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 reflections and insights from working in that in-between: where vision meets reality, and complexity demands clarity.

Welcome to The Middle Space
Healthcare innovation doesn’t happen in a vacuum. It happens in the messy, brilliant middle — between strategy and implementation, between intention and outcomes, between what’s promised and what’s actually delivered.
I created this space to reflect on that middle.

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

Perspectives on Healthcare Transformation
Innovation in healthcare doesn’t thrive on disruption alone. It takes connection—between clinical reality, strategy, and people. These are a few reflections from the space in between.

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.