Hello everyone,
I’m looking for business-level critique, not validation, on a concept I’m actively exploring.
Context
I’m a physician and hospice medical director. A recurring part of my role (and that of hospice physicians/NPs nationally) is producing mandatory documentation for billing and compliance: CTIs, recertifications, face-to-face notes, etc. This documentation is required to get paid and to survive audits, but the work itself is largely summarization and criteria alignment, not clinical reasoning.
The Pain I’m Observing
Across multiple hospice organizations, this documentation creates a repeating bottleneck:
I’m exploring a B2B SaaS that assists with generating draft physician documentation by synthesizing existing clinical inputs (nursing notes, hospital records, prior documentation) into a structured, compliance-aligned note that the clinician reviews and signs.
Important clarifications:
What I’ve Already Done
Where I’m Looking for Critique
Before going further, I want to pressure-test this from a Fastlane/CENTS perspective.
Specifically, I’m looking for critique on:
I’m open to being told this is structurally flawed — that’s the point of posting.
Thanks in advance for any critique.
I’m looking for business-level critique, not validation, on a concept I’m actively exploring.
Context
I’m a physician and hospice medical director. A recurring part of my role (and that of hospice physicians/NPs nationally) is producing mandatory documentation for billing and compliance: CTIs, recertifications, face-to-face notes, etc. This documentation is required to get paid and to survive audits, but the work itself is largely summarization and criteria alignment, not clinical reasoning.
The Pain I’m Observing
Across multiple hospice organizations, this documentation creates a repeating bottleneck:
- It consumes hours per month per clinician
- It is one of the highest contributors to burnout
- Hospices either:
- Pay high hourly rates to physicians to do low-value documentation, or
- Stretch clinical staff thin and accept compliance risk - Errors or omissions carry real financial downside (clawbacks, audits, denied claims)
This is not optional work, and it doesn’t go away with experience — volume scales the pain.
I’m exploring a B2B SaaS that assists with generating draft physician documentation by synthesizing existing clinical inputs (nursing notes, hospital records, prior documentation) into a structured, compliance-aligned note that the clinician reviews and signs.
Important clarifications:
- This is not autonomous decision-making
- The clinician remains responsible for accuracy
- The value proposition is time saved + reduced cognitive load + compliance consistency
What I’ve Already Done
- Spoken informally with hospice clinicians and leadership about where time is lost and what they would (and would not) trust
- Identified repeated documentation structures and criteria across organizations
- Built and tested an internal draft-generation model (custom GPT) to confirm that existing clinical inputs can be synthesized into usable first-pass documentation
- Begun working with an engineer on early technical feasibility (HIPAA-compliant deployment, document ingestion, draft generation)
- Not building a full product yet — deliberately trying to avoid premature execution
Where I’m Looking for Critique
Before going further, I want to pressure-test this from a Fastlane/CENTS perspective.
Specifically, I’m looking for critique on:
- Buyer vs User Focus
This concept is currently physician-facing, but nursing and administrative workflows are adjacent and deeply intertwined. From a business perspective, how would you evaluate whether starting with physicians is the right wedge versus a nursing- or admin-centered approach? - Competition & Differentiation
There are already vendors in this space. In regulated B2B SaaS, what typically matters most when competing against incumbents: workflow depth, pricing, switching costs, or something else? - Validation & First Customers
What would you consider meaningful validation here before building v1 — pilots, LOIs, paid trials, or another signal? How early would you expect money to change hands? - Initial Go-to-Market & Rollout
For niche, compliance-driven B2B software, what have you seen work best for acquiring the first few customers: founder-led sales, pilot partnerships, bottom-up clinician adoption, or top-down admin sales? - Scale & Ceiling Risk
Hospice is a defined niche. Is this the type of market where depth and pricing can compensate for limited breadth, or does it risk being structurally capped too low?
I’m open to being told this is structurally flawed — that’s the point of posting.
Thanks in advance for any critique.
Dislike ads? Become a Fastlane member:
Subscribe today and surround yourself with winners and millionaire mentors, not those broke friends who only want to drink beer and play video games. :-)
Access Restricted: Unlock 1,000,000+ Posts
Stop Peeking Through the Keyhole.
Open the Door.
You hit a wall because the best advice isn't free—it's earned. Since 2007, MJ DeMarco has been active here daily (99.9% active rate), building a war room for entrepreneurs who refuse to settle for mediocrity.
- Active Daily: Life-changing content posted dozens of times every day. No dead threads.
- MJ's Inner Circle: Direct access to the author of The Millionaire Fastlane.
- Vetted Network: Connect with founders scaling to 7 and 8 figures.
- Proven Roadmaps: Strategy over motivation. Execution over "hustle porn."
"SCALED TO 6-FIGURE MONTHS"
"Tips and advice here saved me from huge mistakes, others allowed me to scale my business to 6-figure months."— User MitchC
"INSANE QUALITY OF PEOPLE"
"The number of high quality people I've met from this forum has been insane. All of it predicated on building real value."— User Richard Peck
"You are the average of the five people you surround yourself with."
Are you surrounding yourself with success?
