Notes from the last mile.

When software can be built on demand and thrown away, the value in a business system moves to what lasts: its data, the expertise to direct it, and the people who run it.

CMS's proposed payer price-transparency rule reshapes how rate data is modeled, and the engineering it demands doesn't wait on a final date CMS hasn't set.

Freese Project Solutions avoided ~$50,000 a year in business-development cost, recovered five founder hours a week, and added a new referral partner in week one with an agentic prospecting engine Trexin built on Claude.

A payer's map of the new Federal IDR requirements: what lands in November, what lands in January, what waits on the IDR Gateway, and where the real burden falls.

Trexin lift-and-shifted a fintech platform into AWS and made it U.S. production-ready in four weeks, giving a VC group a wealth-management product it fully owned, and a first-mover advantage.

During a Federal Reserve Board audit, Trexin helped drive a global bank's open critical vulnerabilities from nearly 1,000 to fewer than 70, and stood up the governance to keep them down.

Trexin CTIO Ton Roelandse joined the MedCity Pivot Podcast to discuss the real-world potential of AI in healthcare and the guardrails needed to keep it from causing harm.

Trexin replaced a costly third-party PSA SaaS with a custom Microsoft 365 app it built in three months, recapturing 100% of the annual subscription spend (over $100k) with no added licensing cost.

Trexin's own SaaS platform manages the federal IDR process under the No Surprises Act end to end, built on a solution already proven in production at a healthcare payer.

Trexin built an agentic AI proof of concept: a Voice AI Agent that creates, changes, and cancels airline reservations through natural spoken conversation, via an MCP server over a legacy GDS. The Client adopted it to Beta GA.

Trexin managed a Microsoft Azure + UiPath document-automation pilot for a large health insurer, projected $1.2M in first-year savings at a success rate 12% above target.

A large health insurer took back control of an underperforming, third-party AI prior-authorization model, and Trexin built the strategy and roadmap behind $6.25M in annual savings.