Most organizations start with the tool. Fortress starts with the operating conditions required for value. We define the problem, establish process ownership, stabilize the workflow, confirm the economic case, and build governance into the work. Only then does Fortress Managed AI Workforces deploy governed digital workers. Healthcare Operations is the flagship application of this model, beginning with revenue-cycle and administrative work where performance and financial value can be measured. Insurance is the logical next vertical because many of the same controlled, document-heavy, queue-based capabilities apply.