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Healthcare · US · Via agency partner · white-label

Multi-location healthcare:
delivery unblocked.

An agency drowning in backlog handed us their delivery queue. Dedicated team, their brand, their tools: velocity up 85%.

85%
Faster delivery
Cleared
Delivery backlog
At a glance

An agency's work queue for a US healthcare group with many locations: cleared, 85% faster. A dedicated team working under the agency's brand, inside its tools and templates, took over a backlog that put the client relationship at risk. Delivery speed rose 85% and the backlog cleared, all under the agency's brand.

The 20-second versionFull case: 8 min read

A US agency's backlog of work was growing faster than it could clear it, and the client relationship behind it was at risk.

  • Placed a dedicated team inside the agency's own tools and templates
  • Sorted the whole backlog and rebuilt the schedule the client sees
  • Moved quality checks earlier, so work reached the agency ready to send on

Result: 85% faster delivery, with the agency's brand on everything delivered

The result, drawn to scale

Delivery speed,
before and after.

+85%

Delivery speed

Work waiting to be done
Cleared
Whose brand
The agency's, on every piece of work
0100200100185When the agencyhanded us itsqueueOnce our teamwas in place
Indexed so the start of the engagement is 100. Two measured points: the path between them is not drawn, because a straight line would claim a steady climb the record does not show.Period: from the day the agency handed us its queue to the day our team was in place; the record gives no length in months. Source: delivery speed, as recorded while we worked together.
Before and after

The work queue,
before and after.

BeforeAfter
Delivery speedBacklog growing faster than the agency could clear it85% faster delivery
Schedule the client seesDeadlines slipping, the client asking harder questionsRebuilt around what could really be delivered
Handover qualityThe agency's own producers as the last quality checkQuality checks done before handover
The situation

Winning work faster
than it could deliver.

A US agency served a healthcare group with many locations. It had the problem every growing agency hits sooner or later: it was winning work faster than it could deliver it. The backlog had stopped being a queue and become a risk. Deadlines slipped, and the client asked harder questions each month. The account behind much of the agency's revenue was cooling.

The usual fixes were all slow or risky. Hiring takes months and adds fixed cost that stays after the backlog clears. Freelancers make quality uneven and can't be shown to a client as a team. The agency needed extra delivery capacity that looked, to everyone outside, exactly like the agency itself.

So they handed us the queue. Not a project: the whole queue. We gave them a dedicated team under their brand. It worked in their project tracker and templates and joined their daily stand-ups. We promised in writing not to approach their client for direct business. In effect, we became their delivery team, three time zones away.

The approach

How we worked
under their brand.

01

A team set up around their way of working

We joined their tools, their templates and their routine, rather than bringing in ours. The team looks in-house on everything it touches. Anything else would give away that a partner is involved.

First
02

The backlog sorted honestly

We sorted every item in the queue into quick wins, larger structural work and things that should never have been promised. Then we rebuilt the schedule the client sees around what could really be delivered. Credibility came first, heroics second.

First
03

A steady rhythm of work

Predictable sprints, with work sized before it was promised. Speed that spikes and then collapses is worse than speed that is merely steady. The aim was a delivery rhythm the agency could sell with confidence.

Weekly
04

Quality checks before the agency sees anything

The team reviewed and tested everything before handing it over. So the agency's producers no longer had to be the final check. Rework eats agency profit, and catching it early wins that profit back.

Every hand-off
05

Under the agency's brand, by design

Backed by an NDA, with client-protection terms in the contract and a named contact on our side. The healthcare group dealt with its agency throughout. That is the arrangement working as planned.

Contractual
The decisionsThree choices, and what we turned down.Open to read

An agency that hands over its work queue is trusting a stranger with its clients. Most of these decisions are about making that safe, not fast.

A dedicated team, or people drawn from a shared pool?

What we chose

A named team: the same people, project after project, working inside the agency's tools.

What we rejected

Drawing people as needed from a general pool. That is cheaper to staff and keeps our people busier. But it gives the white-label arrangement away: a different stranger each sprint cannot keep track of the client. The agency ends up explaining the client's situation again and again. That is the very work the arrangement was meant to remove.

Work in our systems or theirs?

What we chose

Theirs entirely: their tracker, their templates, their reporting routine, their voice on everything delivered.

What we rejected

Delivering in our own formats and letting the agency repackage the work. That is much easier for us. But it makes them convert every deliverable, and that quietly eats the profit the partnership exists to create.

Clear the backlog fastest, or fix why it built up?

What we chose

Both, in that order. First we took on the immediate queue. Then we fixed how work came in and the order it was taken on, which had let it build up.

What we rejected

Clearing the backlog and stopping there, which is what the brief asked for. But that sets up the same conversation six months later. The backlog was a sign of how work entered the queue, not of how fast it was done.

What shipped

What we delivered,
item by item.

A dedicated delivery teamA stable, named team under the agency's brand, not a changing cast.
The backlog, clearedThe queue that put the account at risk, worked down to zero.
A steady sprint rhythmWork sized before it's promised, and deadlines the agency can sell with confidence.
Quality checks before handoverReviewed, tested work reaching the agency ready to send on.
White-labelled reportingProgress reports in the agency's templates, ready for the client meeting.
Exhibit

Who sees what,
in a white-label set-up.

Our team worked in the agency's own task tracker and templates, and joined its regular team calls. The healthcare group only ever dealt with its agency.

Exhibit · redacted under NDAIllustrative
  1. Layer 1The clientSees: Their agency

    A healthcare group with several locations. Every report, call and piece of work carries the agency's brand.

  2. Layer 2The agencySees: Their own delivery team

    Keeps the client relationship. Its producers pass on work that has already been quality-checked.

  3. Layer 3Our teamSees: The agency's tools

    The same named people, working in the agency's tracker and templates, and on its team calls. They work under an NDA and client-protection terms.

For illustration: the white-label set-up the study describes, with names left out.

We worked with PixelCrayons for around three years, with their developers becoming a genuine extension of our team. Having consistent developers who understood the work and could stay with us over the long term made a real difference to continuity and delivery.

Qubittum (formerly Massive Analytic)Long-term development partner
The hard partsWhat this work really took.Open to read

The first two weeks were slower than either side wanted, and that was the right trade. Working inside someone else's tools, habits and client history takes real time to learn. The alternative is to work fast on guesses. That produces work that must be redone once the guesses prove wrong. In a white-label arrangement, rework is more than a cost: the end client sees it as inconsistency.

In a regulated sector, review cycles set the pace more than delivery capacity did. In healthcare, approvals pass through people whose main job is not marketing. Their queue competes with clinical and legal work that reasonably comes first. A plan built around how fast work is produced, not how fast it is approved, will miss its dates however fast the work is done.

Keeping the partner hidden under pressure is the part nobody plans for. It is easy when everything is on schedule. It is tested the first time something slips. Then someone has to explain it to the end client in the agency's voice, without revealing that a second company exists. So the partner must report a problem early and fully, and the agency can own it in public. That is a habit to build. It does not happen by default.

Does this apply to you?

When this approach
fits, and when it doesn't.

White-label delivery suits some agencies and is wrong for others. It is worth being clear which before anyone signs.

This approach fits if

  • The work repeats: a steady queue, not one overflowing project.
  • The service is close to what you already sell, so you can scope it and review it well.
  • Someone on your side has time to review what the partner delivers.
  • You want to keep the client relationship, not refer it away.

It probably doesn't fit if

  • It is a single one-off project. Managing a partnership is not worth it for one invoice, and a clean referral serves the client better.
  • The work carries licensed or regulated professional liability. Presenting someone else's regulated work under your brand is a risk no profit justifies.
  • Nobody on your side can review the output. Unreviewed white-label work puts your name on a risk you cannot see.

The services behind this result

Extra delivery capacity under your brand is a service you can buy on its own. Here is where to find it.

Want a result like this
on your own numbers?

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