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    <description>Notes on running the non-clinical side of a United States medical practice.</description>
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      <title>Why a practice ends up with four vendors who have never met</title>
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      <pubDate>Mon, 28 Sep 2026 09:00:00 +0000</pubDate>
      <description>Nobody designs a practice&#x27;s operations. They accumulate, one purchase at a time, and the gaps between the purchases become the practice manager&#x27;s job. This is how that happens and what it costs.</description>
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      <title>What to have running before the first patient is booked</title>
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      <pubDate>Mon, 21 Sep 2026 09:00:00 +0000</pubDate>
      <description>Opening a practice is a list of non-clinical work with a hard date on it. This is the order the work should happen in, and why the order matters more than the list.</description>
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      <title>Prior authorization: where the time goes, and which parts a machine should do</title>
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      <pubDate>Mon, 14 Sep 2026 09:00:00 +0000</pubDate>
      <description>Prior authorization is two kinds of work wearing one name. Separating them is the difference between a queue that is managed and a queue that is only ever survived.</description>
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