Making sure responsibility moves with healthcare decisions.

I help healthcare teams make important decisions they can explain, challenge, update, and fix.

I work on the gap between "the system says X" and "someone needs to safely rely on, question, update, or reverse X." That usually means clinical workflows, coverage or care-navigation decisions, evidence trails, override paths, and just enough structure to catch mistakes and fix them quickly.

Previously: early product lead on Doximity Dialer (110M+ connections), co-founder of Andwise, director-level product across Transcarent and CancerCompass, Epic EHR implementation.

Case studies → Background →

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

U.S. healthcare has spent 15 years moving decisions into software. My work is about making sure responsibility moves with them.

Case studies

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.

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.

See all work →

Active ventures

Venture

NextConsensus Developing venture NextConsensus checks whether a healthcare claim still holds up before someone uses it to make an expensive decision. Coverage, formulary, market-access, and diligence teams use it to verify that the evidence still supports the claim they're relying on.

Open source

Whether Macro brief

Open source

Refract Source history

Open source

Stims Music visualizer

Frameworks & research

Healthcare products where teams need to know what evidence supports a decision, who owns it, and how to correct it when facts change.

Framework

Product method

Ethotechnics

A product method for designing workflows where people know what changed, who owns the next step, and how to recover when something goes wrong.

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Explore method →

Framework

Policy proposal

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

A proposal for making automated decisions easier to review, challenge, pause, 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 Macro brief Whether A weekly macro brief that turns market and economic signals into practical team guidance. Includes a quantitative model, API, and historical tracking. Open source Source history Refract Structured change events from MediaWiki revision histories - the source history tools used by NextConsensus. Open source Music visualizer Stims MilkDrop-inspired music visuals built for immediate browser playback. 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, hidden work, neurodivergence, and institutional repair. Open source Developer tooling Capability Graph OpenCode capability graph with a Civ-era tech tree — maturity scores, decay tracking, pathfinding.

If you're working on a healthcare AI product that needs to survive real workflow, review, audit, override, and mistakes, I'd like to hear about it.

kanav@kanav.net