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Techdome
Case studiesIdentity & Healthcare IntegrationFull Production Federation Live

One login across an entire care ecosystem.

A patient paid, and was then asked to create a second account before a clinician ever saw them. A third of them dropped out. Five vendors — payments, intake, scheduling, community, consultation — now sit behind one unified identity provider, with zero friction and zero lost consultations.

5 → 1
Logins
One credential across every vendor
~2.5 Wks
Won in
Rapid evaluation to kickoff
13 Days
Follow-on SOW
Expansion approved post-milestone
Aug 2026
Go-Live
Ecosystem cutover completed
01 / 05Where users fell out

The most expensive step was the one right after payment.

Conversion was healthy on checkout — the leak occurred immediately afterward at an unexpected second signup.

Patient Drop-Off Audit: The Post-Checkout Leak
✕

Legacy Multi-Account Experience

34% Lost
01
Patient Pays $199 on Stripe100 Patients

Checkout finishes successfully. Patient intent is at its peak.

Step 02: Sudden New Signup Wall−34 Patients Quit

Patient is redirected to a separate medical intake app and asked: "Create username and password." Confused after just paying, 1 in 3 close the tab.

03
Clinical Questionnaire62 Patients Remaining
04
Doctor Video VisitOnly 58 Treated
Net Conversion:58% of paying patients seen
✓

Techdome Unified Care SSO

+82% Retained
01
Patient Pays $199 on Stripe100 Patients

Checkout automatically issues a cryptographically verified patient session.

Step 02: 12ms Instant Session Handoff0 Patients Lost

Patient lands on clinical intake already logged in. Name, email, and plan tier are instantly recognized without a password prompt.

03
Clinical Questionnaire98 Completed
04
Doctor Video Visit91 Patients Treated
Net Conversion:91% of paying patients seen (+33 gained)
Drop-Off Recovery82% EliminatedFrom 34% abandonment down to near-zero
Patient Volume+33 Patients / 100Directly reaching clinicians without refunding
Ecosystem Friction0 Password PromptsAcross 5 clinical vendors from checkout to care
02 / 05One token, five gates

The walls stayed. The second login did not.

Each partner still verifies every request. What was removed is the patient having to prove who they are more than once.

care.healthplatform.com/portal/patient
Patient A-102 · session active
Vendor Application: Typeform Medical

Medical History Questionnaire

12ms Handoff
What The Patient Sees on Screen:

“"Welcome back — we’ve loaded your clinical questionnaire." No second login screen.”

Without Techdome (The Broken Flow)

Patients were hit with a blank registration page: "Create username and password". 34% quit here.

With Techdome Single Sign-On

Session seamlessly carried over. Patient is pre-authenticated in 12ms with zero password prompts.

✕ 4 Barriers CutZero repeated registrations
✓ 1 Global SessionCovers all 5 partner platforms
★ 82% More PatientsReaching physician consultation
03 / 05Protocol bridging

Three protocols, one claim set.

Translating native OIDC, enterprise SAML, and non-SSO video rooms into one unified identity layer.

Signed JWT exchange · Consultation vendorStatus: Bridged

The non-SSO vendor receives short-lived assertions scoped strictly to one appointment. Zero persistent access granted.

04 / 05Payment to care

One webhook, and everything downstream of it.

How a single Stripe charge orchestrates identity, community access, attribution, and clinical intake in 14 milliseconds.

Instant Event Trigger

Patient Checkout Completed

Webhook: payment.confirmed
Step 010ms
Global Identity Minted

Portable IdP account created

Step 02+4ms
Community Tier Unlocked

VIP member access on Circle

Step 03+9ms
S2S Attribution Postback

Ad affiliate loop confirmed

Step 04+14ms
Intake Pre-Authenticated

Typeform pre-loaded, 0 logins

All 4 systems synchronized in 14ms
0 Manual Email Invites · 0 Dropped Leads
Ecosystem Cutover ROI: Before vs. After Federation
Live in Production
Benchmark−82% Attrition Dropped

Post-Payment Drop-Off Rate

Disconnected Signups34% Abandoned
Unified OIDC Federation6.1% Nominal Falloff
Clinical Impact:

82% of previously lost paying patients now convert directly into completed medical questionnaires.

Benchmark80% Credentials Eliminated

Patient Credential Burden

Separate Logins5 Isolated Accounts
Single Token Identity1 Unified Credential
Clinical Impact:

Patients authenticate once on checkout; all 5 care partners recognize the session seamlessly.

BenchmarkZero Waiting Days

Time to Care Delivery

Manual ProvisioningUp to 3 Days Waiting
Instant Webhook Fanout0 Seconds (Real-Time)
Clinical Impact:

Intake and community permissions provision in real time the millisecond Stripe charge clears.

05 / 05Outcomes
-82%
Drop-off between payment and intake

The step that lost a third of paying patients was a second signup. Removing it — rather than optimising it — is what moved the number.

5 → 1
Credentials a patient manages
One identity provider in front of five vendor sub-applications.
~2.5 Wks
Deal to kickoff
Rapid evaluation through to a signed engagement.
13 Days
Follow-on SOW approved
Scope expanded after the first milestone landed.
Aug 2026
Full go-live
Complete ecosystem cutover with no parallel-run period.

This ecosystem is described by sector and region rather than by name, so publishing never waits on a client's sign-off. The figures are unchanged either way.

— / 05Work with us

How many logins stand between your customer and your product?

Every vendor boundary is a place to lose someone. We federate the ones that support it and bridge the ones that don't.

What we ship

  • OIDC & SAML federation
  • Custom token exchange for vendors without SSO
  • Server-to-server attribution
  • Webhook-driven provisioning
  • Multi-vendor cutover with no parallel run
  • Security review and threat modelling