Build vs Buy
What to build, what to buy, and what each choice costs you later.
What clinical infrastructure costs from pre-launch to 1,000 patients: a runway model
A ten-month worked model of what the clinical layer costs a seed-stage company under three approaches, and how each choice moves months of runway.
ReadHow large companies launch telehealth without building a medical practice
What building a medical practice actually takes, what a storefront partner keeps, and how licensed infrastructure lets an enterprise own the brand, the customer and the data.
ReadHow to build a telehealth platform, Part 3: e-prescribing and pharmacy routing
What happens after the clinician signs — the SCRIPT transaction, EPCS, choosing 503A vs 503B, state licensure routing, cold chain, and the status events your product needs.
ReadHow to build a telehealth platform, Part 2: designing intake
Intake is the product surface that decides how fast a clinician can decide. How to structure it, when to branch, what to validate at the API boundary, and what to leave to the visit.
ReadHow to build a telehealth platform, Part 1: the complete architecture
The seven layers every telehealth platform has — from storefront to pharmacy — what each one does, what it costs to build, and where the compliance actually lives.
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.
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.
ReadThe best white-label telehealth platforms in 2026: an honest comparison
Nine vendors sorted by model and fit — done-for-you operators, enterprise networks, developer platforms, and API infrastructure — with our bias disclosed.
ReadTelehealth platform pricing in 2026: the four models and what they hide
Per-visit, platform-plus-usage, revenue share, and PMPM — how vendors charge, what the headline excludes, and how to model true cost at three volumes.
ReadWhite-label telehealth, explained
Portals, marketplaces, and API infrastructure — the three models behind "your brand, our clinicians," and how to choose between them.
ReadWhat it really costs to launch a telehealth product
The build-vs-buy math: every cost center between you and your first patient, and where the budget actually goes.
Read11 posts in Build vs Buy
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