 More AI: Content recommendations
12:00 League’s data inputs
13:55 AB testing
19:10 Healthcare archetypes
22:15 Max health v. max engagement
25:30 Business model
27:00 At the limit: Rich
29:00 Married to a doctor
29:42 At the limit: Sendhil
31:10 Healthcare becomes you
33:37 ROI is huge
38:06 Suzanne: Robot paramedics
42:53 Serbinis responds
46:20 Infinite care team
49:16 Sendhil’s wrap up
DISCLAIMER
The content of this podcast is for informational and educational purposes only and should not be construed as marketing, solicitation, or an offer to buy or sell any securities or investments. The opinions expressed in this video are those of the participants and do not necessarily reflect the views of Intrepid Growth Partners or its affiliates. Any discussion of specific companies, technologies, or industries is for illustrative purposes and does not constitute investment advice. Viewers are encouraged to consult with their own financial, legal, and tax advisors before making any investment decisions.
