Why Clinic Owners Shouldn’t Build Their Own Software, PMS Is Not a Silver Bullet, E50 with Jared Aron

Practice management software, EHRs and electronic medical records have helped bring healthcare into the modern era. But problems begin when clinics expect one platform to manage clinical records, marketing, accounting, patient communication and every part of the front office.In Episode 50 of The Business of a Clinic, Jared Aron, founder of Coherent, explains why clinic technology should be used for clearly defined jobs—not treated as an all-in-one solution.Jared and Sean discuss why clinics often end up with a fragmented stack of practice management systems, CRMs and spreadsheets, and why technology needs to create measurable changes in revenue, costs and profitability rather than simply promising to save employees a few minutes.They explore why the “buy and smash” model of healthcare consolidation is being replaced by a greater focus on genuine operational transformation. For clinic groups and investors, innovation only becomes valuable when it improves the P&L.The episode also examines the rise of clinic owners building their own software using AI and vibe-coding tools. Jared explains why simple experimentation is very different from building secure, reliable systems that handle patient information, payments and healthcare communication at scale.The conversation covers: Why practice management software cannot solve every clinic problem  The operational cost of disconnected software and spreadsheets  Why efficiency needs to translate into P&L improvement  The difference between healthcare provision and software development  Reliability, security and maintenance in healthcare technology  Why the patient experience continues after someone leaves the clinic  Coherent Engage and patient engagement done for you  Traditional CRM versus agentic patient relationship management  The many stages where clinics lose patients  The opportunities and risks created by AI  The vulnerable world hypothesis and responsible innovation Jared also shares several people and ideas that have influenced how he approaches ambition, storytelling, technology and the responsibility of building AI systems for healthcare.