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A reconciliation engine that sits beside the existing system, reads what it already produces, and closes margin monitoring. Aimed at healthcare ops teams, charging only when it actually works.
In short: Healthcare Margin Watch is a reconciliation engine aimed at healthcare ops managers, covering margin monitoring. It scores 75/100 on AltF Ideas, carried by feasibility (90) and held back by open field (26). Typical pricing is $1.4k–$15k per customer per year, with a first version reachable in a weekend for $2.5k–$8.0k.
Healthcare teams lose discovering a product went underwater a quarter late. The work sits between two systems that were never designed to talk. The cost is invisible on any P&L line, which is why it never gets fixed.
A reconciliation engine that handles margin monitoring end to end and hands a human the exceptions rather than the queue. Revenue is flat saas, which suits a buyer who wants the cost to track the value rather than the seat count.
| Total addressable market | $4.0B |
|---|---|
| Category growth (CAGR) | 21% |
| Annual contract value | $1.4k – $15k |
| Pricing model | Flat SaaS |
| Time to first revenue | 41 days |
| Startup cost to MVP | $2.5k – $8.0k |
| Build effort | Weekend |
Systems that never talked now expose APIs by default. Healthcare is growing at roughly 19% a year, and this job has not been re-tooled since it was designed around paper.
| Who | The gap |
|---|---|
| A spreadsheet | The real incumbent in most of the market, and it is free |
| The incumbent suite | Sells a platform; this job is one neglected module inside it |
| An offshore back office | Cheaper per hour, but does not scale down to the tail |
The incumbent is a person, and displacing a person is a change-management problem.
An idea you cannot act on is entertainment. Four concrete steps, wired to tools already running on AltFTool.
Score problem urgency, willingness to pay, and reachable audience size before writing any code.
→ AltF IdeaLabAsk how they handle this today and what it costs them. If nobody can quantify the pain, the demand score is optimistic.
→ Survey BuilderCheck availability, DNS, and email authentication in one pass so your first outreach lands in an inbox.
→ AltF DomainOpsStand up intake, the review queue, and billing before you build the clever part.
→ AltF Flow