The platform is becoming a liability
Delivery slows, integrations multiply, reliability is uneven, or no one can explain which technical constraint actually matters.
Healthcare fractional CTO
Executive technology leadership for the decisions that cannot stay fuzzy.
Atom & Bits gives healthcare founders and operators an experienced CTO and product counterpart—someone who can connect architecture, workflow, privacy, delivery, and revenue before the company pays for avoidable complexity.
20%Less SOAP-note documentation time per encounter across 2,000+ encounters
200×Reported claims-processing capacity
$2M to $40MAnnual revenue growth during product work
AcquiredCo-founded TheraMatch, later acquired by TPN.health
When it fits
You have a technology problem, but the business consequence is the real problem.
The engagement is most useful when architecture, product, operations, and trust are colliding—and someone needs to own the whole decision rather than optimize one piece.
The roadmap is disconnected from revenue
The team is busy, but pilots, enterprise buyers, implementation, and measurable outcomes are not shaping the product clearly enough.
The next hire is not obvious
You need an executive view of talent, vendors, delivery ownership, and the operating model before adding more cost.
What we own
A working technology agenda, not a slide deck that creates more work.
Technology and product direction
- Architecture decisions tied to business constraints
- Product priorities and delivery sequencing
- Privacy, security, interoperability, and data-risk framing
- Vendor selection, partner governance, and build-versus-buy
Operating leadership
- Team shape, hiring judgment, and role clarity
- Delivery cadence and executive visibility
- Technical diligence and integration planning
- Clear communication for buyers, investors, and boards
Engagement model
Start with the decision in front of you.
The right first move depends on how much is known and how quickly the company needs operating ownership.
Executive working session
Frame the business decision, inspect the current evidence, and identify the smallest useful engagement.
Focused leadership sprint
Produce the decision, plan, architecture, or operating change needed to move with confidence.
Fractional ownership
Lead the product and technology agenda through delivery, hiring, partner work, and the next stage of growth.
Operating evidence
The work has lived inside real healthcare systems.
Experience spans BlueCross BlueShield of Tennessee, One to One Health, PerfectServe, TheraMatch, and TPN.health—across payer and member platforms, provider networks, clinical workflows, healthcare EDI, privacy, implementation, and enterprise growth.
The value is not a borrowed playbook. It is the ability to see how product, technical, operational, and commercial decisions interact because those systems have been built and operated from the inside.
Common questions
What buyers usually need to know.
What does a fractional healthcare CTO do?
A fractional healthcare CTO owns consequential technology decisions without requiring a full-time executive hire. The work can include architecture, privacy posture, roadmap tradeoffs, vendor and team decisions, delivery systems, diligence, and translating technical reality for founders, buyers, and boards.
When should a healthcare company hire one?
When product and technology decisions are already affecting revenue, trust, or fundraising, but a full-time CTO is premature, unavailable, or not the first problem to solve.
How is this different from hiring a software agency?
An agency is usually accountable for a defined delivery scope. A fractional CTO is accountable for the decisions around the work: what to build, what not to build, how the system should evolve, how partners are governed, and how technology supports the business.
Start with the hard decision
Bring the workflow, platform, or growth constraint that is too important to leave ambiguous.
We will decide together whether the right next step is a working session, a focused sprint, or ongoing fractional leadership.