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#158 · Your outbound sucks. Here's how to fix it

youtube ↗Niches

I’m a nurse practitioner building AI‑powered claims adjudication workflows for health insurers. How concerned should I be about profitability and HIPAA/regulatory risks?

Regulations and HIPAA will definitely be a threat, especially if you target enterprise customers. You’ll need to worry about compliance, liability, and the cost of tools like Carrigan, which can be $400 a month versus cheaper alternatives like Make.com. However, the niche has less competition, so the cost per outreach is lower. You don’t need to be overly worried about profitability at the start, but be prepared for compliance costs.

healthcarehipaaaiprofitability

Related answers

youtube ↗Niches

I'm a nurse practitioner transitioning into automation. I have limited knowledge and experience in SEO, copywriting, and marketing, which poses a huge obstacle. I'm stuck looking for a niche in healthcare and have landed on building adowered claims and education workflows for health insurers. What are your thoughts? How concerned about profitability should I be? Do you think regulations and HIPPO will pose a huge threat?

I wouldn't recommend a beginner go into a compliance-heavy industry like healthcare. Even with experience, case studies, or knowledge of how it works, building claims adjudication workflows for health insurers is a sticky business. If you want to build good systems for that market, you'll likely need to target mid-market to enterprise or government-affiliated organizations. The hoops to get your first deal will be much tighter, further away, and harder to reach. My recommendation: focus on a smaller audience to start, get a couple of wins, learn client management, how to service other businesses, and handle common business problems. Then use that experience to attack the mid-market level more adeptly, backed by actual experience rather than just reading or watching videos.

healthcare nichecomplianceprofitability
youtube ↗AI & Automation

In your experience, what are the limitations of using middleware/serverless automations (chaining tools like Make, ClickUp, OpenAI, etc.) in highly regulated industries like healthcare or finance — are the regulations too tight to provide the kind of flexibility and value you'd offer smaller businesses?

The regulations aren't too tight to do it, but they're definitely tighter than other situations, and honestly I just don't like dealing with it. In practice, if you want to do these automations in US healthcare you can't just use Make because it's not HIPAA compliant — you need a final compliance filter/check, and the same applies to financial regulations; it makes your life way harder, forces you onto alternative platforms, and requires things like anonymizing customer data. As a business owner you get to choose your niches, and in my case the juice usually isn't worth the squeeze, so I stay away from highly regulated industries and stick to less-regulated, typically smaller businesses (though I've worked with 8-9 figure companies too). It's a tradeoff: regulated/enterprise healthcare clients mean bigger ticket sizes, longer contracts, and slower-moving business, but also a whole new tech stack to learn, unfamiliar applications, data anonymization work, and real legal/regulatory risk. I can get the same benefits working with other kinds of businesses without those cons, so that's what I choose to do — though I could see situations where someone's genuinely set on going after that market anyway.

regulated industrieshealthcarefinancehipaamiddleware
youtube ↗Niches

What are your thoughts on selling AI enablement (e.g., AI medical scribes) to clinicians and physicians in the medical space?

That sounds like a great idea; I think you should pursue it. Having seen firsthand how bottlenecked many medical organizations are just from taking medical notes, I believe AI medical scribes are a solid move. Your main concern will be navigating HIPAA and other regulations concerning personal identifying information (PII). Often you must store data on-premises or ensure it never leaves the country, which can be tricky—if data accidentally crosses a wire outside the country, it could end up somewhere like Tajikistan in 0.1 seconds, creating serious compliance issues. The point is there are security hurdles to overcome, but working in a regulated industry has advantages: it's harder to enter, and once you're in, your moat isn't just the solution—it's also the regulation itself.

ai medical scribehipaaregulated industry
youtube ↗Niches

I want to sell business AI implementations to help businesses save time and maximize earnings. How would you pitch it, and who is an ideal customer?

In general, the best niches for an AI service are high ticket, so these are services that themselves get a lot of money when they close a deal. They also tend to be digital, meaning services that you can scrape online fairly easily. And finally, they tend to be really low compliance need — services that don't require you to check a bunch of HIPAA boxes or do a bunch of SOC 2 compliance in order to enter the space. The reason why: high ticket means if you get them a single client, you pay for yourself for a long time. Digital means it's really easy to scrape, so low friction. And low compliance needs means you're not going to screw anything up — there are a lot of hidden risks that people constantly consider before accepting a project with an outside vendor if they are in a compliance-heavy industry.

ai servicesniche selectionhigh ticketcompliance