N° 01Visual record · James Richman · Singapore
A live map of what I’m building.
Projects, experiments, media, digital systems, and the ideas currently moving from thought into reality.
The internet version of a working notebook is more useful when it shows movement. This page is organized around things that are being built, tested, published, or reconsidered, rather than a static list of job titles.
The scale the work answers to.
N° 02 · Four figures from the public record and the system around it, each linked to where it was published
Trillion
National health spending, United States, 2024. 18.0 percent of GDP. The system healthcare revenue operations run inside.
Source · CMSBillion
The hidden cost of revenue cycle leakage, as sized in the OTLEN report.
Source · Big News Network, 19 Sep 2025Billion
Administrative cost US healthcare avoided in 2024 by handling transactions electronically, from eligibility checks to claims. A further $21 billion is still on the table.
Source · CAQH Index, 19 Feb 2026Million
Prior authorization requests sent to Medicare Advantage insurers in 2024. 4.1 million of them, 7.7 percent, were denied.
Source · KFF, 28 Jan 2026The mapA working method by James Richman
N° 03Five parts
- 01
Build log
Projects move through a simple loop: identify a painful problem, build a focused interface or workflow, put it in front of reality, learn what breaks, and decide whether to continue. The output is not always a product. Sometimes it is a new operating method or a better question.
Problem → Build → Test → Learn → Decide
- 02
Digital systems
Modern work is increasingly a network of tools: browsers, APIs, databases, CRMs, AI models, dashboards, automations, and communication channels. The opportunity is to make those tools behave like one system instead of twenty disconnected applications.
- 03
Media
Video is useful when it shows the thinking, along with the conclusion. Screen recordings, technical walkthroughs, visual explanations, and short observations can make complicated systems understandable without flattening them into generic advice.
- 04
Experiments
A good experiment has a clear question and a cheap failure mode. It should be possible to learn something meaningful without building the entire thing first. This site collects those experiments because the failures are often as educational as the wins.
- 05
What’s next
Some ideas become businesses. Some become tools. Some die after ten minutes because the first test shows they are bad. That is still progress. It is the mechanism for finding the ideas worth pursuing.
Problem · Build · Test · Learn · Decide
Five parts, and they move.
In print
N° 04 · The record, as it was published. Profiles, interviews, reports and perspectives, newest first, each with the lead image its outlet ran. Hover a clipping to see it in colour; select it to read it at the outlet.
Most images are the outlet’s own lead image for the article. N° 03 and N° 06 ran stock photographs and are shown here with photographs from Unsplash: a pipette by the CDC and an operating theatre by @hysw001. N° 01, N° 04 and N° 16 are set from their headlines.
Every address.
N° 05 · Every personal site, every OTLEN site and every social profile, each with what it holds. Each tile carries its site’s own pictogram. Every article is linked from its clipping in print.
James Richman
Personal sites
OTLEN
Company sites
Social
Profiles