Who is the buyer for this idea?

Practice manager / RCM director at 5-50 provider specialty group. Reach them through mgma + asco conferences and warm intros through infusion pharma reps. Skip broad SEO on day 1 — start where your first 20 customers already hang out.

How would you monetize it?

$40-80 per approved auth, avg $8k-25k MRR per clinic. Pricing is the most under-thought step for these buyers, so anchor to the outcome you replace, not the tool you resemble.

CMS 2026 rules force payers to respond in 72h — clinics need speed on their side. That's the underlying shift — if it fades, so does the wedge.

What tech stack would you use?

Suggested stack: Next.js, HIPAA-hosted Supabase, OpenAI + guardrails, and Change Healthcare EDI. You can build the v1 in weeks on this stack; the moat is workflow depth, not framework choice.

Who are the incumbents I'd be competing with?

Study Cohere Health, Rhyme, and Basys.ai — read their 1-star reviews, price ladder, and onboarding. That's where your positioning lives.

Who is the buyer for this idea?

Practice manager / RCM director at 5-50 provider specialty group. Reach them through mgma + asco conferences and warm intros through infusion pharma reps. Skip broad SEO on day 1 — start where your first 20 customers already hang out.

How would you monetize it?

$40-80 per approved auth, avg $8k-25k MRR per clinic. Pricing is the most under-thought step for these buyers, so anchor to the outcome you replace, not the tool you resemble.

CMS 2026 rules force payers to respond in 72h — clinics need speed on their side. That's the underlying shift — if it fades, so does the wedge.

What tech stack would you use?

Suggested stack: Next.js, HIPAA-hosted Supabase, OpenAI + guardrails, and Change Healthcare EDI. You can build the v1 in weeks on this stack; the moat is workflow depth, not framework choice.