Ex-Facebook engineer is tackling clinician burnout at Freed after seeing wife’s challenges
Erez Druk, co-founder and CEO of Freed.
Courtesy: Freed
For Erez Druk, who spent almost four years working at Facebook, building health-care startup Freed has been a labor of love, quite literally.
Druk’s wife, Dr. Gabi Meckler, works at a community clinic in northern California, where she cares for children and adults, and delivers babies at a local hospital. When not with patients, Meckler is inundated with paperwork, constantly updating medical records and related documents.
“I got sucked into the world of clinicians,” Druk said in an interview. “One day, it was like, ‘Hey Gabi, what should we just build for you?’ And she said, ‘Do my notes for me.'”
Druk worked as a software engineer at Facebook from 2013 until launching his prior startup, UrbanLeap, in 2017. He shuttered UrbanLeap, which focused on software for public procurement, in 2022, and started Freed the following year, along with Andrey Bannikov, who had spent the prior decade at Facebook.
Freed offers an AI scribe that automates the clinical notetaking process in real time as doctors consensually record their visits with patients. The company sells the technology directly to individual clinicians, oftentimes at small or independent practices, for $99 a month, and is beginning to partner with entire practices, Druk said.
On Wednesday, Freed announced a $30 million funding round led by Sequoia Capital, a hefty haul for a company raising its first institutional capital. The company also announced new features like custom note formatting, pre-charting, and specialty specific templates. Freed said it plans to build additional capabilities, like automating coding and other billing cycle functions.
Clinicians spend nearly nine hours a week on documentation, according to an October study from Google Cloud. A study last year from Athenahealth concluded that administrative tasks are a significant reason for burnout, as 64% of doctors feel overwhelmed by clerical requirements.
Physicians are responsible for completing mountains of paperwork, including the tedious and time-consuming process of clinical notes, which contain detailed records of patient visits.
Druk wants to automate as much of that process as possible so doctors can spend more time with patients and, perhaps, even with their family.
As of late February, 17,000 clinicians around the world are using Freed in about 2 million patient visits each month, he said.
“It just started spreading,” Druk said. “It’s really been beyond my wildest expectations.”
Crowded field
Druk isn’t the only one who sees the opportunity.
The AI scribing market has exploded in recent years as health systems have been searching for tools that can help address administrative burnout. Freed is going up against tech giants like Microsoft, as well as startups like Abridge and Suki that have developed similar tools.
Josephine Chen, a partner at Sequoia, said the crowded market reflects the seriousness of the problem. She said Freed’s scribing tool has gained traction by focusing on smaller, independent offices.
“Freed’s approach is unique because most of the companies we see are serving a different market segment,” Chen said.
Natalie Desseyn said Freed is the reason she’s still working as a nurse practitioner in psychiatry.
Desseyn sees about 250 patients through a practice called Cloud Break Therapy in Virginia. She’s been using Freed for about two years and pays for it herself. Without it, she said she wouldn’t be able to see patients on such a large scale, if at all.
“I’m not over here writing, so people feel really heard,” Desseyn said. “I can’t tell you all the ways, it’s literally changed my life.”
Desseyn has tried a few other AI scribing tools, but she said she always comes back to Freed. She said its model is better at keeping things precise, sticking to the facts and avoiding extraneous comments in the notes.
Meckler, Druk’s wife, said documentation was the thing she disliked the most while practicing medicine. She said Freed felt like “magic” the first time she used it.
Previously, Meckler said she would spend about half of her day writing notes. Individual tasks that used to take her around 15 minutes to complete now take closer to two, she said.
“I expect great things from Erez, but I was still shocked,” Meckler said.
Druk said he and his 50-person team are focused on building the business and its product portfolio this year. He said he remains committed to creating a platform that clinicians, and his wife, enjoy using.
“It’s truly the most fulfilling and the most important work I’ve ever done, and probably will ever do,” he said.
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A DoorDash sign is pictured on a restaurant on the day they hold their IPO in New York, December 9, 2020.
Carlo Allegri | Reuters
Doordash on Tuesday announced the $1.2 billion acquisition of restaurant booking platform SevenRooms and reported first-quarter revenue that missed expectations.
Shares fell about 4% following the news.
Here’s how the company did, based on LSEG expectations:
- Earnings per share: 44 cents adjusted vs. 39 cents expected
- Revenue: $3.03 billion vs. $3.09 billion expected
Doordash said the all-cash acquisition of SevenRooms, a New York City-based data platform for restaurants and hotels to manage booking information, will close in the second half of 2025.
British food delivery service Deliveroo said Tuesday that they have agreed to a takeover offer from American rival Doordash worth $3.9 billion.
“We believe both SevenRooms and Deliveroo will expand our ability to build world class services that increase our potential to grow local commerce and support our financial goals,” Doordash said in a release.
Doordash reported total orders of 732 million for the quarter, an 18% increase over the same period a year ago. Analysts polled by StreetAccount expected 732.7 million.
The company said it expects second-quarter adjusted EBITDA of $600 million to $650 million. Analysts polled by StreetAccount expected $639 million.
“So far in 2025, consumer demand on our marketplaces has remained strong, with engagement across different consumer cohorts and types that we believe is consistent with typical seasonal patterns,” the company said.
Doordash reported $193 million in net income for Q1 2025, or 44 cents per share. The company had a net loss of $23 million, or a net loss of 6 cents per share, in the same quarter a year ago.
Doordash noted growth in the grocery delivery category, citing “accelerating average spend per grocery consumer and increasing average spend on perishables.”
The company did not mention tariffs as a factor in the financial outlook, but did note that an increased international presence leaves it open to “geopolitical and currency risks.”
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Technology
Temu and Shein face massive tariffs. But don’t count them out of the U.S. e-tail scene, experts say
Photo illustration of the Shein app on the App Store reflected in the Temu logo.
Stefani Reynolds | Afp | Getty Images
The closure of a trade loophole and prohibitive tariffs on China have upended Temu and Shein’s business model in the United States. And yet the e-commerce companies are likely to remain a dominant force in American online retailing, experts suggest.
On Friday, the de minimis rule — a policy that had exempted U.S. imports worth $800 from trade tariffs — officially closed for shipments from China. This has seen Temu and Shein exposed to duties as high as 120% or a flat fee of $100, set to rise to $200 in June.
The small-package tariff exemption had been key to the companies’ ability to maintain budget prices on the merchandise they ship from China. Now that it’s gone, prices on Temu and Shein have been surging, with the former ending direct shipments from outside the U.S. altogether.
The change will be welcomed by many detractors of de minimis, among them U.S. lawmakers, labor unions and retailers, who have argued that Temu and Shein abused the exemption to undercut local businesses and flood the country with illicit and counterfeit products.
But despite the new trade challenges that Temu and Shein face, ecommerce and supply chain experts told CNBC that the companies are still capable of competing with their rivals in the U.S.
“Don’t count them out … Not at all. These kinds of Chinese e-commerce apps are very adept and agile. They have contingency plans in place and have taken the necessary steps to cover the tariffs from a margin perspective,” said Deborah Weinswig, CEO and founder of Coresight Research.
“I personally believe, if anything, [America’s e-commerce] game has been accelerating in favor of Temu and Shein … I wouldn’t be surprised if the competitiveness gap actually continues to widen,” added Weinswig, whose research and advisory firm works with clients across tech, retail and supply chains.
Contingencies in place
The loss of the de minimis exemption had long been anticipated, with U.S. President Donald Trump temporarily closing it in February. In preparation, Temu and Shein had been accelerating localization strategies for the U.S.
Scott Miller, CEO of e-commerce consulting firm pdPlus, told CNBC that Shein and Temu will continue to onboard goods from American sellers onto their apps to protect them from tariffs.
“Many of the current sellers on Temu and Shein are located in China or countries nearby, but not all. Local U.S. companies have been joining these platforms at an accelerating pace … several of our clients have onboarded or began the process of onboarding in just the past few months,” he said.
While margins for more localized brands and other sellers won’t be as high as those for China-based sellers on the platforms, they can be competitive, he said.
He added that in the case of Temu, vendors are attracted to lower fees, lighter competition and greater assistance with onboarding and setting up sales channels compared with what Amazon offers.
In recent days, Temu, which is owned by Chinese e-commerce giant PDD Holdings, has begun exclusively offering goods shipped from local warehouses to U.S. shoppers.
Many of those goods are still sourced from China but then shipped in bulk to U.S. warehouses, according to experts. While these bulk items are subject to tariffs, they also benefit from economies of scale.
This development is likely to see the variety of products on Temu scaled back, said Henry Jin, an associate professor of supply chain management at Miami University. However, he added, Temu is likely to resume direct shipments from China, depending on the outcome of the trade war between the U.S. and China.
Shein, meanwhile, has leaned into supply chain expansion, building manufacturing operations in countries such as Turkey, Mexico and Brazil, and reportedly plans to shift to Vietnam.
The company appears to still be shipping directly from China and likely has more room to absorb tariffs because of its “sky-high” margins in its core fast-fashion business, Jin said.
“If there’s one thing that Chinese companies are good at, it’s operating on a razor thin margin in an intensely competitive, if not adverse environment … they find every scrap that they can to survive,” he added.
Competitive prices?
Contingency plans aside, experts agree that Trump’s trade policy will continue to affect prices on Temu and Shein. The companies first announced they were raising prices in mid-April to counter tariffs.
According to data from Coresight, prices across shopping categories on Shein rose between 5% and 50% in the latter half of April, with the sharpest rises seen in toys and games and beauty and health.
However, many e-commerce experts remain confident that Temu and Shein will continue to prove price-competitive.
Coresight’s Weinswig said the two companies have previously been able to offer products at a third of the prices on Amazon for comparable goods. So, even if they more than double the prices to absorb the impacts of tariffs, many goods could remain cheaper than those on American e-commerce sites and retailers.
Jason Wong, who works in product logistics for Temu in Hong Kong, noted this dynamic when speaking to CNBC last month, likening Temu to a dollar store. If prices at the dollar store go from $1 to $2, it’s still a dollar store, he said.
Furthermore, Trump’s trade tariffs on China and other trade partners have also affected American retailers and e-commerce sites like Amazon.
Other advantages
When Forever 21 filed for bankruptcy protection earlier this year, it blamed Shein and Temu’s use of the de minimis exemption, which it said “undercut” its business.
But experts say that exclusively attributing the success of Shein and Temu to that trade loophole misses many of the other factors that have made them smash hits in the U.S.
According to Anand Kumar, associate director of research at Coresight Research, Temu and Shein owe a lot of their success to their very agile supply chains that adapt fast to consumer trends.
For example, Shein’s small-batch production — in which product styles are initially launched in limited quantities, typically around 100-200 items — allows it to test and scale products efficiently.
Another key is the companies’ applications, which use various strategies to maintain user interest, including frequent phone notifications, product recommendation algorithms and perhaps most notably, constantly displaying discounted prices from promotions and flash sales.
Temu was offering a “mega savings extravaganza” for American consumers on Monday. Some of the bestselling items on sale included stainless steel hook earnings for $1.45 and a fitted mattress pad for $11.54. It’s unclear if the discounted local goods were stockpiled before tariffs came into effect.
In addition, app users will often be met with mini-games that grant different coupons or ways to earn rewards, as well as opportunities to buy “mystery boxes” with assorted products.
That “gamification strategy” definitely plays into the consumer psychology of many U.S. shoppers who often buy items out of the excitement of being able to get a great deal, said Miami University’s Jin.
Experts also flagged that Temu and Shein have been very effective at marketing, including through the harnessing of livestreaming and social media.
On the other hand, according to Coresights’ Weinswig, American retailers have failed to adequately recognize threats from Temu and Shein and adjust their supply chains and pricing models.
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