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The U.S. system doesn’t reward the “best” solution. It rewards the solution that fits, for the right buyer, targeting a specific problem, under the right payment logic. This article walks through that framework.
Understanding the incentives of a fragmented fee for service system and its impact on innovation
identify your buyer in US health market
In the U.S., the person who uses your solution may not be the person who buys it. Finding your actual client means following the money (through payer incentiives and purchasing authority) and the operational realities that shape adoption.
understanding market creates opportunities
Fragmentation is a defining feature of U.S. healthcare – it can also be a strategic advantage. Understanding regional fragmentation can help founders identify the right beachhead for entry.
European founders often approach the U.S. healthcare market using assumptions shaped by European systems. But in a fragmented ecosystem, success requires rethinking how regulation, reimbursement, adoption, and evidence actually fit together.
investor and procurement questions for healthtech
Digital access has become foundational to democratic participation, but much of the infrastructure is outside of public control. Olivia Arechiga examines digital sovereignty not as protectionism, but as a question of democratic accountability and legitimacy.
Lithuania may be one of Europe’s most promising emerging data-center markets, and that distinction relies upon it’s deliberate approach to managing and planning for sustainable public utility infrastructure.

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