Kyle Seyler
July 15, 2025

Continuity of care, strong healthcare systems, and patient–provider trust. If you’ve worked in healthcare or an adjacent field, these concepts will be familiar principles that lead to better patient outcomes. Research consistently shows that when patients have continuous, coordinated care and a trusting relationship with providers, they experience better health results (e.g. fewer hospital admissions and higher satisfaction). Making sure we provide timely, high-quality services to those in need, and establishing the infrastructure for a healthy society, are central to the mission of healthcare organizations. In today’s digital health landscape, effective communication underpins all of these ideals.
Over the past few years, healthcare technology companies have stepped up to the plate with innovative solutions to elevate care. From on-demand telemedicine platforms to digital therapeutics for chronic conditions, these new tools are transforming how patients receive care. For example, digital health programs for musculoskeletal pain have enabled virtual physical therapy and coaching at scale – one large study found a 69% reduction in patient pain levels using a digital therapy technology (Bailey JF et al, 2020). Major health plans are embracing these innovations as well (one major insurance company recently partnered with a digital therapeutics provider to tackle chronic back pain), illustrating how even traditional insurers are leveraging technology to improve outcomes.
And it’s not just direct patient care – startups are modernizing critical healthcare operations, like staffing marketplaces that ensure nursing shifts are filled promptly, or remote patient monitoring systems that alert clinicians to health issues in real time.
They need a responsive, multichannel, and personalized notification infrastructure to keep pace with modern care delivery.
A telehealth visit only improves continuity if the patient actually receives their appointment reminder and video link on time. A health coaching app is only as effective as its ability to nudge the user with the right reminder at the right moment. Even a staffing platform must instantly notify clinicians about schedule changes or open shifts to maintain seamless coverage. In short, real-time communication is the connective tissue of digital healthcare – and without a robust notifications system, even the best health tech innovation can fall flat.
A well-executed digital communication strategy can mean the difference between smooth care and a serious gap in a patient’s well-being. Improved patient communication has been linked to lower hospital readmission rates and better adherence to medical regimens. In fact, push notifications and text messages are now considered indispensable pieces of the digital healthcare experience, connecting providers and patients across every stage of the journey. These notifications bridge the gaps in care that historically led to missed appointments, forgotten medications, or missed test results. They help patients maintain access to resources, improve treatment adherence between visits, and above all, foster a sense of connectedness between patients and their care teams.
A 2023 systematic review of 61 studies concluded that SMS, phone or mail reminders “significantly reduced non-attendance” across outpatient settings (Werner, et al., 2023). Medication reminders for chronic disease management sent over push notification and SMS text, nearly doubled treatment accuracy (JAMAIA, 2016). Lab result notifications alert patients when new test results are ready, speeding up the feedback loop.
Even simple wellness tips or check-in messages can make patients feel cared for beyond the clinic walls, reinforcing trust in their providers. All of these touchpoints, powered by a flexible notifications system, contribute to the core pillars of quality care – making care more timely, patient-centered, and effective. As one industry analysis put it, bridging communication gaps with tech can directly improve physical and emotional health outcomes for patients.
Looking forward, the role of notifications will only grow in advancing the pillars of quality care. Imagine more healthcare platforms leveraging AI to send personalized health alerts: systems that automatically detect when a patient’s wearable device reports an anomaly and instantly ping the care team to intervene. This level of proactive, timely communication can literally save lives by catching issues early. Notification infrastructure will also support equity in care—by reaching patients on their preferred channels and languages, tech can engage populations who might otherwise fall through the cracks (Obi-Jeff, et al., 2022).
In essence, a multichannel notification pipeline ensures the right information reaches the right person at the right time.
At Courier, we’ve built a unified API platform that simplifies sending multi-channel notifications at scale—because we believe timely, personalized communication is critical to delivering quality care.
For developers and CTOs in the healthcare space, implementing a notification system comes with unique challenges. A common question is whether to build an in-house notification engine or use a third-party service . On one hand, building from scratch gives full control—some teams design systems where each notification is a database record that can route messages via push, email, or SMS based on availability. They craft custom code to track delivery status and user engagement (sent, received, clicked, etc.), and to remove or update notifications in real time as context changes. On the other hand, re-inventing this wheel is complex and time-consuming.
Developers are frequently pulled away from building their core product as they struggle with the complexity of managing multi-channel preferences and deliverability. The ideal solution should handle the heavy lifting with templating, queuing, multi-channel routing, and logging, so engineers can focus on the core healthcare product.
Compliance and data privacy represent non-trivial concerns for healthcare development teams. Any technology that deals with protected health information (PHI) must be done in a HIPAA-compliant manner.
PHI must be carefully sanitized and protected. But in addition to content safeguards, developers need to ensure whatever notification service they use will sign a Business Associate Agreement (BAA) and follow HIPAA security standards for data handling. This added scrutiny is a critical step to ensure patient privacy, but can be difficult to manage if you’re building from scratch. Note: Courier invested in HIPAA compliance early on – so that healthcare developers can use our notification API knowing it meets the necessary regulatory bar .
Finally, there’s the matter of scale. Healthcare notifications can be mission-critical – an urgent surgery update or a medication alert cannot be delayed or lost. If you’re a small startup CTO, you might worry: can my notification system handle sudden surges and deliver each message promptly? This is where leveraging a proven platform is invaluable.
A service like Courier is built to ensure every notification is delivered on time, even as you scale to millions of messages. It also provides built-in user preference management and unsubscribe handling , so your users can control how they receive updates (email, SMS, push, etc.) without you writing custom preference logic from scratch. In short, modern notification infrastructure abstracts away the undifferentiated heavy lifting – from multi-channel delivery to compliance and user preferences – letting healthcare developers focus on building features that improve patient care.
Healthcare developers today have a daunting task: deliver cutting-edge digital health experiences and ensure ironclad communication with patients and providers. The good news is you don’t have to do it alone. Courier’s API-first notification layer offers the speed, reliability, and personalization that modern healthcare apps demand – without the engineering overhead. With one integration, you gain access to email, SMS, push, chat, and in-app notifications, all unified under a single service. Our system is designed with privacy in mind (HIPAA-compliant options, secure handling of data) and gives you fine-grained control over messaging workflows and user preferences out of the box.
Ready to elevate your healthcare application’s communication game? Empower your team to focus on what truly matters – building life-changing healthcare solutions – and let Courier handle the delivery of your critical messages. Sign up for a free account or request a demo today to see how a modern notification infrastructure can help you provide better, safer care through reliable communication.

Top Platforms for Preference Management in 2025
73% of users unsubscribe from poorly targeted notifications. The problem: preference logic is scattered across marketing platforms, product notification systems, and multiple providers that don't talk to each other. Most preference tools handle marketing OR product notifications, not both. This guide compares 9 platforms for 2025, evaluating integration depth, compliance support (GDPR, CAN-SPAM, TCPA), and multi-channel capabilities across email, SMS, push, chat, and in-app. Includes SDK references, implementation examples, and MCP setup for AI-assisted configuration. Best for teams planning Q1 notification infrastructure improvements.
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