On this page
A practical cut of Healthcare: Cost Optimization Guide for engineering and product leads — decisions first, framework essays last.
Who this is for
Teams that write trade-offs down before coding burn fewer sprints when a stakeholder changes their mind mid-build. We keep ADRs short on purpose.
Decisions that still look smart in 18 months
Ship a thin vertical slice, measure, then widen. Big-bang rewrites rarely survive the first month of real traffic.
Build checklist we actually use
Teams that write trade-offs down before coding burn fewer sprints when a stakeholder changes their mind mid-build. We keep ADRs short on purpose.
Failure modes we keep seeing
Teams that write trade-offs down before coding burn fewer sprints when a stakeholder changes their mind mid-build. We keep ADRs short on purpose.
How we measure rollout
Ship a thin vertical slice, measure, then widen. Big-bang rewrites rarely survive the first month of real traffic.
We update this when delivery patterns change on live client work.