27 untriaged across 4 brands

Day 47 here. Day 300 sounds impossible. Saving this for when I'm doubting.

How does this play with our existing Cisco WebEx contract? Hybrid scenarios are where we keep getting burned.

We're trying to get telemedicine credentialing across 14 states right now. 90 days seems aggressive — were they already in 30+ states?

I needed to hear 'I don't WANT to drink' was achievable. 4 years sober and I still forget how far I've come.

Yes. The big-vendor 'patient engagement' tools are designed for 50-provider groups. I'm 1 doctor + 2 staff. Everything is overkill.

We tried the 'just go all-Teams' route in 2024. Two years later we're back to hybrid. Story for another day.

Hi. I'm on day 9. Your post made me cry. Just wanted to say thank you. You probably get a lot of these.

We open in 8 months. Just spent $15k on a credentialing service that has us 30% complete. Need help — can we talk?

Hi — interested in talking about UC managed services. We're 8,000 seats across 12 hospitals. Got 30 min next week?

Trap #2 (the silent termination clause) bit one of my clients last year. $340K loss before they realized.

I'm sharing this with our church recovery group on Wednesday. So many of our people feel exactly this. Thank you.

Your post is the first one I've read that actually understood our workflow. Can you talk about telehealth integration?

Sharing this with our entire credentialing team. Trap #3 was new to me.

Tata follow-the-sun is the only way we kept our SLAs in the 2024 outages. Underrated point.

When are you launching a Patreon or substack? I want long-form. The IG posts leave me wanting more.

Counterpoint: solo practices benefit MORE from automation, not less. The 'right-sized tool' framing has been used to under-invest for a decade.

Found you through a friend. We've been credentialed with Anthem for 11 years and they just dropped us with no explanation. Not sure if you handle reinstatement?

Featuring this Continuant analysis in our weekly roundup — the hybrid Avaya+Teams data here is the clearest writeup I've seen in months.

Disagree on point 2. Some people need tough love in early recovery. Sometimes 'congratulations' isn't the right word for surviving.

PPS featured in our 'companies to watch' issue — the 90-day-multi-state-credentialing playbook is the kind of operational depth this industry needs.

Tried 4 patient engagement platforms in 3 years. Tossed them all. Curious what you actually recommend.

Stitching this — Lauren said the quiet part out loud. The church/recovery gap is real and nobody's talking about it.

Trap #1 happened to us in our seed-stage payer pilots. Wish I'd seen this 2 years ago.

Following Continuant's content for 3 months. Quick coffee in NYC next time you're up?

Hi Lauren — would you ever speak at our women's retreat in October? We're a small group but the women here need exactly what you're saying.

Interested in talking partnership. We have 2,400 solo-practice customers asking us for telehealth.

We're looking at a behavioral health rollup. Need a credentialing partner that scales. Available for a call?

Curious how 'managed services' avoids the captive-vendor trap. Numbers I've seen don't pencil out unless you're already 5,000+ seats.

Patient engagement tools also need to work on patients with limited tech access. Most don't. Mention this in part 2?

My wife is in early recovery and I sent her this. She's been silent for an hour. Thank you for putting words to it.

Where do I subscribe? Last 3 of your posts have been more useful than my last $5k consultant engagement.

12 years sober. 'I don't want to drink' is the gift you don't even know to ask for in early recovery. So much yes.

Saving this. Tata + Avaya + Teams is the Frankenstein I'm staring at next quarter.

Saving for our quarterly tech roundup. The integration order point is exactly what we keep getting wrong.

Sharing PPS's payer-trap rundown with our 6,200-member owners network. Trap #2 alone is worth the read.

Reposting — this distinction (white-knuckling vs freedom) is what we tried to articulate in episode 47 and didn't say nearly this well.

These '90 days across 50 states' stories always smell like they skipped the parts that took 6 months. Real numbers?

Sharing CHS's solo-practice patient engagement breakdown. The framing is right.

Sharing — Continuant's hybrid UC playbook is one of the few honest takes I've read in 2026. Most vendors won't say 'don't rip and replace' because it costs them deals.

I work in faith-based publishing. Following your content for 6 months. Have you considered a book deal? I'd love to chat.