Microdosing

Hosted by Paul Schrimpf

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134

Latest episode

Mar 2026

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About the show

Microdosing delivers short, fact-driven reports that distill today’s trending healthcare topics, and add fresh perspectives that are grounded in expert insights and credible sources. For written reports and bibliographies, please visit www.md-pod.com.

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March 3, 202613 min

Safety is Sexy in Healthcare B2B Sales; Why Risk, Not Upside, Decides Deals

In healthcare B2B sales, the deal is often shaped before ROI is fully debated. It begins when a buyer asks a simpler question: what could go wrong?Healthcare sales is methodical, slow, and process heavy. Health systems are not optimized for novelty or speed alone. They are optimized to avoid harm while maintaining continuity of care. Safety may not sound exciting, but for anyone selling into a hospital or large health system, it is often where deals gain or lose momentum.Buyers are not primarily asking how much upside a solution creates. They are asking how much risk it introduces. That does not mean upside is irrelevant. It means upside is filtered through a risk lens.

February 17, 202612 min

Dear Health Systems, Nobody ‘Wants’ to Use You

No one wakes up hoping to use a hospital. Patients do not browse health systems the way they browse airlines, hotels, or retailers. They do not long for novelty, delight, or emotional connection in the usual sense. They arrive when something hurts, when something feels wrong, or when uncertainty becomes too heavy to ignore. In healthcare, usage is driven by need, not desire. This distinction changes everything about how a brand is built, perceived, and sustained. It also explains why many branding conversations feel disconnected from patient experience. Consumer research from NRC Health and Press Ganey consistently shows that trust and confidence are the primary drivers of choice and recommendation when stakes are high. Affection or excitement play a minimal role.

February 3, 202611 min

Why the Future Belongs to Platforms, Plug-Ins, and Stacks

Why platforms, platform-aligned solutions, and upgrade portfolios are replacing standalone products.Healthcare is entering a phase where the economics of growth have fundamentally changed. The companies scaling fastest are not launching more features, more products, or more narrowly defined point solutions. Instead, they are making a different kind of investment by building platforms designed for reuse.

January 27, 20267 min

The Innovation Gatekeeper - Fast-Cycle ROI; Why financial validation now needs to happen in 1–2 budget cycles, not 3–5 years

Healthcare innovation still loves elegant stories. Unfortunately, elegant stories don’t get funded when budgets are constrained. For years, the industry has relied on value narratives that sound reasonable but collapse under scrutiny. The most common failure is distance in the value chain. They often sound like: “If imaging quality improves, outcomes improve. If outcomes improve, costs go down.” Each step may be directionally true, but between the first link and the last sit dozens of confounding variables, including physician behavior, care pathways, payer policy, patient compliance, downstream utilization, and time. When value depends on all of them lining up, it is not value; it is a wish.

January 22, 20267 min

The Innovation Gatekeeper - Fast-Cycle ROI; Why financial validation now needs to happen in 1–2 budget cycles, not 3–5 years

Healthcare innovation still loves elegant stories. Unfortunately, elegant stories don’t get funded when budgets are constrained. For years, the industry has relied on value narratives that sound reasonable but collapse under scrutiny. The most common failure is distance in the value chain. They often sound like: “If imaging quality improves, outcomes improve. If outcomes improve, costs go down.” Each step may be directionally true, but between the first link and the last sit dozens of confounding variables, including physician behavior, care pathways, payer policy, patient compliance, downstream utilization, andtime. When value depends on all of them lining up, it is not value; it is a wish.

January 19, 20268 min

The End of “One More Tool”; Why the Next Decade Belongs to Connectors, Integrators, and Platform Layers.

If you’ve attended any healthcare conference, a pattern emerges so consistently that it becomes impossible to ignore: healthcare is not suffering from a lack of innovation. It is suffering from an oversupply of disconnected innovations, where each one is well-intentioned, each one promising value, and each one adding yet another layer to an already unmanageable tech landscape.

January 6, 20268 min

Building a Better Backbone and the Role of Primary Care in the US

The US healthcare system is privatized and built around a capitalist model. Within that framework, one flaw stands out: unlike nearly every other high-performing health system in the world, the United States lacks a true backbone. There is no layer that reliably guides people, connects decisions over time, or helps them confidently take the next step. The solution is the backbone it never built, and that backbone is primary care.

December 23, 20257 min

Workforce Reconfiguration, Not Workforce Shortage; It’s not people and patient ratios, it’s the care model and sub-models themselves

Healthcare does not lack workers; it lacks a work model capable of supporting them. Modern care assumed infinite elasticity from clinicians, but that model has reached its limit. What comes next is not incremental change; it is reconfiguration: team-based, patient-centered, digitally enabled, and economically aligned with value. When the work is redesigned, the workforce stabilizes. This necessary reconfiguration is not a trend; it is an inescapable reality.

December 18, 202511 min

The Naming Maze; How Getting Lost in Healthcare Taxonomy and Wayfinding Costs Millions

The complexity of the U.S. healthcare system is magnified by inconsistent, fragmented naming of care locations. Terms such as hospital, medical center, and institute may appear interchangeable, but in practice they introduce confusion, increase the risk of surprise billing, and fuel costly administrative errors.

December 2, 202511 min

Where Journeys Collide; Designing Beyond a Single Healthcare Experience Map

Every healthcare organization operates within a web ofoverlapping experience maps, including clinical, administrative, payer, patient, and policy maps. These maps shape every decision, workflow, and outcome. In healthcare, a customer experience (CX) map traces the steps, systems, and emotions that patients, clinicians, and staff move through as care is delivered and supported. Each map makes sense on its own, but the real complexity begins where they overlap. Most improvement efforts focus on a single map, yet few consider how these maps interact or depend on one another.