From the integration trenches.

Thoughts on EHR integration, healthcare technology, and building infrastructure for healthcare builders.

Digital Health

Why Your Healthcare AI Agent Can't Actually Do Anything Yet

Healthcare AI agents can talk, but most can't touch the EHR. The hard part isn't the model. It's the last mile: real-time read and write to the systems where schedules and billing live.

BryanJune 20268 min read
Platform

Why Cobalt Is Different

Traditional interoperability platforms sell you software and services. Cobalt is a unified API. The result: lower cost, faster implementation, and more flexibility.

BryanMay 20268 min read
Engineering Guide

Why AI Scheduling Teams Struggle with eClinicalWorks

eClinicalWorks schedule slots can be set up in wildly different ways. Here's how to handle availability across hundreds of clinics without losing your mind.

BryanApril 20267 min read
RCM & Billing

The Hidden Integration Tax Draining Your RCM Company's Margins

Every manual login, every screen scrape that breaks, every new client onboarding that takes weeks. For RCM companies, the integration tax is embedded in every transaction.

BryanMarch 202610 min read
Digital Health

The Hidden Integration Tax Killing Your Health Tech Startup's Roadmap

Your two best engineers aren't working on your product. They're debugging HL7 messages and reverse-engineering EHR documentation. This is the integration tax.

BryanFebruary 20269 min read
Healthcare PE

The Hidden Integration Tax in Healthcare Practice Acquisitions

Every time a PE-backed practice group acquires a clinic, there's a cost nobody budgets for. It compounds with every deal.

BryanJanuary 20269 min read