When AI can generate every note, letter, and claim for free — the last thing worth paying for is a human who will sign it.
That is the whole bet. I build the accountable layer of healthcare AI — the named clinician, the owned record, the signed outcome — across a portfolio of products that are already live.
Everyone is automating the work. We own the part that has to answer for it.
The model, the harness, and the plumbing are collapsing to one monthly subscription.
Every vendor — OpenAI, Anthropic, Google, xAI — now ships the model, the agent, and the cloud computer as one bundled commodity. In healthcare that means the draft is about to be free: the note, the prior-auth letter, the billing code, the care plan. The scarce thing is no longer the ability to produce them.
When the draft is free, the signature is the business.
AI commoditizes the tool, the model, and the plumbing. It can’t commoditize four things.
We build on those. Only those.
A clinical translator who grew a vertical from zero — and now ships the code himself.
MD, twenty years at the boundary between surgeons and technology. I built BrainLAB’s orthopedic navigation vertical from zero across two continents; five patents in image-guided navigation. Part of three healthcare acquisitions — InVivoLink (HCA Healthcare), PumpOne (Anytime Fitness), Disior (Paragon 28). I’m a translator by training — MD-trained, not a practicing surgeon — fluent with surgeons, health systems, and reimbursement.
The person who used to advise the founders now builds the things — the clinical judgment and the production software in the same week.
Each product proves one face of the same bet. SolvingHealth is the platform beneath them.
Different doors. One engine: draft with AI, sign with a human, own the record.
The giants own scale. They structurally can’t own the signature.
A model vendor cannot be the accountable clinician. A claims giant cannot sit with your mother. The defensible layer is the one no amount of capital or compute can buy: a named human’s accountability, the owned outcome ledger, and the network of both. Competitors ship the automation in a weekend now — and that is exactly why the automation was never the moat.
The medical record bills. Ours proves — and answers to someone.
Live products, not a deck.
SurgeonValue catches the codes an EHR template skips. ClinicalSwipe turns AI output into signed, billable physician attestations. co-op.care is standing up its first family circle in Boulder — a worker-owned cooperative that finds the public dollars most families already qualify for and never claim.
Honest state: early, and deliberately small before it is replicable. No exits yet on this stack — this is the build phase. The three exits above are prior chapters, not this one.
Three things moved at once.
CMS FY2027 rules · KFF Health Information & Trust, 2026 · public filings.
I’m not raising on this page. I’m finding the few people who see the same thing.
This is the whole picture; each product has its own deeper read. If you back the accountable layer of healthcare AI — as an investor, an operator who wants to build it, or a partner with distribution — that is the conversation I’m looking for. Sharpest-question-first. No pitch, no agenda beyond finding out if we see it the same way.
Blaine Warkentine, MD · orthoblaino@gmail.com · Boulder, CO