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SM-NOTES · Significant Machine

Insights

From the shop floor

Writing From the shop floor
Fig. 005 Healthcare

Healthcare CX apps are not B2B SaaS — design implications

The same patterns that win in B2B SaaS quietly fail in healthcare. Here is what changes when the user is a patient.

May 24, 2026 7 min read
Fig. 006 Healthcare

How to redesign an EOB without legal redlining it

The patient billing statement is the highest-leverage patient experience intervention available. Here is how to actually ship a redesign.

May 24, 2026 8 min read
Fig. 007 Healthcare

Press Ganey vs. NRC Health vs. building custom — when each makes sense

The three real options for patient experience measurement, and the trade-offs nobody puts in the sales deck.

May 24, 2026 8 min read
Fig. 008 Healthcare

The MyChart problem: why patient portals feel like 2012

MyChart is the dominant patient portal in the US and it has barely changed in a decade. The reasons are structural, and so is the path forward.

May 24, 2026 6 min read
Fig. 004 Healthcare

What patient experience actually means — and the seven places it breaks

PX is the connected experience of being routed through a health system. It does not live in the portal.

May 24, 2026 9 min read
Fig. 001 Product Design

Why most AI products fail the user before they fail the market

The UX failure mode is earlier than founders think. It happens before the product ships.

Mar 10, 2025 7 min read
Fig. 003 Methodology

Growth-Driven Design: what it actually means in practice

GDD is a methodology, not a buzzword. Here's how it runs in a real sprint.

Feb 14, 2025 6 min read
Fig. 002 Strategy

Why we build our own products

The consultancy model has a ceiling. Products are how you raise it.

Jan 22, 2025 5 min read

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