A product studio and consultancy for healthcare.
Spaghetti Labs provides fractional product leadership to health tech companies, from first product through scale, and ships products of its own. It’s led by Stuart Altman, a repeat first product hire and CPO across B2B and consumer healthcare, whose particular strength is zero to one.
Across healthcare
The expertise comes from the companies: B2B and consumer, therapies to diagnostics to research, first product to global scale, with a product leadership role at each.
PicnicHealth
An AI-first platform for non-interventional clinical research, used by 12 of the 20 largest life sciences companies and behind 60+ peer-reviewed publications.
Simple HealthKit
At-home diagnostics and patient engagement, sold direct to consumers and through Walmart, Amazon and Kroger, payors, universities and public health programs.
Vineti
The cloud platform that orchestrates personalized cell and gene therapies between clinical sites and manufacturers: a new category, adopted by 3 of the top 5 pharma companies across 200+ sites.
athenahealth, Epocrates
Clinical decision support for clinicians at the #1 medical app.
Services
Fractional product leadership
Spaghetti Labs leads product for health tech companies at any stage, whether that means finding product-market fit or scaling past it. The work covers strategy and roadmap, hiring and running the product team, and the clinical, regulatory and commercial constraints a healthcare product has to answer to.
Zero-to-one builds
Taking a product from a blank page to something people use is where the practice is strongest: research, product definition, design and a working first version, with the compliance and data realities of healthcare built in from the start.
AI-native product strategy
Deciding where AI belongs in a healthcare product and where it doesn’t, then shaping the product and the team around those decisions.
About Stuart
I’m Stuart Altman. I’ve spent my career leading product at healthcare companies, often as the first product hire and through the scaling that follows, in cell and gene therapy, at-home diagnostics, clinical research and clinical decision support.
Spaghetti Labs is the practice behind that work: fractional product leadership for health tech companies, and products I build myself.
I’m based in Oakland, California, and open to senior product leadership roles as well as fractional work.
Contact
Tell me about the product and where it’s stuck. Messages come straight to me, and I usually reply within two business days.