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We learn the industry, then we hire for it

Four industries, four briefs. Each one sets out how the work runs today, what the published numbers say, and why a dedicated team in the Philippines fits it. Every figure links to the organisation that published it.

One pattern, showing up in four places

Budgets hold flat, the volume of administrative work rises, and the people who do that work are harder to hire every year. Each figure below links to the organisation that published it.

$43bn

Spent by United States hospitals in one year chasing payment for care already delivered

American Hospital Association, 2025

13 hours

A physician week given to prior authorization, at about forty requests

American Medical Association, 2025

80%

Of workers who want more time and energy for the job itself

Microsoft Work Trend Index, 2025

33.6%

Of digital marketing activity already outsourced, up from 31.6 per cent in 2022

The CMO Survey, Duke, 2026

What the four have in common

Marketing headcount growth halved in a year while eighty-three per cent of marketers were asked for more output. Support teams held staffing steady as volumes rose, and the tickets automation left behind are the hard ones. Medical groups now carry more than one administrator per physician just to keep up with payer rules. Executive assistants cost more and take longer to find, with eighty-seven per cent of those roles needing prior experience.

Artificial intelligence moved the constraint rather than removing it. The Federal Reserve Bank of St. Louis measures the time it actually gives back at 2.2 per cent of the working week. Drafting got cheap. Checking, correcting and shipping still take a person.

Time saved by generative AI, measured quarterly: Federal Reserve Bank of St. Louis, 2026

How we use research on this site

Every number here carries the organisation that published it and the year it was measured. Where a figure is older than two years we say so. Where the publishers disagree we show both. Where a number circulates widely, we publish it only when a named publisher stands behind it.

The full research behind this page runs to four documents, one per service, and your account lead will send them on request.

Read your industry

Each card opens a brief on how that work runs today, what the published numbers say, and why a dedicated team in the Philippines fits it.

Healthcare Operations

Revenue cycle, credentialing, prior authorization and front-office load that grows with every location added.

  • Independent practices
  • Multi-site groups
  • MSOs & DSOs
  • Billing companies
  • Diagnostics & labs

Technology Support

Support queues and onboarding operations that scale faster than the engineering team behind them.

  • SaaS platforms
  • HealthTech
  • MSPs
  • Internal IT
  • Product companies

Marketing Operations

Production work under your own brand, sized to demand that moves every month.

  • Agencies
  • In-house marketing
  • Founder-led growth
  • E-commerce
  • Education providers

Executive Support

The assistant, the researcher and the bookkeeper, working as one team for the people who lead.

  • Founders
  • C-suite
  • Partners
  • PE portfolio companies
  • High-growth startups

Close neighbours we take case by case

These sit close to the four we do every day, so the training is short. On the first call we tell you exactly how we would staff yours.

Dental & DSO groupsBehavioural healthDiagnostics & laboratoriesHome health & hospiceMedical billing companiesTelehealth providersInsurance servicesProfessional servicesReal estate operationsLogistics & supply chainE-commerce operationsEducation providers
Two TrueNext specialists in a client meeting

Knowing the industry changes the result

  • We hire people who already speak the language

    Someone who can already read a remittance advice, a support ticket or a campaign brief starts producing real work in week two.

  • We train against real patterns

    Training is built from the way the work actually behaves in your industry, so the team spots the unusual cases early.

  • We measure what the sector measures

    We report days in AR, first response time and on-time launches, which are the numbers your own board already watches.

  • We carry the work the way you carry it

    Malasakit is the Filipino idea our whole company runs on, and in your industry it looks like a team that closes the ticket and then tells you why the volume is rising.

Five weeks, drawn on one page

Six streams of work over five weeks, laid out on one page, showing how a team gets from a signed design to live work in your industry.

  1. Scope and team designWeek 0 to 1
  2. Recruit and selectWeek 1 to 3
  3. Access and provisioningWeek 2 to 3
  4. Knowledge transferWeek 2 to 4
  5. Written proceduresWeek 2 to go-live
  6. Supervised shadowingWeek 3 to go-live
  7. Go-liveEnd of week 4
Recruitment starts once the scope is signed

That way the team is hired against your actual work, volumes and systems.

Procedures are written during shadowing

Documentation finished in month one is what keeps an engagement steady in month four.

You sign the go-live checklist

Production opens once you have, and if the checklist needs another day then the date moves while the standard holds.

Week 0Week 1Week 2Week 3Week 4Scope and team designScopeRecruit and selectRecruitAccess and provisioningAccessKnowledge transferKnowledge transferWritten proceduresWritten proceduresSupervised shadowingSupervised shadowingGo-liveRecruitment starts once the scope is signedThat way the team is hired against youractual work, volumes and systems.Procedures are written during shadowingDocumentation finished in month one keepsan engagement steady in month four.You sign the go-live checklistProduction opens once you have, and if thechecklist needs a day then the date moves.
Two things in this picture keep an engagement steady, because recruitment waits for a signed scope and procedures get written while the work is still being learned.
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