Healthcare products and the decisions behind them.

I build healthcare products and decision systems for regulated environments.

I've led product work that enabled 110 million clinician visits at Doximity, co-founded Andwise serving 1,200+ physicians, and directed care programs across surgery, oncology, and behavioral health. The same problem kept showing up: consequential decisions that were hard to trace, correct, or coordinate.

What I've worked on → Background →

Available now for Q3 2026 — select advisory and fractional work.

Selected work

Case study

2021–2022

Care navigation that cut avoidable escalations

Led product work across value-based specialty-care and care-navigation programs (Surgery, Urgent Care, Behavioral Health, Oncology Care).

Guidance was fragmented across programs, so every case was an exception.Managed product managers and senior product managers across specialty-care programs.

Case study

2022–2024

Andwise: fiduciary planning & physician support

Co-founded Andwise, raising $240K, growing to 1,200+ physician users and a 700-member community with a 50+ physician advisory board.

Clinicians needed financial guidance without sales pressure.Fiduciary duty, compliance review, and physician context had to work together.

Case study

2013–2017

Verified caller ID for HIPAA-conscious telehealth

Patients ignored calls from unknown numbers, stalling telehealth. Dialer showed the doctor's office number — verified and HIPAA-safe.

Patients ignored unknown numbers, blocking telehealth adoption.HIPAA privacy, carrier rules, and clinician adoption needed to work together.

See all work →

Also building

Venture

NextConsensus Developing venture NextConsensus is a current venture developing source-traced evidence briefs for disputed healthcare claims. It is designed for teams reviewing coverage, formulary, market-access, safety, regulatory, or diligence decisions in the gap between emerging evidence and formal institutional consensus.

Venture

Whether Concept & project scoping A project to translate macroeconomic and market signals into operating posture for leadership teams.

Framework

Ethotechnics A governance-aware product method for designing safe exits, override paths, escalation loops, and correction mechanisms in complex workflows.

Framework

The Crumple Zone Writing on institutional burden, proof, delay, healthcare synthesis, and systems that absorb failure by routing it onto people.

Open source

Refract Provenance infrastructure

Open source

Stims Music visualizer

Open source

BREAD FM Music archive

Frameworks & research

I think about how systems hide burden and make failure hard to correct.

Framework

Product method

Ethotechnics

A governance-aware product method for designing safe exits, override paths, escalation loops, and correction mechanisms in complex workflows.

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Explore method →

Framework

Field writing

The Crumple Zone

Writing on institutional burden, proof, delay, healthcare synthesis, and systems that absorb failure by routing it onto people.

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Read essays →

Framework

Policy proposal

Proof-Based Governance for Algorithmic and Automated Systems (v1.2)

A proposal for making automated decisions easier to review, challenge, and update in production.

v1.2 · April 2026 · Policy draft

Review proposal context →

Labs & open-source

Small public projects around provenance, music visualization, and community archives.

Open source Provenance infrastructure Refract Structured change events from MediaWiki revision histories. Open source Music visualizer Stims MilkDrop-inspired music visuals built for immediate browser playback. Open source Signal lab Whether Macro signal translation into bounded decisions and weekly artifacts. Open source Music archive BREAD FM Public archive for the BREAD music collective and its event history. Open source Publishing stack The Crumple Zone Field writing on systems, burden, neurodivergence, and institutional repair.

If you're working on something in healthcare product, evidence review, or regulated decision systems — or if something here resonated — I'd like to hear about it.

[email protected]