Founder Stories

    Trust Is The Hardest Product To Build

    July 9, 2025
    5 min read
    Trust Is The Hardest Product To Build

    Building trust is the most critical challenge for healthcare technology companies entering new markets. In heva's early days in the Dominican Republic, we discovered that trust—not technology—determined whether our platform could succeed with healthcare providers who had been disappointed by previous software vendors.

    This founder story explores how relationship-building, authentic engagement, and consistent value delivery became the foundation for heva's growth in cross-border healthcare, demonstrating that trust compounds through actions, not promises.

    Why is trust so challenging for healthcare technology companies?

    We launched heva in the Dominican Republic with no local network, no industry connections, and no established reputation. In this market, many healthcare providers had been burned by software companies who overpromised and underdelivered. Skepticism wasn't just common—it was the default assumption.

    Healthcare is inherently personal and trust-based. Providers need to believe that technology partners will:

    • Understand Their Challenges: Recognize the complexities of medical practice
    • Deliver Reliable Solutions: Provide consistent, working technology
    • Respect Their Time: Value busy schedules and clinical priorities
    • Support Long-term Success: Commit beyond initial implementation

    How did heva build trust in the Dominican Republic?

    Instead of leading with sales pitches, we made listening and learning our priority. We met providers wherever and whenever they had time: at dawn, after gym sessions, or late in the evening. We bought them dinner, asked for honest input, and led every interaction with curious inquiry rather than sales pressure.

    One small moment exemplifies our approach: During an early visit, we noticed a provider struggling with a broken Mac keyboard where the "@" key didn't work, making even basic emails difficult. On our next visit, we brought him a brand-new keyboard as a gift—no sales pitch, no expectation of reciprocity, just a gesture showing we were paying attention and cared about making his life easier.

    We also spent time with support staff, listened to their challenges, and ensured they felt valued. We consistently asked for feedback, led with humility, and focused on delivering value before expecting anything in return.

    What results did this trust-building approach achieve?

    Building trust took time, but this approach delivered measurable results. The first healthcare providers who partnered with us did so not because of our technology features, but because of the relationships we built and the reliability we demonstrated over time.

    Key outcomes from our trust-first approach included:

    • Authentic Partnerships: Providers became genuine advocates for our platform
    • Valuable Feedback: Honest input that shaped our product development
    • Organic Referrals: Satisfied providers recommended us to colleagues
    • Market Credibility: Established reputation in a skeptical market
    • Sustainable Growth: Foundation for long-term expansion

    How does trust-building scale in healthcare technology?

    As we continue expanding into new geographies and provider verticals, we're learning how to scale trust development. The challenge is maintaining authentic relationships while growing efficiently across diverse healthcare markets.

    Our approach to scaling trust includes:

    • Local Team Building: Hiring cultural experts in each market
    • Consistent Values: Maintaining core principles across all interactions
    • Provider-Centric Design: Building features based on real provider feedback
    • Transparent Communication: Clear, honest messaging about capabilities and limitations

    Trust remains the hardest—and most essential—product we build, especially when connecting international patients with healthcare providers across borders.

    Frequently Asked Questions About Building Trust in Healthcare Technology

    Why is trust more important than technology in healthcare?

    Healthcare providers and patients make decisions based on trust because medical care involves personal risk and vulnerability. Technology features matter, but providers must first believe that a platform will reliably serve their patients and support their practice long-term.

    How can healthcare technology companies build trust with providers?

    Building trust requires consistent actions over time: listening to provider challenges, delivering on promises, providing reliable support, and demonstrating genuine care for provider success. Small gestures and authentic relationships often matter more than impressive technology demonstrations.

    How does heva maintain trust while scaling internationally?

    heva maintains trust while scaling by hiring local experts in each market, maintaining consistent core values, building features based on real provider feedback, and ensuring transparent communication about platform capabilities and limitations across all provider relationships.

    References

    Disclaimers

    Business Experience: This article shares personal founder experiences and business lessons. It is not professional business advice. Individual results may vary based on market conditions, team capabilities, and execution strategies.

    Platform Information: heva is a healthcare coordination platform connecting patients with providers—we do not provide medical advice, diagnosis, or treatment. Business strategies should be evaluated based on individual circumstances and market conditions.

    About the Author

    Varun Annadi

    Varun Annadi

    Co-Founder & CEO of heva

    Varun Annadi is the Co-Founder and CEO of heva, an AI-native practice management platform connecting top healthcare providers with global patients. He holds an MBA from Harvard Business School and a B.S. in Engineering from the University of Michigan. Varun has led product and strategy teams at Apple, Google, Stryker, and Noom. Most notably, he served as Lead Program Manager for the Apple Watch, guiding development of several health technology features such as ECG and heart-rate monitoring. His career focuses on advancing healthcare access through the use of technology.

    Trust Is The Hardest Product To Build | heva