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  • The brief
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  • This week · 6
  • This quarter · 9
  • Big bets · 3
  • Wildcards · 3
  • How we can help
Generated Oct 22, 2026
  1. Programmable
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  3. Heartflow
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growth playbook · Oct 22, 2026

heartflow.com (opens in a new tab)

Heartflow growth playbook

Diagnosis

Heartflow is growing fast (second-quarter revenue up 48% to $64.1 million) with Plaque Analysis as a second growth engine, and its hiring is a field expansion: about 50 territory managers, reimbursement and payer roles, product marketers for Plaque and Workflow, enablement, social, and a VP to open preventive and cash-pay channels.

The website lags that push: coverage pages for only two states, a homepage that paints its main text after 13.9 seconds on mobile, mismatched patient counts, and no page for preventive clinics. This playbook gives every new territory a coverage page, fixes the homepage, and builds tools for administrators, reps and partners before the bigger preventive bets.

Growth Score

7/10

Biggest Opportunity

Equip the large new field team with local coverage proof and tools so Plaque adoption keeps pace with hiring.

Biggest Risk

Plaque analysis rivals such as Cleerly compete for the same cardiologists, and coverage varies by payer and state.

01

Start here

The three moves to make first. Each one is written up in full below.

  1. 1

    A Plaque Analysis coverage page for every state the new territory managers sell in, not just Florida and Arizona

    List the states where market access can confirm Plaque coverage today.

    High impact First result in 1 month
  2. 2

    Make the homepage load in under 2.5 seconds: the intro paragraph takes 13.9 seconds

    Run a trace to see what delays the intro paragraph.

    High impact First result in 2 weeks
  3. 3

    Use one patient count everywhere, and give the patient pages search descriptions

    Search the site for "650,000".

    Medium impact First result in 2 weeks

02

Your idea portfolio

21 ideas, grouped by when to run them. Open any idea for how to run it: the steps, who to approach, copy you can use, and how to measure it.

  • 8 ideas are marked Unexpected: plays you are unlikely to have tried.

    1 of these are things Programmable can build and run for you.

Every idea placed by the effort it takes against the impact it could have. Quick wins sit top left; select a number to open that idea. The filters below narrow the list by status, timing, category and what Programmable can build.

Effort vs impactEach number is an idea. Select one to open it.
Impact →
Quick wins · 1Big bets · 11Fill-ins · 7Reconsider · 2
Effort →

Showing 21 of 21 ideas

This week 6

Quick wins with a clear first action.

  • 01

    Heartflow is hiring about 50 Territory Account Managers across the country and a Senior PMM to break down barriers to Plaque adoption. Its best adoption asset is a state coverage page: Florida's says Plaque Analysis is covered for 84% of patients and lists Medicare, Florida Blue, Aetna, UnitedHealthcare and Cigna with medical-necessity criteria. But only Florida and Arizona have one, so reps in New York, Ohio, Texas, Washington and the other new territories have no local page to send a cardiologist who asks "is this covered for my patients?"

    High impactMedium effort First result in 1 month Senior Product Marketing Mana…

    First action

    List the states where market access can confirm Plaque coverage today.

    How to measure it

    Plaque activations in new-page states

    Now
    –
    Target
    +20%
    By
    2 quarters

    Steps

    1. 1

      Confirm coverage

      Payer policies per state.

      Market Access lead 2 weeks

    2. 2

      Build the template

      From the Florida page.

      Senior Product Marketing Manager - Plaque 1 week

    3. 3

      Regulatory review

      Claims and criteria wording.

      Regulatory Affairs 2 weeks

    4. 4

      Publish

      First ten states, with meta descriptions.

      Web team 2 weeks

    5. 5

      Route forms

      To the territory manager.

      IT Director, Salesforce Platform Owner 1 week

    6. 6

      Equip reps

      State link in onboarding and email templates.

      Manager, Digital Learning & Program Development 1 week

    7. 7

      Keep current

      Monthly payer policy check.

      Field Reimbursement Manager monthly

    First result
    1 month
    Cost
    Staff time only
    Owner
    Senior Product Marketing Manager Plaque

    Smallest test

    Publish New York and Texas pages and give them to those reps.

    Why it works

    Build the template once from the Florida page and publish a page for each state where market access can confirm coverage: share of lives covered, named payers, medical-necessity criteria, the CY 2026 rates and a "contact your rep" form that routes to the territory. Link them from Reimbursement Resources and give each new rep their state link on day one.

    Coverage is the first objection to a new test, and a local, verified answer lets reps move to clinical value in the first conversation. The pages also rank for "plaque analysis coverage [state]" searches.

    Ready to use

    ChecklistState coverage page template

    [ ] Headline: share of lives covered in the state
    [ ] Named payers with policy links
    [ ] Medical-necessity criteria
    [ ] CY 2026 rates (outpatient and office)
    [ ] DECIDE registry summary
    [ ] Rep contact form routed to the territory
    [ ] Meta description and date reviewed
    [ ] Market access and regulatory sign-off

    Risks and how to handle them

    • Coverage changes

      Date each page and review monthly.

    • Overstated claims

      Market access and regulatory sign off every page.

    Evidence

    • HiringField hiring (job board, October 21, 2026): 58 of 106 open roles are in US Sales, including 50 Territory Account Manager roles from Albany to Yonkers posted since mid-September, plus Territory Sales Managers and Regional Business Managers; market access is hiring Field Reimbursement Managers (Northeast, Southwest) and a Payer Relations Manager (Central).Source
    • Your websiteState coverage pages exist for two states only: /widespreadcoverage/fl/ ("Plaque Analysis Now Covered for 84% of Florida Patients, including Florida Blue", listing Medicare, Florida Blue, Aetna, UnitedHealthcare and Cigna with medical-necessity criteria) and /widespreadcoverage/az/ ("Clinically Proven Plaque Analysis Now Covered for 90% of Arizona Patients", no meta description). The page sitemap lists 48 pages and no other state.Source
    • HiringSenior Product Marketing Manager - Plaque (posted October 12, 2026): plans and executes "Plaque Analysis marketing strategy to drive adoption and utilization with the Heartflow field team", must "Understand barriers-to-adoption", and needs experience "translating complex clinical evidence and health economics data" for imaging cardiologists, radiologists, general and interventional cardiologists and "CV line Administrators".Source
    • Your websiteReimbursement Resources ("View reimbursement by state") lists final CY 2026 rates: hospital outpatient CCTA $356, FFRCT $877 and Plaque $950; physician office CCTA $326, FFRCT $887 and Plaque $1,021 (global rates).Source
  • 02

    Google's mobile test gives the homepage a performance score of 56, with the largest element, the intro paragraph, appearing after 13.9 seconds. Real visitors see 4.2 seconds and a layout shift of 0.25, so the page misses Google's "good" thresholds. Physicians who click from a rep's email often open it on a phone between patients.

    High impactLow effort First result in 2 weeks Web team

    First action

    Run a trace to see what delays the intro paragraph.

    How to measure it

    Homepage LCP for real users

    Now
    –
    Target
    Under 2.5 s
    By
    1 quarter

    Steps

    1. 1

      Trace

      What blocks the hero text.

      Web team 1 day

    2. 2

      Fonts

      Preload and fallback.

      Web team 1 day

    3. 3

      Optimizer settings

      Review delayed loading.

      Web team 2 days

    4. 4

      Layout shift

      Reserve image space.

      Web team 2 days

    5. 5

      Re-test

      Lab and field.

      Web team 1 week

    6. 6

      Monitor

      Monthly report.

      Web team monthly

    First result
    2 weeks
    Cost
    $0
    Owner
    Web team

    Smallest test

    Fix fonts on the homepage and re-test.

    Why it works

    Render the hero text without waiting for scripts or web fonts (system font fallback, preload the main font), check the NitroPack settings that delay content, reserve space for images to stop the layout shift, and re-test.

    A text element should paint almost instantly; fixing it is cheap and helps every campaign.

    Risks and how to handle them

    • Optimizer conflicts

      Test on staging first.

    Evidence

    • Google PageSpeedMobile PageSpeed for the homepage: performance 56, Largest Contentful Paint 13.9 s and First Contentful Paint 9.5 s in the lab; the largest element is the intro paragraph ("Heartflow's vision is to transform CAD..."). Real Chrome users: LCP 4.2 s and layout shift 0.25 for the page, and 3.1 s and 0.21 across the site, so loading and stability miss Google's "good" thresholds while responsiveness (INP 78 ms) passes.Source
  • 03

    The homepage and job posts say more than 750,000 patients; the Why Heartflow page still says "more than 650,000". Why Heartflow, Patient Stories and Find a Physician have no meta descriptions, so search results show random text.

    Medium impactLow effort First result in 2 weeks VP

    First action

    Search the site for "650,000".

    How to measure it

    Patient pages with meta descriptions

    Now
    –
    Target
    100%
    By
    2 weeks

    Steps

    1. 1

      Find old figures

      Site search.

      Web team 1 hour

    2. 2

      Update

      One source for the count.

      Web team 1 day

    3. 3

      Write descriptions

      Patient pages.

      Content lead 1 day

    4. 4

      Review

      Medical and legal.

      Medical Affairs 2 days

    5. 5

      Check collateral

      Brochure and kit.

      Content lead 1 day

    6. 6

      Measure

      Search clicks.

      Web team monthly

    First result
    2 weeks
    Cost
    $0
    Owner
    VP, Brand and Marketing Communications

    Smallest test

    Fix the Why Heartflow page today.

    Why it works

    Update the count on every page (or pull it from one setting), write meta descriptions for the patient pages, and check the press kit and brochure.

    Consistent numbers build trust with clinicians and investors; descriptions lift clicks from patients searching about heart tests.

    Risks and how to handle them

    • Claims review

      Use the approved figure only.

    Evidence

    • Your websitePatient section: Understanding CAD, Why Heartflow, four patient stories and Find a Physician ("Not all sites will be listed right away"). There is no page for preventive or cash-pay testing, concierge or longevity clinics. Why Heartflow says the test "has been delivered to more than 650,000 patients at over 1,800 institutions", while the homepage says "> 750 K Patients Treated"; Why Heartflow, Patient Stories and Find a Physician have no meta description.Source
    • Your websiteHomepage: "> 750 K Patients Treated", "> 1,800 Institutions", "> 625 Peer-reviewed Publications", "99.5 % of US Lives Covered"; featured news that Plaque Analysis is "Now Supported by Scientific Statements From American College of Cardiology and American Heart Association". The coverage pages cite the DECIDE Registry of about 22,000 patients at over 30 US centers: "Over 50% of Patients had medical management changed" and "~1/3 of Patients with CAC 0 had a change in management". A Plaque Calculator gives age- and sex-based plaque percentiles; Plaque Staging is labelled investigational.Source
    • HiringEvery Heartflow post: the FFRCT Analysis is "supported by the ACC/AHA Chest Pain Guidelines"; Heartflow is "cleared for use in the US, UK, Europe, Japan and Canada" and "has been used for more than 750,000 patients worldwide".Source
  • 04

    The Plaque PMM role targets CV line administrators and needs health economics translated for them. The reimbursement page already lists CY 2026 rates (outpatient CCTA $356, FFRCT $877, Plaque $950; office Plaque $1,021), but leaves the math to the reader.

    High impactMedium effort First result in 1 month Senior Product Marketing Mana…

    First action

    Build the formula in a spreadsheet with market access.

    How to measure it

    Administrator leads

    Now
    –
    Target
    60 a quarter
    By
    2 quarters

    Steps

    1. 1

      Build formula

      With market access.

      Market Access lead 1 week

    2. 2

      Compliance review

      Wording and assumptions.

      Regulatory Affairs 2 weeks

    3. 3

      Design

      Inputs and PDF.

      Web team 1 week

    4. 4

      Build

      On the reimbursement page.

      Web team 2 weeks

    5. 5

      Route leads

      To the territory.

      IT Director, Salesforce Platform Owner 1 week

    6. 6

      Train reps

      Use in meetings.

      Manager, Digital Learning & Program Development 1 week

    First result
    1 month
    Cost
    Web time
    Owner
    Senior Product Marketing Manager Plaque

    Smallest test

    Give reps the spreadsheet version first.

    Why it works

    Build a calculator: monthly CCTA volume, share sent for FFRCT and Plaque, care setting; it shows reimbursement per month and year. Export a PDF for budget meetings and capture the lead for the territory rep.

    Administrators approve programs on numbers, and a calculator gives reps a reason to meet them.

    Risks and how to handle them

    • Seen as promising payment

      State that actual payment varies by payer and setting.

    Evidence

    • Your websiteReimbursement Resources ("View reimbursement by state") lists final CY 2026 rates: hospital outpatient CCTA $356, FFRCT $877 and Plaque $950; physician office CCTA $326, FFRCT $887 and Plaque $1,021 (global rates).Source
    • HiringSenior Product Marketing Manager - Plaque (posted October 12, 2026): plans and executes "Plaque Analysis marketing strategy to drive adoption and utilization with the Heartflow field team", must "Understand barriers-to-adoption", and needs experience "translating complex clinical evidence and health economics data" for imaging cardiologists, radiologists, general and interventional cardiologists and "CV line Administrators".Source
    • HiringSenior Product Marketing Manager - Workflow (posted October 2, 2026): messaging for how the platform "fits into and improves clinical and administrative workflows (ordering, reporting, care coordination, referrals)" for cardiologists, radiologists, "referring physicians, hospital administrators, and health system IT/ops stakeholders", plus "demo scripts, workflow diagrams, ROI/value materials, case studies".Source
  • 05

    The Physician Finder says "Not all sites will be listed right away", and it is where patients go after reading about Heartflow. Fifty new territory managers will activate many new sites.

    Medium impactLow effort First result in 1 month Territory Account Manager

    First action

    Compare active sites with Finder listings.

    How to measure it

    Finder coverage of active sites

    Now
    –
    Target
    90%
    By
    1 quarter

    Steps

    1. 1

      Gap list

      Active vs listed.

      Commercial Excellence Coordinator 1 week

    2. 2

      Onboarding step

      Listing consent.

      Manager, Digital Learning & Program Development 1 week

    3. 3

      Add fields

      Plaque availability.

      Web team 2 weeks

    4. 4

      Rep follow-up

      One week after activation.

      Territory Account Manager ongoing

    5. 5

      Audit

      Monthly.

      Commercial Excellence Coordinator monthly

    6. 6

      Measure

      Finder searches and clicks.

      Web team monthly

    First result
    1 month
    Cost
    Staff time only
    Owner
    Territory Account Manager

    Smallest test

    List the sites from one region.

    Why it works

    Make listing a step in every site activation: the rep confirms the site wants to be listed, adds Plaque availability, and checks the listing a week later.

    A patient who cannot find a nearby site is lost demand for that site and for Heartflow.

    Risks and how to handle them

    • Sites decline

      Respect consent and list only willing sites.

    Evidence

    • Your websitePatient section: Understanding CAD, Why Heartflow, four patient stories and Find a Physician ("Not all sites will be listed right away"). There is no page for preventive or cash-pay testing, concierge or longevity clinics. Why Heartflow says the test "has been delivered to more than 650,000 patients at over 1,800 institutions", while the homepage says "> 750 K Patients Treated"; Why Heartflow, Patient Stories and Find a Physician have no meta description.Source
    • HiringField hiring (job board, October 21, 2026): 58 of 106 open roles are in US Sales, including 50 Territory Account Manager roles from Albany to Yonkers posted since mid-September, plus Territory Sales Managers and Regional Business Managers; market access is hiring Field Reimbursement Managers (Northeast, Southwest) and a Payer Relations Manager (Central).Source
  • 06

    The new social lead owns HCP engagement and employee activation. Heartflow has more than 625 peer-reviewed publications and new ACC/AHA scientific statements on Plaque Analysis, but no regular format that turns them into short posts clinicians share.

    Medium impactLow effort First result in 1 month Sr. Manager

    First action

    Pick the first eight studies with Medical Affairs.

    How to measure it

    HCP engagement rate on LinkedIn

    Now
    –
    Target
    +30%
    By
    2 quarters

    Steps

    1. 1

      Pick studies

      Eight.

      Medical Affairs 1 week

    2. 2

      Design cards

      Template.

      Sr. Manager, Social Media & Communications 1 week

    3. 3

      Approve

      Medical and regulatory.

      Medical Affairs 1 week

    4. 4

      Publish

      Weekly.

      Sr. Manager, Social Media & Communications weekly

    5. 5

      Employee share

      Kit for reps.

      Sr. Manager, Social Media & Communications weekly

    6. 6

      Measure

      HCP engagement.

      Sr. Manager, Social Media & Communications monthly

    First result
    1 month
    Cost
    Staff time only
    Owner
    Sr. Manager, Social Media & Communications

    Smallest test

    Post the DECIDE registry card.

    Why it works

    Publish one approved evidence card a week (finding, figure, link), with a version for reps and employees to share, and track clinician engagement.

    A steady, compliant format builds credibility with physicians and gives the field something to share.

    Risks and how to handle them

    • Off-label risk

      Approved claims only.

    Evidence

    • HiringSr. Manager, Social Media & Communications (posted September 8, 2026): owns organic and paid social across "LinkedIn, X, YouTube, and Instagram", the "Healthcare Provider (HCP) engagement program", and will "Reactivate and grow employee engagement on social channels", with content meeting "brand and compliance standards" with Medical Affairs.Source
    • Your websiteHomepage: "> 750 K Patients Treated", "> 1,800 Institutions", "> 625 Peer-reviewed Publications", "99.5 % of US Lives Covered"; featured news that Plaque Analysis is "Now Supported by Scientific Statements From American College of Cardiology and American Heart Association". The coverage pages cite the DECIDE Registry of about 22,000 patients at over 30 US centers: "Over 50% of Patients had medical management changed" and "~1/3 of Patients with CAC 0 had a change in management". A Plaque Calculator gives age- and sex-based plaque percentiles; Plaque Staging is labelled investigational.Source
    • YouTubeHeartflow's YouTube channel: 1,380 subscribers, 36 videos and about 376,000 total views. The site has Plaque clinical guide videos at /plaque-clinical-guide-videos/.Source

This quarter 9

The core plays for the next three months.

  • 07

    The new VP of Strategic Partnerships is building cash-pay models with concierge medicine, executive health and longevity clinics, but the site has no page for them: everything is written for hospitals, imaging centers and insured chest-pain patients.

    High impactMedium effort First result in 1 quarter Sr. Director/VP

    First action

    Draft the page with Medical Affairs.

    How to measure it

    Clinic partnership inquiries

    Now
    –
    Target
    30 a quarter
    By
    2 quarters

    Steps

    1. 1

      Define offer

      Cash-pay model.

      Sr. Director/VP, Strategic Partnerships 1 month

    2. 2

      Write page

      Evidence and process.

      Senior Product Marketing Manager - Plaque 2 weeks

    3. 3

      Review

      Medical and regulatory.

      Medical Affairs 2 weeks

    4. 4

      Publish

      With inquiry form.

      Web team 1 week

    5. 5

      Promote

      Concierge networks.

      Sr. Director/VP, Strategic Partnerships ongoing

    6. 6

      Measure

      Inquiries and deals.

      Sr. Director/VP, Strategic Partnerships monthly

    First result
    1 quarter
    Cost
    Staff time only
    Owner
    Sr. Director/VP, Strategic Partnerships

    Smallest test

    Share the draft with three concierge practices.

    Why it works

    Publish a page explaining how a clinic can offer CCTA with Heartflow Plaque Analysis to its members, what the evidence shows, how cash-pay ordering works, and a partner inquiry form.

    Partners need something to show their physicians and members, and inbound inquiries feed the partnership pipeline.

    Risks and how to handle them

    • Guideline consistency

      Keep messaging within the evidence.

    Evidence

    • HiringSr. Director/VP, Strategic Partnerships (posted September 8, 2026): "Heartflow's next strategic growth driver relies on reaching people long before they become a cath-lab patient" through "wearables and longevity platforms, concierge and executive health networks, and physician practice groups" (examples named: Oura, Whoop, MDVIP, PPA); the role will "Develop cash-pay and hybrid commercial models (concierge medicine, executive health, longevity clinics, direct-to-consumer)" for preventive cardiology "pursued outside of traditional insurance coverage".Source
    • Your websitePatient section: Understanding CAD, Why Heartflow, four patient stories and Find a Physician ("Not all sites will be listed right away"). There is no page for preventive or cash-pay testing, concierge or longevity clinics. Why Heartflow says the test "has been delivered to more than 650,000 patients at over 1,800 institutions", while the homepage says "> 750 K Patients Treated"; Why Heartflow, Patient Stories and Find a Physician have no meta description.Source
    • Your websiteHomepage: "> 750 K Patients Treated", "> 1,800 Institutions", "> 625 Peer-reviewed Publications", "99.5 % of US Lives Covered"; featured news that Plaque Analysis is "Now Supported by Scientific Statements From American College of Cardiology and American Heart Association". The coverage pages cite the DECIDE Registry of about 22,000 patients at over 30 US centers: "Over 50% of Patients had medical management changed" and "~1/3 of Patients with CAC 0 had a change in management". A Plaque Calculator gives age- and sex-based plaque percentiles; Plaque Staging is labelled investigational.Source
  • 08

    The partnerships role names wearables and longevity platforms as the next growth driver and asks for repeatable playbooks for "data-sharing, co-marketing, referral pathways, clinical validation".

    High impactHigh effort First result in 2 quarters Sr. Director/VP

    First action

    Shortlist three platforms with an at-risk member base.

    How to measure it

    Pilot referrals to CCTA sites

    Now
    –
    Target
    500
    By
    3 quarters

    Steps

    1. 1

      Shortlist

      Three platforms.

      Sr. Director/VP, Strategic Partnerships 1 month

    2. 2

      Design pathway

      Education to Finder.

      Sr. Director/VP, Strategic Partnerships 1 month

    3. 3

      Legal and privacy

      Data rules.

      Legal 1 month

    4. 4

      Launch

      One region.

      Sr. Director/VP, Strategic Partnerships 1 quarter

    5. 5

      Measure

      Referrals and tests.

      Sr. Director/VP, Strategic Partnerships monthly

    6. 6

      Write playbook

      For the next partner.

      Sr. Director/VP, Strategic Partnerships 1 month

    First result
    2 quarters
    Cost
    Partner costs
    Owner
    Sr. Director/VP, Strategic Partnerships

    Smallest test

    Run the education module with one partner cohort.

    Why it works

    Pilot with one platform: an education module for members at elevated risk, a path to a nearby CCTA site from the Finder, and measured referrals. Build the playbook from the pilot.

    A tested pathway is easier to repeat with the next partner than a one-off deal.

    Risks and how to handle them

    • Health data rules

      Keep data sharing minimal and consented.

    Evidence

    • HiringSr. Director/VP, Strategic Partnerships (posted September 8, 2026): "Heartflow's next strategic growth driver relies on reaching people long before they become a cath-lab patient" through "wearables and longevity platforms, concierge and executive health networks, and physician practice groups" (examples named: Oura, Whoop, MDVIP, PPA); the role will "Develop cash-pay and hybrid commercial models (concierge medicine, executive health, longevity clinics, direct-to-consumer)" for preventive cardiology "pursued outside of traditional insurance coverage".Source
    • Your websitePatient section: Understanding CAD, Why Heartflow, four patient stories and Find a Physician ("Not all sites will be listed right away"). There is no page for preventive or cash-pay testing, concierge or longevity clinics. Why Heartflow says the test "has been delivered to more than 650,000 patients at over 1,800 institutions", while the homepage says "> 750 K Patients Treated"; Why Heartflow, Patient Stories and Find a Physician have no meta description.Source
  • 09

    Heartflow's coverage pages report that about a third of DECIDE patients with a calcium score of zero had their management changed after Plaque Analysis, and two patient stories describe reassuring tests that missed disease. Patients searching after a calcium score have no page that explains this.

    High impactMedium effort First result in 1 quarter Senior Product Marketing Mana…

    First action

    Draft the explainer with Medical Affairs.

    How to measure it

    Explainer-to-Finder clicks

    Now
    –
    Target
    2,000 a month
    By
    2 quarters

    Steps

    1. 1

      Draft

      Patient language.

      Senior Product Marketing Manager - Plaque 2 weeks

    2. 2

      Review

      Medical and regulatory.

      Medical Affairs 2 weeks

    3. 3

      Publish

      With guide.

      Web team 1 week

    4. 4

      Promote

      Social and search.

      Sr. Manager, Social Media & Communications ongoing

    5. 5

      Measure

      Finder clicks.

      Web team monthly

    6. 6

      Update

      New evidence.

      Medical Affairs quarterly

    First result
    1 quarter
    Cost
    Staff time only
    Owner
    Senior Product Marketing Manager Plaque

    Smallest test

    Publish a short FAQ first.

    Why it works

    Publish an approved patient explainer on calcium scores, plaque and CCTA, with a doctor-discussion guide and a Finder link.

    People search after their tests; meeting them there brings informed patients to their physicians.

    Risks and how to handle them

    • Patients self-diagnose

      Point every page to a physician conversation.

    Evidence

    • Your websiteHomepage: "> 750 K Patients Treated", "> 1,800 Institutions", "> 625 Peer-reviewed Publications", "99.5 % of US Lives Covered"; featured news that Plaque Analysis is "Now Supported by Scientific Statements From American College of Cardiology and American Heart Association". The coverage pages cite the DECIDE Registry of about 22,000 patients at over 30 US centers: "Over 50% of Patients had medical management changed" and "~1/3 of Patients with CAC 0 had a change in management". A Plaque Calculator gives age- and sex-based plaque percentiles; Plaque Staging is labelled investigational.Source
    • Your websitePatient section: Understanding CAD, Why Heartflow, four patient stories and Find a Physician ("Not all sites will be listed right away"). There is no page for preventive or cash-pay testing, concierge or longevity clinics. Why Heartflow says the test "has been delivered to more than 650,000 patients at over 1,800 institutions", while the homepage says "> 750 K Patients Treated"; Why Heartflow, Patient Stories and Find a Physician have no meta description.Source
  • 10

    The Workflow PMM must explain how Heartflow fits ordering, reporting, care coordination and referrals for several audiences, with workflow diagrams and ROI materials. The site explains products, not who does what.

    High impactMedium effort First result in 1 quarter Senior Product Marketing Mana…

    First action

    Map the current workflow with two customer sites.

    How to measure it

    Demo requests from workflow pages

    Now
    –
    Target
    40 a quarter
    By
    2 quarters

    Steps

    1. 1

      Map workflows

      Two sites.

      Senior Product Marketing Manager - Workflow 2 weeks

    2. 2

      Draw diagrams

      Four roles.

      Senior Product Marketing Manager - Workflow 2 weeks

    3. 3

      Write pages

      Short.

      Senior Product Marketing Manager - Workflow 2 weeks

    4. 4

      Review

      Customers and IT.

      Senior Product Marketing Manager - Workflow 1 week

    5. 5

      Publish

      Linked from platform pages.

      Web team 1 week

    6. 6

      Use in field

      Leave-behinds.

      Territory Account Manager ongoing

    First result
    1 quarter
    Cost
    Staff time only
    Owner
    Senior Product Marketing Manager Workflow

    Smallest test

    Publish the administrator page first.

    Why it works

    Publish four short role pages with a workflow diagram, time per step, integration notes and a contact, and reuse them as rep leave-behinds.

    Buying committees include people who never see a 3D model; each needs their own answer.

    Risks and how to handle them

    • Workflows vary

      Show the common path and options.

    Evidence

    • HiringSenior Product Marketing Manager - Workflow (posted October 2, 2026): messaging for how the platform "fits into and improves clinical and administrative workflows (ordering, reporting, care coordination, referrals)" for cardiologists, radiologists, "referring physicians, hospital administrators, and health system IT/ops stakeholders", plus "demo scripts, workflow diagrams, ROI/value materials, case studies".Source
    • Your websiteHomepage: "> 750 K Patients Treated", "> 1,800 Institutions", "> 625 Peer-reviewed Publications", "99.5 % of US Lives Covered"; featured news that Plaque Analysis is "Now Supported by Scientific Statements From American College of Cardiology and American Heart Association". The coverage pages cite the DECIDE Registry of about 22,000 patients at over 30 US centers: "Over 50% of Patients had medical management changed" and "~1/3 of Patients with CAC 0 had a change in management". A Plaque Calculator gives age- and sex-based plaque percentiles; Plaque Staging is labelled investigational.Source
  • 11

    The HeartFlow clinician app has not been updated since June 2023 and its description covers FFRCT analyses. Plaque Analysis is now the second growth engine, and the Workflow PMM owns ordering and reporting messages.

    Medium impactHigh effort First result in 2 quarters Senior Product Marketing Mana…

    First action

    Check how many clinicians use the app today.

    How to measure it

    Active app users

    Now
    –
    Target
    +50% or retired
    By
    3 quarters

    Steps

    1. 1

      Usage check

      Active users.

      Senior Product Marketing Manager - Workflow 1 week

    2. 2

      Decide

      Update or retire.

      Product Management 1 month

    3. 3

      Plan

      Plaque results and alerts.

      Product Management 1 month

    4. 4

      Build

      If updating.

      Software Engineering 1 quarter

    5. 5

      Launch

      Field and email.

      Senior Product Marketing Manager - Workflow 1 month

    6. 6

      Measure

      Use and feedback.

      Senior Product Marketing Manager - Workflow monthly

    First result
    2 quarters
    Cost
    Engineering time
    Owner
    Senior Product Marketing Manager Workflow

    Smallest test

    Survey 20 clinicians on the app.

    Why it works

    Decide whether to update the app with Plaque results and status alerts or retire it in favour of the web platform, and tell the field which to promote.

    A dated app signals a dated platform to the clinicians reps are trying to win.

    Risks and how to handle them

    • Regulatory review of app changes

      Plan the review into the timeline.

    Evidence

    • App StoreThe HeartFlow app for clinicians (version 9.0.0) was last updated on June 23, 2023, rated 4.9 from 31 ratings; its description covers seeing "the status of their patients' HeartFlow FFRct Analyses" and 3D models with FFRct values.Source
    • HiringSenior Product Marketing Manager - Workflow (posted October 2, 2026): messaging for how the platform "fits into and improves clinical and administrative workflows (ordering, reporting, care coordination, referrals)" for cardiologists, radiologists, "referring physicians, hospital administrators, and health system IT/ops stakeholders", plus "demo scripts, workflow diagrams, ROI/value materials, case studies".Source
    • Investor resultsSecond quarter 2026: revenue of $64.1 million, up 48%; U.S. revenue $59.6 million, up 51%; full-year revenue guidance raised to $246-$250 million.Source
  • 12

    Heartflow is hiring about 50 territory managers at once and a manager for digital learning. New reps ramp faster with a fixed first month.

    High impactMedium effort First result in 1 quarter Manager

    First action

    Interview five top reps on their first month.

    How to measure it

    Days to first site activation

    Now
    –
    Target
    -25%
    By
    2 quarters

    Steps

    1. 1

      Interview reps

      Five top performers.

      Manager, Digital Learning & Program Development 1 week

    2. 2

      Build modules

      Certification.

      Manager, Digital Learning & Program Development 1 month

    3. 3

      Assemble kit

      Coverage page, list, calculator.

      Manager, Digital Learning & Program Development 2 weeks

    4. 4

      Run cohorts

      Monthly.

      Manager, Leadership Development & Sales Training monthly

    5. 5

      Coach

      Weekly call reviews.

      Regional Business Manager weekly

    6. 6

      Measure

      Ramp time.

      Commercial Excellence Coordinator monthly

    First result
    1 quarter
    Cost
    Staff time only
    Owner
    Manager, Digital Learning & Program Development

    Smallest test

    Run the kit with the next five hires.

    Build the prospect list. The list compiled from public sources, verified, deduplicated and delivered to your CRM. Usually live within days.

    Book a working session

    Why it works

    Build a digital program: certification on FFRCT and Plaque, their state coverage page, a target list from the Finder gaps, the calculator, and weekly call reviews. Track ramp time.

    Faster ramp means earlier revenue from a large hiring wave.

    Risks and how to handle them

    • Content goes out of date

      Owner per module.

    Evidence

    • HiringField hiring (job board, October 21, 2026): 58 of 106 open roles are in US Sales, including 50 Territory Account Manager roles from Albany to Yonkers posted since mid-September, plus Territory Sales Managers and Regional Business Managers; market access is hiring Field Reimbursement Managers (Northeast, Southwest) and a Payer Relations Manager (Central).Source
    • HiringEnablement hiring: a Manager, Digital Learning & Program Development and a Manager, Leadership Development & Sales Training (posted September 29, 2026), a Commercial Excellence Coordinator, and MBA roles for Product Marketing and Commercial Enablement & Strategy (Summer 2027).Source
    • Your websiteState coverage pages exist for two states only: /widespreadcoverage/fl/ ("Plaque Analysis Now Covered for 84% of Florida Patients, including Florida Blue", listing Medicare, Florida Blue, Aetna, UnitedHealthcare and Cigna with medical-necessity criteria) and /widespreadcoverage/az/ ("Clinically Proven Plaque Analysis Now Covered for 90% of Arizona Patients", no meta description). The page sitemap lists 48 pages and no other state.Source
  • 13

    The Plaque PMM is measured on adoption and utilization. Activated sites that order rarely are revenue already won but not used.

    High impactMedium effort First result in 1 quarter Senior Product Marketing Mana…

    First action

    List activated accounts with low Plaque orders.

    How to measure it

    Monthly Plaque orders per account

    Now
    –
    Target
    +25%
    By
    2 quarters

    Steps

    1. 1

      Score accounts

      Monthly orders.

      Commercial Excellence Coordinator 2 weeks

    2. 2

      Set flags

      30 and 60 days.

      IT Director, Salesforce Platform Owner 2 weeks

    3. 3

      Write plays

      Three.

      Senior Product Marketing Manager - Plaque 2 weeks

    4. 4

      Run

      Reps.

      Territory Account Manager ongoing

    5. 5

      Review

      Monthly.

      Regional Business Manager monthly

    6. 6

      Measure

      Orders.

      Senior Product Marketing Manager - Plaque monthly

    First result
    1 quarter
    Cost
    Staff time only
    Owner
    Senior Product Marketing Manager Plaque

    Smallest test

    Run the play with ten low users.

    Why it works

    Score each activated account by monthly Plaque orders, flag low users at 30 and 60 days, and give reps a play: protocol review, reader training, a referring-physician session.

    Utilization grows revenue from existing accounts without new contracts.

    Risks and how to handle them

    • Pushing volume seems inappropriate

      Focus on appropriate-use criteria.

    Evidence

    • HiringSenior Product Marketing Manager - Plaque (posted October 12, 2026): plans and executes "Plaque Analysis marketing strategy to drive adoption and utilization with the Heartflow field team", must "Understand barriers-to-adoption", and needs experience "translating complex clinical evidence and health economics data" for imaging cardiologists, radiologists, general and interventional cardiologists and "CV line Administrators".Source
    • Investor resultsSecond quarter 2026: revenue of $64.1 million, up 48%; U.S. revenue $59.6 million, up 51%; full-year revenue guidance raised to $246-$250 million.Source
    • HiringField hiring (job board, October 21, 2026): 58 of 106 open roles are in US Sales, including 50 Territory Account Manager roles from Albany to Yonkers posted since mid-September, plus Territory Sales Managers and Regional Business Managers; market access is hiring Field Reimbursement Managers (Northeast, Southwest) and a Payer Relations Manager (Central).Source
  • 14

    The channel has 36 videos and 1,380 subscribers, and the site already hosts Plaque clinical guide videos. The social lead owns YouTube.

    Medium impactMedium effort First result in 1 quarter Sr. Manager

    First action

    Upload the clinical guide videos as a playlist.

    How to measure it

    Series views

    Now
    –
    Target
    20,000 a quarter
    By
    2 quarters

    Steps

    1. 1

      Playlist

      Guide videos.

      Sr. Manager, Social Media & Communications 1 week

    2. 2

      Add cases

      Physician users.

      Medical Affairs 1 month

    3. 3

      Package

      Titles and chapters.

      Sr. Manager, Social Media & Communications 2 weeks

    4. 4

      Review

      Compliance.

      Medical Affairs 1 week

    5. 5

      Share

      Rep emails.

      Territory Account Manager ongoing

    6. 6

      Measure

      Views and watch time.

      Sr. Manager, Social Media & Communications monthly

    First result
    1 quarter
    Cost
    Production time
    Owner
    Sr. Manager, Social Media & Communications

    Smallest test

    Publish the first three episodes.

    Why it works

    Package the guides as a numbered series with case walk-throughs from physician users, add chapters and descriptions, and link from rep emails.

    Clinicians learn by cases, and a series gives reps a reason to follow up.

    Risks and how to handle them

    • Patient privacy in cases

      De-identify every case.

    Evidence

    • YouTubeHeartflow's YouTube channel: 1,380 subscribers, 36 videos and about 376,000 total views. The site has Plaque clinical guide videos at /plaque-clinical-guide-videos/.Source
    • HiringSr. Manager, Social Media & Communications (posted September 8, 2026): owns organic and paid social across "LinkedIn, X, YouTube, and Instagram", the "Healthcare Provider (HCP) engagement program", and will "Reactivate and grow employee engagement on social channels", with content meeting "brand and compliance standards" with Medical Affairs.Source
  • 15

    The site has a Plaque Calculator that gives age- and sex-based percentiles for plaque volumes, but it is not linked from the main navigation. Free tools attract clinicians who are curious but not yet ordering.

    Medium impactLow effort First result in 1 month Senior Product Marketing Mana…

    First action

    Check calculator traffic today.

    How to measure it

    Calculator sessions

    Now
    –
    Target
    1,500 a month
    By
    2 quarters

    Steps

    1. 1

      Link

      Plaque pages.

      Web team 1 day

    2. 2

      Explain

      Short guide.

      Senior Product Marketing Manager - Plaque 1 week

    3. 3

      Rep option

      Contact link.

      Web team 1 day

    4. 4

      Promote

      Social.

      Sr. Manager, Social Media & Communications ongoing

    5. 5

      Track

      By region.

      Web team monthly

    6. 6

      Follow up

      High-use regions.

      Territory Account Manager monthly

    First result
    1 month
    Cost
    $0
    Owner
    Senior Product Marketing Manager Plaque

    Smallest test

    Add the link to the Plaque page.

    Why it works

    Link the calculator from Plaque pages and social, add a short explanation and a "talk to your rep" option, and track use by region.

    A useful tool keeps Heartflow in front of clinicians between rep visits.

    Risks and how to handle them

    • Used outside its purpose

      Keep the reference and limits visible.

    Evidence

    • Your websiteHomepage: "> 750 K Patients Treated", "> 1,800 Institutions", "> 625 Peer-reviewed Publications", "99.5 % of US Lives Covered"; featured news that Plaque Analysis is "Now Supported by Scientific Statements From American College of Cardiology and American Heart Association". The coverage pages cite the DECIDE Registry of about 22,000 patients at over 30 US centers: "Over 50% of Patients had medical management changed" and "~1/3 of Patients with CAC 0 had a change in management". A Plaque Calculator gives age- and sex-based plaque percentiles; Plaque Staging is labelled investigational.Source
    • HiringSenior Product Marketing Manager - Plaque (posted October 12, 2026): plans and executes "Plaque Analysis marketing strategy to drive adoption and utilization with the Heartflow field team", must "Understand barriers-to-adoption", and needs experience "translating complex clinical evidence and health economics data" for imaging cardiologists, radiologists, general and interventional cardiologists and "CV line Administrators".Source

Big bets 3

Larger plays that can change the trajectory.

  • 16

    The partnerships role is asked to develop direct-to-consumer and hybrid models where advanced imaging is pursued outside insurance coverage. People interested in prevention need a clear price and a place to go.

    High impactHigh effort First result in 4 quarters Sr. Director/VP

    First action

    Find two imaging partners willing to set a package price.

    How to measure it

    Cash-pay tests in pilot metros

    Now
    –
    Target
    1,000
    By
    4 quarters

    Steps

    1. 1

      Find partners

      Two metros.

      Sr. Director/VP, Strategic Partnerships 1 quarter

    2. 2

      Set package

      Price and referral path.

      Sr. Director/VP, Strategic Partnerships 1 month

    3. 3

      Legal review

      Pricing and advertising rules.

      Legal 1 month

    4. 4

      Launch page

      With Finder.

      Web team 1 month

    5. 5

      Promote

      Partners and social.

      Sr. Manager, Social Media & Communications 1 quarter

    6. 6

      Measure

      Tests and outcomes.

      Sr. Director/VP, Strategic Partnerships monthly

    First result
    4 quarters
    Cost
    Partner marketing
    Owner
    Sr. Director/VP, Strategic Partnerships

    Smallest test

    Publish a package with one site.

    Why it works

    Pilot a published-price CCTA plus Plaque Analysis package with partner imaging sites in two metros, booked through physician referral, with results reviewed by a physician.

    A simple offer turns prevention interest into tests and builds evidence for the preventive market.

    Risks and how to handle them

    • Appropriate use

      Physician referral and review for every test.

    Evidence

    • HiringSr. Director/VP, Strategic Partnerships (posted September 8, 2026): "Heartflow's next strategic growth driver relies on reaching people long before they become a cath-lab patient" through "wearables and longevity platforms, concierge and executive health networks, and physician practice groups" (examples named: Oura, Whoop, MDVIP, PPA); the role will "Develop cash-pay and hybrid commercial models (concierge medicine, executive health, longevity clinics, direct-to-consumer)" for preventive cardiology "pursued outside of traditional insurance coverage".Source
    • Your websitePatient section: Understanding CAD, Why Heartflow, four patient stories and Find a Physician ("Not all sites will be listed right away"). There is no page for preventive or cash-pay testing, concierge or longevity clinics. Why Heartflow says the test "has been delivered to more than 650,000 patients at over 1,800 institutions", while the homepage says "> 750 K Patients Treated"; Why Heartflow, Patient Stories and Find a Physician have no meta description.Source
    • Your websiteReimbursement Resources ("View reimbursement by state") lists final CY 2026 rates: hospital outpatient CCTA $356, FFRCT $877 and Plaque $950; physician office CCTA $326, FFRCT $887 and Plaque $1,021 (global rates).Source
  • 17

    Heartflow Support helps sites build and grow CCTA programs, and the Finder is where patients look. A recognised program designation would reward sites and help patients choose.

    High impactHigh effort First result in 4 quarters Chief Commercial Operations &…

    First action

    Draft criteria with three high-volume sites.

    How to measure it

    Designated CCTA programs

    Now
    –
    Target
    200
    By
    4 quarters

    Steps

    1. 1

      Draft criteria

      With sites.

      Clinical Support lead 1 month

    2. 2

      Legal review

      Designation wording.

      Legal 1 month

    3. 3

      Build Finder feature

      Badge and ranking.

      Web team 1 quarter

    4. 4

      Enroll sites

      Reps.

      Territory Account Manager 2 quarters

    5. 5

      Promote

      Sites and social.

      Sr. Manager, Social Media & Communications ongoing

    6. 6

      Measure

      Finder clicks and volume.

      Web team quarterly

    First result
    4 quarters
    Cost
    Build time
    Owner
    Chief Commercial Operations & Customer Success Officer

    Smallest test

    Pilot with ten sites in one region.

    Why it works

    Define program criteria (volume, turnaround, reader training, Plaque availability), show qualifying sites first in the Finder, and give them a badge and a launch kit.

    Sites gain demand, Heartflow gains loyal programs, and patients find experienced centres.

    Risks and how to handle them

    • Seen as endorsement

      Base it on transparent criteria.

    Evidence

    • Your websiteHomepage: "> 750 K Patients Treated", "> 1,800 Institutions", "> 625 Peer-reviewed Publications", "99.5 % of US Lives Covered"; featured news that Plaque Analysis is "Now Supported by Scientific Statements From American College of Cardiology and American Heart Association". The coverage pages cite the DECIDE Registry of about 22,000 patients at over 30 US centers: "Over 50% of Patients had medical management changed" and "~1/3 of Patients with CAC 0 had a change in management". A Plaque Calculator gives age- and sex-based plaque percentiles; Plaque Staging is labelled investigational.Source
    • Your websitePatient section: Understanding CAD, Why Heartflow, four patient stories and Find a Physician ("Not all sites will be listed right away"). There is no page for preventive or cash-pay testing, concierge or longevity clinics. Why Heartflow says the test "has been delivered to more than 650,000 patients at over 1,800 institutions", while the homepage says "> 750 K Patients Treated"; Why Heartflow, Patient Stories and Find a Physician have no meta description.Source
    • HiringSenior Product Marketing Manager - Plaque (posted October 12, 2026): plans and executes "Plaque Analysis marketing strategy to drive adoption and utilization with the Heartflow field team", must "Understand barriers-to-adoption", and needs experience "translating complex clinical evidence and health economics data" for imaging cardiologists, radiologists, general and interventional cardiologists and "CV line Administrators".Source
  • 18

    Heartflow cites more than 625 peer-reviewed publications, and the PMM roles must translate clinical evidence for many audiences. A library with short summaries serves reps, physicians and AI assistants that answer clinical questions.

    High impactMedium effort First result in 3 quarters Medical Affairs

    First action

    Tag the 50 most-cited publications.

    How to measure it

    Library sessions

    Now
    –
    Target
    5,000 a month
    By
    3 quarters

    Steps

    1. 1

      Tag

      50 studies first.

      Medical Affairs 1 month

    2. 2

      Summarize

      Two lines each.

      Medical Affairs 1 month

    3. 3

      Build library

      Search and filters.

      Web team 1 month

    4. 4

      Link

      Product pages.

      Web team 2 weeks

    5. 5

      Extend

      All publications.

      Medical Affairs 2 quarters

    6. 6

      Measure

      Use by reps and visitors.

      Web team monthly

    First result
    3 quarters
    Cost
    Staff time
    Owner
    Medical Affairs

    Smallest test

    Publish the first 50.

    Why it works

    Tag each publication by product, population and outcome, add a two-line summary, and make it searchable; link the most relevant studies from every product page.

    Evidence is Heartflow's strongest differentiator against newer plaque tools, and findable evidence gets cited.

    Risks and how to handle them

    • Summaries overstate findings

      Medical review for each.

    Evidence

    • Your websiteHomepage: "> 750 K Patients Treated", "> 1,800 Institutions", "> 625 Peer-reviewed Publications", "99.5 % of US Lives Covered"; featured news that Plaque Analysis is "Now Supported by Scientific Statements From American College of Cardiology and American Heart Association". The coverage pages cite the DECIDE Registry of about 22,000 patients at over 30 US centers: "Over 50% of Patients had medical management changed" and "~1/3 of Patients with CAC 0 had a change in management". A Plaque Calculator gives age- and sex-based plaque percentiles; Plaque Staging is labelled investigational.Source
    • HiringSenior Product Marketing Manager - Plaque (posted October 12, 2026): plans and executes "Plaque Analysis marketing strategy to drive adoption and utilization with the Heartflow field team", must "Understand barriers-to-adoption", and needs experience "translating complex clinical evidence and health economics data" for imaging cardiologists, radiologists, general and interventional cardiologists and "CV line Administrators".Source
    • Competitor researchRivals' own homepages: Cleerly's "AI-enabled coronary artery disease diagnostic tools identify, characterize, and quantify plaque, stenosis and ischemia likelihood from coronary CT scans"; Caristo's CaRi-Heart "uncovers coronary inflammation, atherosclerosis, and plaque progression on cardiac CT".Source

Wildcards 3

Unexpected experiments, each with a cheap way to test it.

  • 19

    Patients now ask assistants "what is a CCTA", "is a stress test enough", "what is FFRCT". Heartflow's patient pages are short and some lack descriptions, so assistants may cite others.

    Medium impactLow effort First result in 1 quarter Content lead

    First action

    List 20 questions from search data.

    How to measure it

    Citations in AI answers for 20 questions

    Now
    –
    Target
    10
    By
    2 quarters

    Steps

    1. 1

      Pick questions

      Search data.

      Content lead 1 week

    2. 2

      Write answers

      Plain language.

      Content lead 2 weeks

    3. 3

      Review

      Medical.

      Medical Affairs 2 weeks

    4. 4

      Publish

      FAQ markup.

      Web team 1 week

    5. 5

      Check citations

      Monthly.

      Content lead monthly

    6. 6

      Update

      Quarterly.

      Medical Affairs quarterly

    First result
    1 quarter
    Cost
    Staff time only
    Owner
    Content lead

    Smallest test

    Publish five answers.

    Why it works

    Publish an approved FAQ of 20 patient questions with clear answers, sources and a Finder link, marked up as FAQ.

    Clear, sourced answers are what assistants quote.

    Risks and how to handle them

    • Medical advice concerns

      Every answer points to a physician.

    Evidence

    • Your websitePatient section: Understanding CAD, Why Heartflow, four patient stories and Find a Physician ("Not all sites will be listed right away"). There is no page for preventive or cash-pay testing, concierge or longevity clinics. Why Heartflow says the test "has been delivered to more than 650,000 patients at over 1,800 institutions", while the homepage says "> 750 K Patients Treated"; Why Heartflow, Patient Stories and Find a Physician have no meta description.Source
    • Your websiteHomepage: "> 750 K Patients Treated", "> 1,800 Institutions", "> 625 Peer-reviewed Publications", "99.5 % of US Lives Covered"; featured news that Plaque Analysis is "Now Supported by Scientific Statements From American College of Cardiology and American Heart Association". The coverage pages cite the DECIDE Registry of about 22,000 patients at over 30 US centers: "Over 50% of Patients had medical management changed" and "~1/3 of Patients with CAC 0 had a change in management". A Plaque Calculator gives age- and sex-based plaque percentiles; Plaque Staging is labelled investigational.Source
  • 20

    The Workflow role covers referrals and referring physicians. Patients referred for CCTA with Heartflow often do not know what to expect.

    Medium impactLow effort First result in 1 month Senior Product Marketing Mana…

    First action

    Draft the handout.

    How to measure it

    Kit downloads

    Now
    –
    Target
    500 a quarter
    By
    2 quarters

    Steps

    1. 1

      Draft

      Handout and checklist.

      Senior Product Marketing Manager - Workflow 1 week

    2. 2

      Review

      Medical.

      Medical Affairs 1 week

    3. 3

      Design

      Print and PDF.

      Web team 1 week

    4. 4

      Publish

      Resource Kit.

      Web team 1 day

    5. 5

      Distribute

      Reps.

      Territory Account Manager ongoing

    6. 6

      Measure

      Downloads.

      Web team monthly

    First result
    1 month
    Cost
    Design time
    Owner
    Senior Product Marketing Manager Workflow

    Smallest test

    Give 100 copies to one practice.

    Why it works

    Create a one-page patient handout and a referral checklist for physicians, available in the Marketing Resource Kit and from reps.

    Prepared patients arrive, and physicians refer more when it is simple.

    Risks and how to handle them

    • Out of date

      Review twice a year.

    Evidence

    • HiringSenior Product Marketing Manager - Workflow (posted October 2, 2026): messaging for how the platform "fits into and improves clinical and administrative workflows (ordering, reporting, care coordination, referrals)" for cardiologists, radiologists, "referring physicians, hospital administrators, and health system IT/ops stakeholders", plus "demo scripts, workflow diagrams, ROI/value materials, case studies".Source
    • Your websitePatient section: Understanding CAD, Why Heartflow, four patient stories and Find a Physician ("Not all sites will be listed right away"). There is no page for preventive or cash-pay testing, concierge or longevity clinics. Why Heartflow says the test "has been delivered to more than 650,000 patients at over 1,800 institutions", while the homepage says "> 750 K Patients Treated"; Why Heartflow, Patient Stories and Find a Physician have no meta description.Source
  • 21

    The social role is asked to "Reactivate and grow employee engagement", and dozens of new reps are starting across the country. Local posts about a new CCTA program reach local physicians.

    Medium impactLow effort First result in 1 month Sr. Manager

    First action

    Write three templates.

    How to measure it

    Employee posts per month

    Now
    –
    Target
    100
    By
    2 quarters

    Steps

    1. 1

      Templates

      Three.

      Sr. Manager, Social Media & Communications 1 week

    2. 2

      Approval path

      Fast review.

      Medical Affairs 1 week

    3. 3

      Train reps

      Short session.

      Manager, Digital Learning & Program Development 1 week

    4. 4

      Launch

      All reps.

      Sr. Manager, Social Media & Communications ongoing

    5. 5

      Measure

      Reach by territory.

      Sr. Manager, Social Media & Communications monthly

    6. 6

      Celebrate

      Top posts.

      Sr. Manager, Social Media & Communications monthly

    First result
    1 month
    Cost
    Staff time only
    Owner
    Sr. Manager, Social Media & Communications

    Smallest test

    Pilot with ten reps.

    Why it works

    Give reps approved post templates for site launches and evidence cards, with a quick approval path, and track reach by territory.

    Local, personal posts reach the clinicians reps serve.

    Risks and how to handle them

    • Compliance

      Templates only.

    Evidence

    • HiringSr. Manager, Social Media & Communications (posted September 8, 2026): owns organic and paid social across "LinkedIn, X, YouTube, and Instagram", the "Healthcare Provider (HCP) engagement program", and will "Reactivate and grow employee engagement on social channels", with content meeting "brand and compliance standards" with Medical Affairs.Source
    • HiringField hiring (job board, October 21, 2026): 58 of 106 open roles are in US Sales, including 50 Territory Account Manager roles from Albany to Yonkers posted since mid-September, plus Territory Sales Managers and Regional Business Managers; market access is hiring Field Reimbursement Managers (Northeast, Southwest) and a Payer Relations Manager (Central).Source

03

How Programmable can help

Where an idea in this playbook is something Programmable builds or runs, it's listed here with what we'd do. Everything else is yours to run.

Have it built

ProgrammableAgency

1 of the 21 ideas are things Programmable builds and runs for its customers: pages, outreach, prospect lists, booking flows and monitors. Pick one, or send the whole list.

Prospect lists1The list compiled from public sources, verified, deduplicated and delivered to your CRM.

A 30-minute session with the engineer who would build it, not a sales call. You leave with a plan whether or not you hire us.

Book a working session

Usually live within days.

Tools for the rest

ProgrammableDigital

Show it, don't just describe it

These ideas need something to show: a demo, a video, an animation, graphics or a deck. Digital turns screenshots or the site into all of them, in the company's own brand.

Make a demo (opens programmable.digital in a new tab)
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  • Artifact growth strategyA collaborative, version-controlled ECAD tool for electrical systems and wire harnesses. It builds the system from a parts library and…23 growth ideas

See every playbook and website review

Independent research. Programmable wrote this playbook from public sources, as they stood on October 22, 2026, and cites them throughout. Heartflow did not commission, review or endorse it, and Programmable is not affiliated with Heartflow. Company and product names are trademarks of their owners, used only to identify them. The ideas are suggestions and opinion, not professional, legal or financial advice, and not statements about how Heartflow runs its business.

Something wrong, or do you represent Heartflow? Email [email protected] and we will correct it or take it down.

30/60/90 roadmap

What to focus on in each month, and the ideas that carry it.

  1. Days 1 to 307 ideas

    State coverage pages, homepage speed, consistent figures, the revenue calculator, Finder listings and weekly evidence posts; start the rep post templates.

  2. Days 31 to 6011 ideas

    Preventive clinic page, a partner pilot, the calcium-score explainer, workflow pages, the app decision, the rep launch kit, utilization plays, YouTube and the calculator; the patient FAQ and referral packet.

  3. Days 61 to 903 ideas

    Commit to the big bets: a cash-pay package, designated CCTA programs and the evidence library.

The research behind the plan

3 research areas, each summarised in a few lines. Open any of them for the full detail.

Customers

What customers say

Customers value non-invasive answers from one CCTA. The most cited problem: coverage and reimbursement questions.

  • Clinical evidence behind the test
  • Fitting a new test into workflow
  • In their words: “CCTA”

Market

Competitive landscape

3 competitors compared: Cleerly, Caristo and Stress testing and SPECT.

  • Gap to exploit: Preventive and cash-pay plaque testing
  • Cleerly: Less established reimbursement history
  • Caristo: Earlier in the US

Hiring signals

Heartflow is scaling its field to grow Plaque Analysis.

  • Senior Product Marketing Manager - Plaque: Plaque adoption and utilization. Ideas 1, 4, 9, 13, 15.
  • Territory Account Manager (about 50 territories): National field expansion. Ideas 1, 5, 12, 21.
  • Field Reimbursement Manager - Northeast: Coverage support by region. Idea 1.

From the team that wrote this playbook

All products
  • ProgrammableAgencyWorking AI systems in days, not quarters (opens programmable.agency in a new tab)
  • ProgrammableInfoAn agent that finds, researches and asks first (opens programmable.info in a new tab)
  • ProgrammableDigitalScreenshots in, an animated product demo out (opens programmable.digital in a new tab)
  • ProgrammableWatchKnow the day a supplier falls out of compliance (opens programmable.watch in a new tab)
  • ProgrammableTalkGet registrants for your events, and know who’s coming (opens programmable.talk in a new tab)
  • ProgrammablePageText what you need, your customer gets a page that works (opens programmable.page in a new tab)
  • ProgrammableCommunityForums with labelled AI members, never empty (opens programmable.community in a new tab)
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