the middle space
A Blog on Innovation, Care, and the Real Work Behind It All
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I’ve spent my career at the intersection of clinical care, health plans, startups, and system transformation.
Across 50,000+ patient encounters and years in executive, advisory, and board roles, one thing has stayed constant: Healthcare is deeply personal—and rarely straightforward.
The Middle Space is where I share grounded reflections, leadership lessons, and field-tested insights from the space between vision and reality. It’s a place for founders, healthcare innovators, and mission-driven leaders to explore what’s next—with clarity, curiosity, and purpose.
If you care about building things that work—for patients, for systems, and for people—this is for you.
Can We Fund the Future We Want? Bridging the Gap -> Vision 2 Impact
Whether you’re at a startup, a health plan, a hospital, or building digital tools: the work we do now can either stretch resources further or deepen the gap between strategy and reality.
Here’s how we begin to bridge the two:
Health Plan Strategy
When I moved from exam rooms to boardrooms, I didn’t leave the clinical mindset behind — I brought it with me.
In a recent discussion on health plan strategy, I found myself reflecting on what’s changing behind the scenes — and how that change connects back to what patients and clinicians actually feel.
Here’s what’s top of mind for health plans right now:
The Digital Health Solutions That Actually Gain Traction
Not every shiny object in healthcare tech gets adopted. And that’s not a bad thing. The digital tools that truly gain traction in care delivery aren't always the most advanced or flashy. They're the ones that understand this: success in healthcare isn't just about what's possible
Observations in the Field
A few reflections from behind the scenes of digital health. The most successful digital health tools don’t disrupt care—they enhance what’s already working. Here are a few observations from the field on what separates promising solutions from those that miss the mark.