J-5 When an insurer caps visits or questions whether continued care is necessary, I…
Job to be done (JTBD) · assumption · Draft · v1 · CR-0
To change it, ask Claude and give the reference, for example "change J-5's evidence question".
Details
| Field | Value |
|---|---|
| Job statement | When an insurer caps visits or questions whether continued care is necessary, I want objective measures of progress in the record, so I can get the visits the patient needs approved and paid. |
| Situation | Visit cap reached, reauthorisation or audit |
| Progress | Objective ROM and adherence data in the notes |
| Outcome | Visits approved and paid |
| Functional aspect | Not filled in yet |
| Emotional aspect | Not filled in yet |
| Social aspect | Not filled in yet |
| Struggling moment | Not filled in yet |
| Hiring criteria | Not filled in yet |
| Firing criteria | Not filled in yet |
| Force push | Insurers cap visits because they can't see whether physio works (co-founder); denials citing lack of objective progress |
| Force pull | Camera-measured ROM and adherence in the record (F-1, F-5) |
| Force anxiety | Will insurers accept phone-measured data? |
| Force habit | Therapist-written progress statements |
| Success metric | Denials and reauthorisation delays per month |
| Job map step | Not filled in yet |
| Importance | 4 |
| Satisfaction gap | Not filled in yet |
How sure, and why
| Field | Value |
|---|---|
| Evidence question | How often do pilot clinics face denials or reauthorisations, and would camera-measured ROM help? |
| Decision rule | Not filled in yet |
| Disproven reason | Not filled in yet |
| Knowledge type | Inference |
| Origin | AI generated |
| Reasoning | From F-1 + F-3 and the COO's claims background; only strong in insurance-paid markets. |
Evidence
No evidence linked yet.
Linked to
Persona
Competitor (alternative)
- C-1 'Printed exercise sheets + notes written after hou…'
- C-6 'Practice EMR with built-in home programmes (e.g. …'
Feature
- F-1 'Camera-scored home exercise with reminders'
- F-3 'AI-drafted progress notes'
- F-5 'Insurer-format outcome reports'
Decided in
- D-2 Which country is the first market? → The US.
- D-4 How should the insurer outcome-record story be used now? → Clinics hear adherence (D-1 stands); the outcome-record ambition is for investo…
Rests on source
- Co-founder's post on insurers and outcome records (Internal)
History
| Version | Applied | Change | Kind | Summary | Reason given | By | What changed |
|---|---|---|---|---|---|---|---|
| v1 | 2026-10-28 12:02 | CR-0 | Baseline import | Baseline import of 'Kinetrail' from gtm-strategy-builder vault revision 17 | Baseline import of the founder's own strategy vault. | vault import | First version |