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In episode thirty of "Selling to Healthcare," Lisa T. Miller takes on a problem that quietly drains sales teams without them ever noticing — outreach that goes unanswered not because executives are busy, but because it's aimed at the wrong door and carries nothing worth opening. Lisa breaks the issue into two questions: which door are you knocking on, and what are you knocking with?
She explains why supply chain and procurement, the obvious front door into a hospital, is rarely where the conversation should start, and why leaders like the Chief Nursing Officer, Chief Operating Officer, VP of Finance, and VP of Perioperative Services often make stronger entry points. Lisa shares a simple test for choosing your door, how to tailor your opening to what each executive is listening for, and how to use CMS readmissions penalty data to find where a hospital's clinical and financial pressures line up.
Lisa then turns to what sellers bring to the door, making the case that cold email quietly damages your brand while offering only the illusion of efficiency. She walks through the alternatives that actually earn executive replies — genuinely useful newsletters, direct mail, FedEx-delivered sell sheets, short personal videos, and original writing shared for feedback — along with her Golden Rule of Follow-Up.
This episode offers a practical playbook for healthcare sales professionals who are tired of sending more and hearing less, and who want to show up at the right door with something executives are glad they opened.
Highlights of this Episode Include:
Read the full report: https://www.lisatmiller.com/wp-content/uploads/2025/01/Selling-to-the-Healthcare-C-Suite.pdf
Learn more about Lisa at https://lisatmiller.com/about
Book an appointment - https://calendly.com/lisa_t_miller/30min
LinkedIn - https://www.linkedin.com/in/lisamiller/
Learn about Lisa's Workshops:
In episode twenty-nine of "Selling to Healthcare," Lisa T. Miller steps into the room where so many hospital decisions actually get made — the executive meeting itself. Lisa explains why most C-Suite meetings fall apart not because the product is bad, but because of a misalignment between the buyer's problem and the way the solution was presented — and why that is almost entirely within the seller's control to fix.
She reframes the purpose of the meeting entirely: not to pitch, but to solve. Lisa walks through her "digging for gold" approach to preparation, where sellers act as consultants to their buyers, surface problems nobody else has seen, and walk in sitting on the same side of the table. She shares the story of a half-day seminar for 30 hospital CFOs where she taught her method in full — and walked out with two multi-year agreements.
Lisa then breaks down what makes a presentation fail, the four-part framework C-Suite executives actually prefer, the three ingredients every executive presentation needs, and how to close a meeting with clear next steps. She finishes with her Golden Rule of Follow-Up and four post-meeting moves that keep momentum alive without turning you into a pest.
This episode offers a complete meeting playbook for healthcare sales professionals who want to stop blending into the noise and start showing up as trusted advisors executives want to hear from again.
Highlights of this Episode Include:
Read the full article: https://www.selltohospitals.com/p/c-suite-selling-strategies
Learn more about Lisa at https://lisatmiller.com/about
Book an appointment - https://calendly.com/lisa_t_miller/30min
LinkedIn - https://www.linkedin.com/in/lisamiller/
Learn about Lisa's Workshops:
In episode twenty-eight of "Selling to Healthcare," Lisa T. Miller opens with a scene every hospital seller has lived through. You get the meeting, the executive is engaged, she asks thoughtful questions, and she tells you to keep talking. Then it slows. Operations wants more detail, finance wants different numbers, IT raises integration concerns, a clinical leader isn't convinced the workflow holds, and procurement shows up late. The executive is still supportive — but that support never becomes a decision.
Lisa returns to the Decision Zone she introduced in her episode on frozen pipelines, and gets specific about what actually has to be won inside it. Her central point: executive interest is not organizational approval. A hospital isn't a single buyer, it's a decision system, and that system has to resolve three things — whether the solution matters now, whether the value can be measured here, and whether the organization can say yes without creating unacceptable risk. These aren't late-stage objections to handle at the end. They sit underneath the entire deal.
She walks through each decision with the work that goes with it: priority research instead of title research, a four-question priority hypothesis written before you ask for the meeting, the five elements of a credible business case, testable models with visible assumptions instead of one unsupported ROI claim, and mapping the people whose sign-off makes a yes feel responsible. She also shares the bake-off she proposed while running VIE Healthcare — same small pilot for all three competing firms — which won a five-year health system contract by letting the buyer see the work rather than the presentation.
This episode gives healthcare sales professionals a sequencing framework for the middle of the deal, where most hospital revenue gets trapped, and a clear test for whether an opportunity needs more persuasion or better preparation.
Highlights of this Episode Include:
Read the full article: https://www.selltohospitals.com/p/selling-to-hospitals-three-decisions
Learn more about Lisa at https://lisatmiller.com/about
Book an appointment - https://calendly.com/lisa_t_miller/30min
LinkedIn - https://www.linkedin.com/in/lisamiller/
Learn about Lisa's Workshops:
In episode twenty-seven of "Selling to Healthcare," Lisa T. Miller delivers part two of an argument she started a few episodes earlier — that the health systems sellers are calling on are already running AI against spend, contracts, and patient access, and that the bar for what executives expect from a vendor has quietly moved. She drew a line then between the vendors using AI to send more emails and the vendors using AI to actually think. This episode is the practical half: what that second group is doing, and how to join it.
Lisa anchors the whole thing in the Core Authority Asset — a concise, credible, forwardable piece of intelligence built around one health system's data, pressures, and language, designed so a champion can carry it into a room the seller isn't allowed to enter. What used to make that asset rare was the cost of building it: weeks of research, a team of analysts, deep institutional knowledge of how hospital data works. That cost has collapsed.
She demonstrates with a worked example. Say you're a physician who does some emergency department work, trying to expand into new health systems, with almost no data on the accounts you're targeting. Instead of chasing information you don't have, you sit down with an AI tool and ask what an emergency department actually measures — not how to sell your services. Three metrics come back, sourced from Medicare data and the Hospital Outpatient Quality Reporting program: left-without-being-seen rate, median ED time, and door-to-inpatient-bed time. Run a target hospital through that data and say the left-without-being-seen rate lands at five percent against a healthy benchmark of roughly two percent, with door-to-bed time running around three hours. Those numbers become a customized executive brief — and from there, you could even vibe-code a simple web app that pulls the same three metrics live for any hospital in the country, so you can hand an executive the tool and say, name a hospital. Yours, or a competitor's.
Lisa then pulls the example apart into a repeatable five-step framework and closes on the part that matters most: the barrier is no longer budget, analysts, or code. It is curiosity, better questions, and the willingness to do the work for one specific account when competitors won't — and the window on that advantage will not stay open indefinitely.
Highlights of this Episode Include:
Learn more about Lisa at https://lisatmiller.com/about
Book an appointment - https://calendly.com/lisa_t_miller/30min
LinkedIn - https://www.linkedin.com/in/lisamiller/
Learn about Lisa's Workshops:
Reports referenced in this episode:
Learn about Lisa's Workshops:
Most sellers chase one path into hospitals and stall out when it closes. In this episode, Gavin and Lisa map the full set of routes: national GPOs and their RFP cycles, regional purchasing coalitions, government and VA contracting, direct health system deals, MWBE certification, buy-local initiatives, and hospital innovation funds. Lisa breaks down her issue-impact-urgency-outcome framework for arming a clinical champion, explains why good products still get rejected at value analysis, and shares the one move a seller with no contracts and no connections can make this quarter. She ran her own healthcare company for 23 years before selling it, and now advises companies on hospital contracting strategy.
In This EpisodeWhy national GPO contracts hinge on timing, not pitching (00:31) Vizient, Premier, and HealthTrust control roughly 60 to 70 percent of the hospital supplies market. Lisa explains how their multi-year RFP cycles work and why the biggest mistake sellers make is missing the window entirely. She also covers innovation grants and custom contracts as ways around standard contracting.
When a regional GPO beats a national one (04:54) Regional GPOs and local coalitions are more accessible and buy in categories national contracts often skip. Lisa notes the tradeoff: those coalitions expect a much higher-touch relationship from suppliers.
The government path most sellers forget (07:45) Lisa covers the VA system, one of the largest in the country, and the preferential treatment given to veteran-owned and disabled veteran-owned companies. She also mentions a federal hospital-at-home fast track program for expedited review of innovative solutions.
Selling direct without a GPO contract (10:15) There is no rule stopping a supplier from selling straight to a hospital. Lisa explains when price alone wins the deal and where state-run hospitals run their own RFPs.
The order number that cost a hospital hundreds of thousands (11:58) A real example of a logistics glitch blocking major savings, where swapping an item number in the system was the only barrier. Lisa's fix: write out the switching process step by step and make it visibly frictionless.
Why the CFO does care about your commodity product (15:32) Lisa pushes back on sellers who assume finance leaders will not engage. Low-risk, easy savings are exactly what CFOs want brought to them.
Using MWBE certification as leverage (17:15) State certification can be done in about 30 days, while national certification is a longer path. Lisa shares her own experience getting certified during COVID and describes hospitals like Northwell that host dedicated supplier days.
Buy local as a hidden advantage (20:26) Lisa won a New Jersey RFP and only later learned the health system's CEO had made buying local a strategic priority, tracked by spend volume. She points to the Healthcare Anchor Network, where systems across the country have committed to large local purchasing targets.
Why hospitals want local vendors (23:22) The motivation is community economic impact, and the loyalty runs both ways. Local vendors show up faster because the hospital serves their own families.
Hospital venture funds and innovation partnerships (24:41) Lisa explains how these programs work, who they suit, and why hospitals now hunt for non-patient-care revenue. Co-development and commercialization deals can matter more than the funding itself.
Two stories from the innovation channel (27:14) An acquisition inquiry that arrived unprompted during a sales process, plus the UPMC decision to buy the largest third-party Epic consulting firm rather than hire implementation consultants.
What a clinical champion can and cannot do (30:17) Champions open doors but rarely carry purchasing power alone. Lisa explains why even a department chair can stall, and why hospitals need gatekeeping to avoid stocking every product a physician likes.
Arming your champion: issue, impact, urgency, outcome (34:27) Lisa's framework for the two-to-three page document a champion actually needs. Issue defines the problem or bottleneck. Impact is the measured ROI. Urgency ties to something real, like new cases coming in. Outcome demands specificity, down to named DRGs and dollar figures per case. She stresses writing the talking points for physicians rather than expecting them to sell on your behalf.
Why good products get rejected at value analysis (39:18) Lisa explains the two purposes of value analysis, clinical safety and financial threshold, and argues sellers should respect why the process exists. Her advice is a complete value package built for a three-dimensional decision, not a linear pitch.
Adoption in the first 90 to 180 days (45:03) Signing the contract is not the finish line. Lisa covers protecting your clinical champion's early success, then expanding to other physicians, facilities, and ASCs inside the same network.
One move to make this quarter (46:45) For sellers with no GPO contract, no certification, and no investor connections, Lisa recommends going local and direct. Pick five to ten nearby hospitals and pursue each with a specific strategy.
Where to find Lisa and Gavin (49:20)
Key Quotes"The biggest mistake is not knowing those cycles of when they're gonna do RFPs and looking for your products, so you gotta keep an eye out for that." (Lisa)
"I would actually make it frictionless. And I don't think sellers do that enough." (Lisa, on removing the logistics barriers that stall a direct deal)
"You're asking them to articulate a commercial. You're asking them to do your work as a salesperson." (Lisa, on why clinical champions need written talking points)
Connect with LisaWebsite: LisaTmiller.com
Connect with GavinEmail: [email protected]
Getting the meeting is the hardest part of hospital sales — not closing it. In this episode, Gavin sits down with Lisa Miller to break down nine practical strategies for landing C-suite meetings, surviving stalled pipelines, reading different executive personalities, and building the "core authority asset" that turns cold outreach into inbound interest. Lisa also shares a preview of her new Healthcare Experts Network and stories from over 23 years running her firm, VIE.
In This EpisodeStealth strategies to land the first meeting (01:10) Why LinkedIn, cold email, and video mostly fail with hospital executives — and why direct mail (yes, FedEx) still cuts through. Lisa also makes the case for writing a mini book and speaking at events like HFMA and hospital association conferences.
Competing with McKinsey and the big brands (06:24) How a boutique firm beats the "nobody gets fired for hiring McKinsey" mindset: staying on the front lines with customers, innovating on process and delivery, and committing to results within 30 days.
A preview: Healthcare Experts Network (10:28) Lisa previews a new platform connecting independent healthcare strategists and specialists with hospital systems (healthcareexpertsnetwork.com).
Why 40–60% of pipelines stall — and how to prevent it (12:09) The real reason presentations lose executives: wasted time upfront, unfocused slides, and no clear point of view. Lisa's fix: get to the big idea fast, use "example stacking" to build credibility, and ask for a small piece of data to keep momentum after the meeting.
Reading a C-suite executive in the first five minutes (18:05) How to spot an "innovative" leader versus a "protective" one — and how to adjust your conversation without derailing your credibility or sounding scripted.
The Core Authority Asset (22:35) Lisa's definition: a single piece of commercial insight built around one big idea that reframes how an executive sees their problem — and makes the next step a conversation with you. She covers what it should look like (10–15+ pages, visual, story-driven), how to deliver it (direct mail, flip books, a condensed version), and why it beats white papers and traditional thought leadership.
Speaking to a room full of decision makers (31:48) What happens when the CEO, CFO, CMO, and COO all view the same deal differently — and how to answer without contradicting yourself in front of the room, using a real story from a 12-person hospital sales meeting.
Who really holds the authority in the room (36:41) Why it's usually the CEO, CFO, or COO driving the final call — and why any one person in the room can still derail a deal if you answer a question poorly.
How hospital buying is changing in 2026 (39:35) Why the sellers who win over the next five years will be the ones who deeply understand CMS reimbursement shifts, value-based care, and post-acute patient management — not just pitch a product.
Why you shouldn't grill the C-suite with questions (42:42) Lisa's take on the "15 questions" presentation style — and why a strong presentation should earn its questions naturally instead of front-loading discovery.
The EXEC Method (45:21) Lisa's four-step framework for selling to the C-suite:
Includes a personal story from Lisa's early days at Stryker about earning trust by taking ownership of someone else's problem.
Key QuotesWebsite: lisatmiller.com
Connect with Gavin LiraEpisode produced by Gavin Lira
In episode 23 of "Selling to Healthcare," Lisa T. Miller makes good on a promise from the close of her Context Selling episode — that AI is rewriting the deep preparation behind a C-suite conversation, doing in minutes what used to take weeks by hand. This is part one of a two-part series, and it's about what has actually changed inside the hospitals you sell into, and why most sales organizations haven't caught up.
Lisa lays out the divide she's seeing across nearly every company she talks to: vendors are quietly splitting into two groups. The line isn't size, budget, or tenure — it's whether you understand what's now possible with AI, or whether you're just using it to send more emails. The small group that gets it walks into the C-suite with something no competitor has, and they're winning deals because of it.
She traces what's driving that split back inside the building. For most of healthcare's history, the business side ran on manual analytical work — at VIE, that once meant copying invoices by hand and keying them into Excel line by line. Every shift since (digital records, remote access, automation) removed a little friction, but the underlying model never changed: people doing the analysis as fast as their tools allowed. What's happening now is different in kind, not degree. Health systems are deploying discipline-specific AI agents — trained on spine spend, reference lab, purchased services, contracts, utilization — that work continuously, learn what normal looks like, and flag what doesn't fit the moment it drifts.
Lisa makes it concrete with the kind of analyst who never sleeps, never forgets a renewal, and never loses the thread, and with a real example in patient access — Assort Health, built on Google's Gemini models, posting results across more than 50 million patient interactions. She explains why this matters even if you never touch one of these agents: it raises the bar on what your buyers can do and what they expect from you. The insight edge that once won meetings can now show up on a CFO's desk, surfaced by an agent, before you ever walk in.
This episode offers a clear-eyed map of the new terrain for anyone selling into health systems — and a preview of part two, where Lisa gets practical and walks through exactly what to build.
Highlights of this Episode Include:
Learn more about Lisa at https://lisatmiller.com/about
Book an appointment - https://calendly.com/lisa_t_miller/30min
LinkedIn - https://www.linkedin.com/in/lisamiller/
Learn about Lisa's Workshops:
In episode twenty-two of "Selling to Healthcare," Lisa T. Miller gets practical about Context Selling — moving past the idea that executives need more information and showing how what they actually need is context: something true about their own business that they couldn't see for themselves. Lisa lays out exactly what a C-Suite executive needs from a seller to feel confident enough to make the call.
She challenges the consensus-selling myth that has hardened into strategy across the industry — the belief that winning means getting better at selling to the middle of the organization. Instead, Lisa argues that CEOs and CFOs are more involved in major buying decisions than ever, and the executives who seem impossible to reach are simply being approached at the wrong level, with the wrong preparation.
Lisa walks through the five steps of Context Selling: noticing when executives lean in, sharing specific and relevant details through narrative, considering every lens in the room, building a compelling narrative before the meeting, and circulating a Core Authority Asset that carries the narrative when she isn't in the room. Along the way she shares stories from Temple University Health System and VIE Healthcare that show what the right context looks like in practice.
This episode is a practical playbook for healthcare sales professionals ready to stop chasing consensus and start building the context that lets the executives who already hold the authority actually use it.
Highlights of this Episode Include:
Learn more about Lisa at https://lisatmiller.com/about
Book an appointment - https://calendly.com/lisa_t_miller/30min
LinkedIn - https://www.linkedin.com/in/lisamiller/
Learn about Lisa's Workshops:
In episode twenty-one of "Selling to Healthcare," Lisa T. Miller takes on the moment that comes right after you finally land the meeting you fought for — you're in the room with the executive who can actually make the call, you've got thirty minutes, and what most talented salespeople do with that window breaks her heart a little. They use it to talk, to present, to walk through everything they prepared. Lisa makes the case that the window should be used for something else entirely: showing the executive that you genuinely understand their world.
At the heart of the episode is a single distinction she wants sellers to sit with — context is not the same thing as information. A thirty-page deck is information. A follow-up email full of attachments is information. And executives are already drowning in it. What they need is context: a clear picture of where their organization actually is right now, the specific pressures they're navigating this quarter, and how what you do connects directly to what they're trying to accomplish. Information is you talking about your product; context is you showing them something true about their own business they didn't already see.
Lisa argues the real shift is from showing up as someone who sells something to someone who knows something — and that relationships and likability, while real, are only table stakes. She reframes the goal in the room as well: your job is not to manufacture agreement across a C-suite that naturally sits in tension, but to give the decision maker enough context, delivered with enough credibility, that they feel confident enough to move. And confidence, she explains, is personal — when an executive signs off, their name and reputation are on it.
This episode is a setup for the discipline of Context Selling: doing the homework before you walk in, because the executive isn't there to orient you to their world — they're there to find out whether you already understand it. It's the first half of a two-part arc, with Lisa promising to walk through the five steps of Context Selling next week.
Highlights of this Episode Include:
Learn more about Lisa at https://lisatmiller.com/about
Book an appointment - https://calendly.com/lisa_t_miller/30min
LinkedIn - https://www.linkedin.com/in/lisamiller/
Learn about Lisa's Workshops:
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