Notes on building in digital health
Practical guides on launching, running and switching compliant care programs: architecture, compliance, pharmacy and unit economics. New posts every week.
HIPAA and your marketing stack: pixels, analytics, and ads for telehealth brands
Where the Meta pixel and GA4 collide with health privacy law, which pages they can never run on, and how to build a funnel you can defend.
ReadTelehealth informed consent: what states actually require
The disclosures states enumerate, the four axes they differ on, and how to build consent as a versioned, state-aware flow rather than a checkbox.
ReadDo DTC telehealth brands need an EHR? EHR vs. clinical infrastructure
What an EHR is actually for, what a DTC program actually runs, and the four questions that decide which system of record you need.
ReadLabs for telehealth programs: at-home kits vs. draw networks
How kits and draw sites compare on completion, panels, and cost — and how to build the lab loop so results actually gate care.
ReadThe GLP-1 maintenance phase: what programs do when patients reach goal
The four clinician-directed maintenance patterns, how to price the tier, and why programs without one hand their best patients to competitors.
ReadRefunds, cancellations, and chargebacks for telehealth subscriptions
A refund matrix that fits clinical products, the dispute-rate math that threatens merchant accounts, and the moves that keep you under the thresholds.
ReadPatient support for telehealth programs: the tickets that actually happen
The real ticket mix, the clinical/non-clinical triage line only licensed staff may cross, and the notifications that prevent the biggest queues.
ReadLaunching a sexual health telehealth program: the async-first playbook
The cardiac screening that matters, the state rules, engineered discretion, and the men’s-health bundle that follows.
ReadThe telehealth tech stack in 2026: what you build vs. what you rent
Eight layers, a build/rent verdict for each, and where the engineering time actually goes.
ReadCan your pharmacy ship there? Non-resident pharmacy licensing for telehealth brands
Why a pharmacy needs a license in every state it ships into, why the map is never fully green, and how to route orders so none go where the pharmacy cannot serve.
ReadDo cash-pay telehealth programs need NPIs, CPT codes, and superbills?
Which pieces of the insurance world still apply when you never file a claim — and why superbills are a revenue feature for cash-pay programs.
ReadLegitScript certification for telehealth: what it takes, how long, and why applications fail
What the reviewers check, a realistic six-to-twelve-week timeline, and the five reasons applications go back.
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