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.

Lessons from Mr. Wonderful: What Makes A Pitch Work
I had the chance to hear Kevin O’Leary speak at the Becker’s Healthcare 2025 Annual Review conference recently. Known to many as Mr. Wonderful on Shark Tank, he shared a framework for evaluating pitches that can be applicable to anyone building in healthcare.

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:

Perspectives on Healthcare Transformation
Innovation in healthcare doesn’t thrive on disruption alone. It takes connection—between clinical reality, strategy, and people. These are a few reflections from the space in between.