A curated library for
healthcare operators.
I created this library to help organize news and best practices around the frameworks, research, and thinking I return to most when navigating growth, operations, and M&A across multi-site healthcare. Organized by function. Updated regularly.
I’m Paul Gruensfelder, a healthcare growth operator with 13+ years scaling patient acquisition, retention and reputation/branding programs across numerous healthcare organizations spanning hospital systems, medical groups and DSOs.
Work With Me ?Handpicked from the library.
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The 10-Gate AI Search Pipeline: Find Where Your Content Fails
Every piece of content must pass 10 sequential gates before an AI system recommends it: Discovered, Selected, Crawled, Rendered, Indexed, Annotated, Recruited, Grounded, Displayed, Won.…
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ACA Coverage Cliff Fallout: Q1 2026 Revenue Impact at Major Health Systems
Enhanced ACA premium subsidies expired at the end of 2025, and major health systems are now reporting the financial fallout in Q1 earnings. HCA Healthcare…
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7 Things Healthcare Marketers Should Watch in May 2026
Alex Membrillo of Cardinal Digital compiles seven trends healthcare marketers should track in May 2026. A Gallup survey finds 1 in 4 Americans now ask…
Find resources by practice area.
The full library, organized by original publication date.
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Prevention by Design: How AI Is Delivering Measurable Results in Revenue Cycle
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Cross Country Healthcare to Go Private in $437M Knox Lane Deal
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The 90% Problem: Why Specialty Practices Over-Invest in Bottom-Funnel Paid Search
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The PRIME Framework: Set Up AI for the Agentic Era Before Adding Another Tool
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The 10-Gate AI Search Pipeline: Find Where Your Content Fails
I’ve spent most of my career helping healthcare systems and multi-site DSOs build patient acquisition programs, strengthen retention, and create the cross-functional alignment that makes growth stick.
What I find most interesting is how the biggest opportunities in this industry tend to live where departments connect. When patient access improves, care experiences get better, and teams work toward the same outcomes, growth follows naturally. And when healthcare organizations scale well, more people get high-quality care close to where they live. That’s always been the north star.
That belief is what shaped the PRS framework, an approach to building healthcare organizations genuinely poised for sustainable growth. This site is where I collect the research and thinking that informs it.
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