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.
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.