Hi Reader

I'm in Las Vegas this week for HIMSS26, one of the biggest healthcare conferences of the year. I've had dozens of conversations over the past few days — with providers, health system leaders, vendors, and innovators.

And one theme keeps coming up in nearly every single one of them.

After years of pilots and proof-of-concepts and "let's see how this goes," the practices and health systems that are winning right now are the ones that figured out how to make their tools actually work — inside real clinical workflows.

The ones that are struggling? They adopted technology that lives alongside their workflow instead of inside it.

The Real Reason Telehealth Doesn't Scale

I see this pattern constantly. A practice launches Telehealth. It works well enough. But 6-12 months in, it starts to feel like a second job. Here's why:

• Providers are logging into a separate platform that doesn't talk to the EHR
• Every virtual visit creates a documentation headache
• Billing is a manual workaround, not an integrated process
• Patients and staff aren't sure how to use it, so engagement drops off

None of those are Telehealth problems. They're workflow problems. And when technology creates more work than it eliminates, it doesn't get used — no matter how cool the new Tech is.

What Scaling Actually Looks Like

The organizations I've been talking to at HIMSS and the ones that we have successfully worked with that have successfully scaled virtual care all did something in common: they got ruthless about implementation.

That means technology that:

• Lives inside your existing EHR — not next to it
• Eliminates duplicate documentation, not adds to it
• Connects directly to your billing and reimbursement workflows
• Keeps patients engaged with minimal extra effort from your team

The goal isn't more tools. It's fewer friction points.

The Honest Question to Ask Yourself

When you think about your current Telehealth setup — or the one you're considering — ask yourself one question: Does this make my team's day easier, or harder?

If the answer is harder, it won't scale. The practices that thrive aren't the ones with the most technology. They're the ones that chose the right technology and implemented it in a way that actually sticks.

This Week's Challenge:

Look at your current Telehealth workflow and identify the one step that creates the most friction. Is it documentation? Scheduling? Billing? Patient communication? Just name it. You don't have to fix it today — but you need to know what it is before you can fix it at all.

Then hit reply and tell me: what's the biggest workflow problem in your practice right now? I read every response, and this week especially, I want to know what you're dealing with.

The technology to solve it almost certainly exists. The question is whether it's set up to work for you — or just near you.

Want to talk through how to audit and fix your Telehealth workflow? 👉 Book a free strategy call here​

Talk soon, -Dan

P.S. Working with me 1-on-1 is $5,000. This is the fastest way to get you where you want to go whether you are Launching a Telehealth Practice or wanting to Grow and Scale the one you currently have. Here's what we'll do:

1. 6 One on One Personalized Strategy Calls - Implement the changes right away and access to private texts/calls in between to answer questions - Guarantee: Will add more sessions as needed until you get 2X your investment back in saved time and added revenue
2. Full Tech audit - What's working for you, what's not and what can be done better
3. How to incorporate AI safely and securely while saving you time and money
4. HIPAA Compliance, RPM, RCM, and more.
5. How to maximize revenue whether your private pay or insurance based
6. And so much more - Over $9500 in value for $5000 with a 30 day money back guarantee

Also: Want to go back and look at our previous Telehealth Tips? Click Here​