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Bundled telehealth platforms made sense at launch. In 2026, operators with their own tech stack are running into a different problem: they do not own their pharmacy, their intake form, or their clinical protocols. Here is what is driving the switch.
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In some states, your NP can practice independently from day one. In others, you need a physician collaboration agreement in place before they see a single patient. Here is the full state-by-state breakdown for 2026, with cost ranges and compliance requirements.
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DirectShifts approaches New York staffing differently from most of the firms above: rather than relying purely on recruiter outreach, employers and clinicians connect directly on the platform, which tends to compress time-to-fill on roles where speed matters.
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The major GLP-1 telehealth platforms are not hiring the same clinicians they were two years ago. Here is what Hims, Noom, and WW each figured out about clinical staffing, and what operators building programs in 2026 need to take from it.

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