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Notes from the work.
One subject: converting healthcare-company websites in AI search. Billing, RCM, staffing, device, software, specialty orgs, practices. Written by the person who ships the sites — not a pile of tips.
AI Search · 11 min · Tom Couture · method
What a billion Ahrefs data points actually change on a clinic site
Tim Soulo published fourteen studies. Schema is not a lever. YouTube correlates. Local queries almost never trigger Overviews. Retrieved is not cited. Here is the healthcare translation.
AI Search · August 29, 2026 · Tom Couture
What operators on X are actually seeing in AI search
Second pass: Ahrefs’ billion points, GPT-5.6’s trusted-domain cut, fan-out hygiene, retrieved ≠ cited, and why near-me is still Maps. Courses discarded.
AI Search · August 29, 2026 · Tom Couture
What Google actually published about AI search in 2026
Google’s own generative-AI optimization guide is public. AI Overviews use Search. llms.txt is not a ranking file. Here is the document, in practice, for healthcare sites.
AI Search · August 20, 2026 · Tom Couture
Patients now ask AI who to book. Most practices are invisible.
Google is still the door. ChatGPT, Perplexity, and AI Overviews are the waiting room. If the search crawler cannot read you, you do not get named.
Conversion · July 8, 2026 · Tom Couture
Five ways your website is losing patients right now
Most practice sites leak at specific, fixable points. Here is where bookings die — and the order to seal them.
Accessibility · July 1, 2026 · Tom Couture
WCAG 2.2 AA checklist for healthcare websites
Accessibility is not optional in healthcare. A practical checklist so every patient can actually use the site.
SEO · June 24, 2026 · Tom Couture
How to redesign without losing the rankings you already paid for
Redirects, content migration, and post-launch monitoring — the unglamorous work that protects a decade of search equity.
Web Design · June 17, 2026 · Tom Couture
Why mobile-first is a booking problem, not a design trend
Over 60% of patients search on phones. Mobile-first means the booking path is designed for one thumb, not shrunk from a desktop mock.
Compliance · June 10, 2026 · Tom Couture
HIPAA-aware website forms: what we collect, what we refuse
Patient intake is not a marketing form. Name, callback, and a public URL. No dates of birth, insurance IDs, or diagnoses on a studio website.
Start with the audit.
Visibility gaps that lose the next buyer, partner, or hire — findability, book-path, AI and search readiness. Ranked findings in about 48 hours. Two minutes. Name + website URL + email.
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