Insights

Notes on scaling without building everything in-house.

Practical thinking on outsourced revenue teams, operations, and what actually works when you're growing fast.

The DOL's Proposed Worker Classification Rule: What It Means If You Use Contractors

A February 2026 proposal could reshape how independent contractor status is evaluated. Here's what it means for businesses relying on 1099 workers — and where managed outsourcing sits differently.

The Proposed HIRE Act: What It Could Mean for Companies Using Offshore Teams

A plain-language look at the proposed 25% excise tax on outsourcing payments — what it targets, what it doesn't, and why the details matter more than the headline.

Telehealth Flexibilities Extended Through 2027: What It Means for Scaling Virtual Care

Medicare telehealth flexibilities were extended through 2027, and virtual direct supervision is now permanent. What that means for practices building out virtual care operations.

In-House vs. Outsourced Revenue Teams: What Actually Changes

A practical look at what shifts — cost, speed, control — when you build a revenue function outside your own walls instead of inside them.