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Technology · Health Tech

Health system procurement is designed to say no

Clinical validation, EHR integration, compliance review, budget committee, board approval. In that order. Companies that survive this gauntlet have go-to-market infrastructure built for it. Everyone else stalls after the pilot.

HEALTH TECH SIGNAL FLOW FDA clearance granted CMIO or CIO hired Hospital system expanding Pilot completion announced RESEARCH ENGINE Clinical context mappedIntegration requirementsBuying committee identifiedCompliance requirements Sequence triggered → 18mo+Average enterprisehealth system cycle 5-8Stakeholders in atypical buying committee

How buyers evaluate

Clinical buyers and financial buyers want different things

The physician who loves the product has no procurement authority. The CFO who controls the budget has never seen a patient use it. Health tech sales requires building two parallel cases simultaneously, and the infrastructure to track both.

01
Pilot purgatory
A successful proof of concept doesn't guarantee a contract. Health systems run pilots that stall in procurement for years. Without infrastructure tracking pilot outcomes, stakeholder sentiment, and budget availability as separate data points, the deal dies in a committee meeting nobody told you about.
02
Integration requirements gate every deal
EHR integration, HL7/FHIR compliance, and security reviews add months to every sales cycle. Buyers won't progress past evaluation without documented interoperability. The sales team needs technical validation infrastructure, not pitch decks.
03
Reimbursement determines market size
New CMS reimbursement codes can create entire markets overnight. A regulatory change can make a product category viable or obsolete in a single announcement. The go-to-market system needs to treat reimbursement decisions as pipeline signals, not background noise.
04
The champion leaves, the deal stays
The clinical champion who ran the pilot gets recruited to another system. The institutional knowledge about why the pilot worked leaves with them. Multi-threading across the buying committee is the only insurance against single-point-of-failure deals.

Where buying windows open

Signals we monitor continuously

Signal infrastructure watches these sources across the target account list. When a signal fires, the system generates a research brief and personalized outreach within minutes.

FDA 510(k) clearance or De Novo authorization granted
New CMS reimbursement code published for product category
CMIO, CIO, or VP Digital Health hired at target system
Hospital system expansion or new facility announcement
Pilot program completion or clinical study results published
EHR vendor contract renewal approaching (Epic, Oracle Health)
Series A through D funding round closed
Value-based care initiative announced at target system

What we build

Built for clinical sales and health system procurement

Primary capability

Regulatory-triggered outbound

Signal infrastructure watches for FDA clearances, CMS reimbursement changes, clinical study publications, and health system leadership transitions. When a signal fires, the system generates a research brief covering the system's clinical priorities, existing tech stack, and integration requirements. Outreach references the specific regulatory or organizational change that created the buying window.

Sales & GTM →

Clinical-to-financial pipeline

CRM architecture tracking clinical champions and economic buyers as parallel tracks within the same deal. Separate qualification criteria for clinical validation and procurement readiness, unified in a single pipeline view the VP of Sales can actually use.

RevOps →

Pilot-to-contract conversion

Account research agents surface pilot outcome data, stakeholder sentiment, and competitive context for each active opportunity. The system identifies which pilots are stalling and why, so the team can intervene before momentum is lost to a committee meeting they weren't invited to.

Marketing & Growth →

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