
Pharmacy Podcast Network Talking Intentional Automation in Specialty Pharmacy Referrals with Tennr | NASP Specialty Pharmacy Podcast
Sep 24, 2025
Trey Holterman, CEO and co-founder of Tennr and a Stanford-trained computer scientist, built a referral automation platform for healthcare operations. He talks about purpose-built automation over AI-first hype. He outlines systems for payer selection, prior auths, inventory and speed to dispense. He also looks ahead to smarter patient nudges and personalized specialty care.
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Startups Grow By Solving One Problem Deeply
- Trey described Tenor's growth as driven by focused investment in models and operational teams.
- He contrasted building durable solutions with one-off fundraise-driven narratives.
Focus On Fundamental Referral Problems
- Tenor focuses on solving a single fundamental business problem: moving patients from provider to dispenser efficiently.
- Building purpose-built models and operational teams drives measurable outcomes rather than one-off automation projects.
Measure Outcomes Before Automating
- Avoid automating work for automation's sake because most one-off enterprise projects fail.
- Measure outcomes with scorecards and prioritize conversions, denial reduction, and FTE efficiency before automating.

