Core Insights
The Challenge
Standardizing telehealth across 45 locations meant configuring one compliance and clinical workflow that would apply across multiple states. Each state had different provider licensing requirements and some had additional telehealth-specific regulations.
The franchise model also created a revenue sharing question. Corporate needed a fee structure that worked for both the franchise network's economics and the individual franchisee's margin expectations. Any structure where franchisees did not see positive economics would create adoption resistance.
Step 1 — Network-Wide Intake Standardization
A single intake configuration was built that qualified patients compliantly across all states in the franchise network. State-specific clinical rules were handled within the platform's provider routing logic rather than requiring franchisees to manage compliance independently.
Step 2 — Branded Storefronts by Location
Each franchisee location received a branded storefront that carried the location's identity while running on shared clinical infrastructure. Patients saw local branding throughout the experience.
Step 3 — Staff Training and Rollout
Franchisee staff were trained on patient routing through a single 90-minute onboarding session. Because the clinical workflow ran entirely within the platform, staff only needed to understand the patient communication and referral process.
Network-Wide Compliance Standardization — All locations operated from the same clinical workflow. State-specific routing was handled within the platform.
Location-Level Branded Experiences — Patients experienced their local franchise brand while benefiting from shared clinical infrastructure.
Scalable Franchisee Onboarding — New locations can be added to the telehealth network through a configuration step rather than a full onboarding process.
Corporate Revenue Visibility — Corporate had real-time visibility into network-wide telehealth revenue with location-level detail
Centralized Provider Coordination - Provider availability, scheduling, and patient assignment were managed through a unified operational system, allowing the franchise network to maintain consistent care delivery across all locations.
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Launching digital healthcare services requires complex infrastructure. Fuse provides the tools needed to connect patients, providers, and pharmacies in one platform.
Step 4 — Revenue Distribution Configuration
The FuseHealth fee structure was configured to support the corporate revenue share model. Each location's program revenue was tracked separately, enabling straightforward reconciliation for the franchise accounting system.
What Launched
The network launched a standardized telehealth program across all 45 locations within 10 weeks. Individual franchisees were generating telehealth revenue without managing clinical operations independently
Core Insights
The franchise network launched a standardized telehealth program across 45 locations in 10 weeks — a rollout speed structurally impossible with a custom-built solution. Compliance inconsistency across the network was eliminated.
Three new locations that joined the network after launch were onboarded to the telehealth program within one week of opening because the configuration infrastructure was already in place.
References
American Med Spa Association Industry Report (2025) · HHS Telehealth.gov · McKinsey & Company Consumer Health Survey (2024) · OpenLoop Health Platform Report (2025)
Daniel is a two-time founder who has scaled service businesses across major U.S. markets. A Y Combinator competition winner, he focuses on removing operational and regulatory barriers so operators can build and scale modern healthcare businesses.
- Background
- Startup Operations & Service Systems
- Experience
- 2x Founder, Multi-Market U.S. Scaling
- Qualifications
- Healthtech Market Expertise & Operational Scaling
- Key Achievement
- Scaled Premier Staff & Eventstaff across major U.S. markets
