Healthcare starts with the system.
Not a doctor.
Bob Parr gets in trouble for helping someone navigate the system.
Twenty years later, it’s still true.
UnitedHealthcare is removing prior authorization on 30% of services.
Aetna says it has standardized most of it.
About 2% of medical services require prior authorization.
We can have insurance and still not be able to use it.
Prior authorization is coordination.
Rules applied at scale to control cost across millions of decisions most of us never see.
The system often decides more than the doctor does.
This is why doctors move to concierge care.
To get out of the system.
To help people.
That’s the first layer AI removes.
The control doesn’t go away.
It moves.
Most companies are still building there.
Faster reviews. Better models.
If you’re building in approvals, you’re building something that disappears.
The advantage moves into System and Signal.
System is where decisions get made inside the workflow, not after the fact.
Signal is knowing what works and what doesn’t, not just what gets approved.
The system separates who pays, who decides, and who receives care.
The buyer is not the patient.
The patient doesn’t control the decision.
If our reference customers are mostly buyers, not patients,
our moat doesn’t exist.
Choose the segment. Pick the patient. Then build the moat.
Execution Beats Theory. Every Time.
👋 Hi, I’m Tim. I help engineering-led startups and mid-market scaleups build performant GTM systems, unify revenue, and scale with Agentic AI.
At Entry Point 1, we partner with engineering-led teams that operate intentionally and play to win. We’ve helped generate $1B+ in revenue.
@Entry Point 1 #gtm #agenticai #gtmarchitecture #gotimmarket #healthtech
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