Insights
What I keep seeing.
Twenty-seven years inside healthcare’s buying process, then building the commercial function from nothing three times. These are the patterns that repeat — including the ones nobody wants named out loud.
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Value Proposition
Your sales problem might be a value proposition problem
When a working product won't convert, the cause is usually that the value proposition describes what the product does rather than the expensive problem it ends. Five questions that tell you which one you have.
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Scaling
The founder can sell it. Why can't anyone else?
Founder-led sales works because the founder carries credibility, context and the authority to make promises. None of those transfer with a job description. What has to be built before the second seller can succeed.
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Forecasting
Your forecast isn't a strategy
A confident pipeline becomes unpredictable revenue when stage definitions describe seller activity instead of buyer commitment. How to test whether your forecast is measuring anything real.
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Leadership Alignment
Everyone agrees on growth. Nobody agrees on who owns it.
When execution is slow despite apparent alignment, the usual cause is undefined decision rights rather than disagreement. How to map where decisions actually stall.
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Hiring
Before you hire another salesperson, answer these questions
Adding sales capacity multiplies whatever system already exists. If that system is undefined, hiring multiplies the uncertainty instead. A readiness check to run before the search starts.
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Handoff
The deal closed. The customer still didn't get what was sold.
Growth and retention usually break at the handoff between sales and delivery, where promises made in the sales conversation never reach the people responsible for keeping them.
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How We Work
The customer never forgets the person who told them the truth
Disqualifying yourself from a deal you could probably win is the highest-return move in healthcare sales, and almost nobody is willing to make it.
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27 Years of Evidence
In 27 years I have never seen a healthcare conference produce a lead that converted
Conferences are the largest line item in most early healthcare commercial budgets and the least accountable. Here is what they are actually good for, and what they will never do.
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Healthcare AI
If it can't reach the system of record, it didn't happen
The most common late-stage deal killer in healthcare AI is not accuracy or price. It is that the insight has nowhere to land — so the practice cannot bill for it or defend it in an audit.
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Healthcare AI
Nobody buys AI
Healthcare AI companies lead with the model. Buyers are trying to solve a budgeted operational problem. The gap between those two sentences is where most healthcare AI pipelines die.
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The Problem
They built a state-of-the-art kitchen. There was no house.
Healthcare companies rarely fail because the product is wrong. They fail because nobody built the commercial foundation underneath it — and the most expensive part never shows up on a P&L.
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