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, field-tested insights from the space between vision and reality. Where founders, innovators, and leaders navigate what’s next.
This is a space to pause, process, and move forward with purpose.
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.