Prototype · A thought experiment on the strategic narrative for Flagler Health, built by SalesSparx + PitchKitchen · Copying is prohibited unless permission is granted
Insights · Inside MSK

Horizontal AI is about to lose MSK.

Field notes from the operating room, the front desk, and the CFO's spreadsheet. Written for the people running MSK practices and the operators thinking about acquiring them.

All Prior Auth Workflow Reimbursement Adoption The MSK Stack
Featured · The MSK Stack

The MSK Revenue Operating Layer — what 'specialty depth' actually means at the infrastructure level.

Vendors who claim "we support orthopedics" are claiming a checkbox. MSK-native means the prior-auth playbook is built per-payer, per-procedure, per-state. It means the episode workflow knows the difference between a knee replacement and a steroid injection. Here's what that depth looks like, and why it's the only kind that survives the AI commodity wave.

Albert Katz, CEO · 12 min read
The MSK Series

Three essays. One thesis.

Read in order. Why horizontal AI loses MSK, what MSK-native actually requires, and the case for one stack vs nine point tools.

Field notes

From inside MSK practices.

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Prior Auth

The 4pm Friday denial: why MSK prior auth fails when it matters most

A look at the prior-auth submission patterns that get rejected disproportionately on Friday afternoons, and the payer-specific workarounds that catch them.

7 min read
Workflow

The nine-vendor MSK practice: what 30 minutes of integration work costs per quarter

Practice administrators spend 12+ hours a week stitching point tools together. Here's what that looks like priced as opportunity cost.

9 min read
Reimbursement

Knee replacement isn't colonoscopy: the prior-auth math that horizontal vendors miss

Generic prior-auth automation treats every CPT code the same. MSK doesn't work that way. The procedure-specific patterns that catch the denials.

8 min read
Adoption

Why founder-led MSK sales caps your growth at 18 months

Heroic selling works until it doesn't. The signals that tell you it's time to make the founder credibility transferable.

6 min read
The MSK Stack

Partner-led growth: why MSK device organizations sell software for us

Aligned incentives between device reps and MSK practice throughput. How the channel actually works and what makes it defensible.

10 min read
Workflow

The MSK episode in six steps, and where each one leaks

A field map of triage, capture, scheduling, prior auth, care management, and revenue cycle, with the leak rates we've seen at each step.

11 min read
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