# The Medvi Mental Model — "Outsource the Hard Part"

Matthew Gallagher built Medvi (telehealth provider) to $1.8B projected revenue in 2026 while maintaining a ~16% net profit margin with just two employees. This was enabled by aggressively outsourcing all difficult, regulated, or high-effort operations.

### Keys to Success

1.  **AI-Driven Automation:** Automate coding, marketing, customer service, other traditionally labor-intensive work with AI tools.
2.  **Strategic Outsourcing:** Outsource core operations to specialists:
    - OpenLoop Health -> pharmacy fulfillment
    - CareValidate -> doctor network + prescriptions
3.  **Lean Operations:** Minimize full-time headcount and overhead by outsourcing or using AI.

### Why it Matters FOR SHAY:

When evaluating any new product opportunity, always ask:

"**Can we outsource the hard, regulated, or highly scalable parts like Gallagher did?**"

**Examples:**

*   **Compliance/Liability -->** Use third-parties to maintain industry best practices, without internal legal.
*   **High customer support volume -->** Outsource Tier 1 customer support to offshore VA.

Risks:

*   Dependency on 3rd party
*   Reduced control (quality, responsiveness can be issues)