113 of 113 works.
The reflex when a business stakeholder derails a technical working session is to stop inviting them. That is almost always the wrong fix. What technical meetings need is rules of engagement, not walls around engineering.
A guide for executives who think every technical problem should already be obvious to the engineering team. Simple after discovery is not the same thing as obvious before discovery, and confusing the two produces terrible management decisions.
Alpha, in investing, is the return you cannot explain by the market. Native Alpha is the business version: the unusual advantage already sitting inside your company, your customers, your data, and your relationships, and the discipline of letting it decide what you build, buy, fund, sell, and stop.
For non-trivial changes to legacy systems, define the business outcome first, then how you will prove the change works, before you estimate or build it. Outcome, evaluation, bounded discovery, incremental implementation, in that order.
Alpha in finance is the return you cannot explain by the market. Here is what that actually means, why investors bother separating skill from luck, and which parts of the idea carry over to running a company and which do not.
AI made building things dramatically cheaper, which quietly destroyed a lot of differentiation that was never real. How to tell commodity execution from differentiated execution, and where to spend the judgment you have left.
First filed 2024-12-11. 1 filing on record with the USPTO.
Enthusiasm inside a company proves nothing. The strength of evidence for an advantage is measured by what somebody outside gave up to act on it, from a compliment at the bottom to a renewal at the top.
The same product can be ordinary for one buyer and transformative for another. Product-asymmetry fit and the Ideal Alpha Profile explain why the customer with the biggest problem is often the wrong customer.
Published in Journal of Diabetes Science and Technology. DOI 10.1177/19322968261480134.
Advantage is contextual, it hides at surprisingly small scales, it needs protection in the place it actually lives, and it expires. How to find it, where to put the fence, and when to admit it is gone.
Reasoning from first principles means stripping a problem down to what you can verify and rebuilding from there. In executive hands it usually means ignoring people with experience. This is the real version, and how it fits with Native Alpha.
Granted as US11880882, US12437338, US12688531, US12694451, first filed 2019-04-25. 5 filings on record with the USPTO.
First filed 2024-11-27. 1 filing on record with the USPTO.
First filed 2024-01-17. 2 filings on record with the USPTO.
Granted as US11769573, US12658290, first filed 2018-10-16. 2 filings on record with the USPTO.
Granted as US12155747, US12652158, first filed 2021-01-14. 2 filings on record with the USPTO.
Systems and methods for executing, orchestrating, and materializing computational workflows from document-based representations. Human-readable documents such as Markdown files carry the documentation, the executable logic, and the structured outputs as one artifact.
Granted as US11423500, US11651459, US12572993, first filed 2019-12-12. 3 filings on record with the USPTO.
Journal of Translational Medicine. Artificial Intelligence (AI) has the potential to impact healthcare across multiple domains. In diabetes, a complex chronic disease affecting 600 million people globally, AI is already being used from primary care to tertiary specialist care to reduce patient and clinician burden. However, for medical AI to be widely implemented and applied specifically to diabetes, such stakeholders as patients, clinicians, healthcare administrators, regulators, and AI developers will need to establish trust in this technology.
Journal of Diabetes Science and Technology. Sharing research code in an open access version-controlled repository offers significant benefits for both science as a whole and for individual researchers. This article focuses on this practice, which is fully aligned with the NIH's Gold Standard Science (GSS) program as well as FAIR (findable, accessible, interoperable, reusable) and TRUST (transparency, responsibility, user focus, sustainability, technology) principles.
A reference lab for biomarkers captured passively from ordinary sensors: voice, gait, respiration, facial expression, wearable and metabolic signals, standardized into panels, reported like any other lab result, and governed by an integrated review board and clinician network.
Software stacks grew taller because human developers needed abstractions, frameworks, libraries, SDKs, and managed services to make difficult work practical. Native AI changes that tradeoff.
Back the clinicians rebuilding care delivery. An intelligence engine built on CMS and claims data decides whether the firm invests in a founder already in motion, takes selective control of an operator worth re-platforming, or builds the company itself.
When every competitor can reach for capable models, coding agents, cloud infrastructure, and increasingly similar technology, producing more software is no longer a sufficient strategy.
An open initiative for scientific research reproducibility. Companion executable source code repositories pair a published paper with the code, data, and documentation needed to reproduce it, turning static publications into living evidence.
An operating system for supervising an accountable digital care operation. A clinical leader reviews decisions, evidence, and billing as a queue of work with owners and dates, instead of hunting through a dashboard for whatever went wrong.
The companion shared service we run when Revenue Engineering is too early. The outcome it owns is proven demand: a named audience, a claim that survives contact with them, and a first step they will actually take.
The companion shared service used before revenue engineering, when a company still has to establish that anyone wants what it sells.
Registered in classes 9, 35 and 42, held by Netspective Communications LLC.
A governed evaluation platform for hospitals and health systems. Instead of a procurement queue full of unranked vendor claims, a health system gets structured evaluation: who has been vetted, on what evidence, against which internal need.
Finds reimbursed demand in healthcare and states it in the terms a business plan needs: the claims-defined cohort, the counties where the gap is largest, the CMS signal that proves it, the CPT and HCPCS codes and bundles that pay for it, and the revenue at stake. It is a shared service to every other venture and the intelligence spine of Fund II.
A healthcare growth and care-access capability that turns fragmented patient demand into timely, scheduled care. The team designs, launches, and operates AI-driven demand intelligence, orchestration, and routing on behalf of provider organizations, filling real provider capacity instead of reporting clicks and leads. The portfolio's ventures draw on it as the shared demand-and-access engine.
Verified practitioner consults delivered online, with a real operating stack behind the booking screen: intake, a longitudinal care record, agents that carry the routine work, a clinician copilot, and the compliance apparatus a regulated consult requires.
An execution layer that turns the Microsoft 365 or Google Workspace a provider already pays for into a working digital front door. The argument is that most organizations do not need to buy more healthcare software; they need the software they own to actually run the work. It serves the portfolio as the shared front-door capability.
An HSA card that pays patients a data dividend for consented, de-identified health data. No surveys, no tracking: the value exchange rides on the card transaction itself. The privacy architecture — HIPAA Expert Determination de-identification, transparent revocable consent, IRB oversight for research partnerships — is the work, not the marketing.
The shared revenue capability every company in the portfolio draws on. We define an outcome, build an AI Workforce™ that owns it end to end, and run it on one platform with the same observability and reporting for every firm.
The shared service that runs go-to-market for portfolio companies, and the software harness behind it.
A continuous clinical research infrastructure platform that reads signals across consented health transaction data for earlier detection and continuous research. Payshent is its funding and consent layer; Symvion is the intelligence layer that turns compensated patient data into detectable signal.
A contrarian, practical leadership book for the technologist who was promoted because they were the best engineer in the room, and is now discovering that the same instinct can make them the organization's most expensive bottleneck.
The CTO title hides radically different jobs. A startup builder, SME technology leader, business-unit CTO, enterprise strategist, and fractional adviser can all be excellent, but not for the same company or moment.
Granted as US9525753, US10320735, US11044221, US11777894, US12401615, first filed 2012-12-12. 6 filings on record with the USPTO.
Journal of Diabetes Science and Technology. New methods of continuous glucose monitoring (CGM) data analysis are emerging that are valuable for interpreting CGM patterns and underlying metabolic physiology. These new methods use functional data analysis and artificial intelligence (AI), including machine learning (ML).
A modular agentic AI platform for autonomous execution of enterprise workflows. An autonomous agent layer holds stateless software agents, each with a task execution engine, an in-memory contextual state manager, an AI model invocation interface, and an input-output normalization module.
How modern engineering teams should evolve their processes, priorities, and incentives to remain relevant in the era of AI, agents and intelligent systems.
It may sound legacy, but email and document-based workflows are the most effective user interface for launching real-world AI solutions. Here's why AI should start where customers already are.
First filed 2025-03-17. 1 filing on record with the USPTO.
AI roadmaps are not just technical plans; they are trust strategies, implementation guides, and accountability tools. In this post, Shahid Shah outlines the essential components of AI roadmaps for governments and mission-driven organizations, and how to evaluate if your roadmap is truly ready for execution.
Filed and under examination in classes 9 and 42, held by Netspective Communications LLC.
A small, working fund that incubates the foundational ventures and shared services the rest of the portfolio will run on: demand intelligence, revenue operations, an execution layer for providers, and ambient measurement.
The claims-defined view of where reimbursed demand actually sits: cohort, county, CMS signal, the codes and bundles that pay, and the revenue at stake. It is the intelligence spine under Fund II, and an asset in its own right.
The firm's operating method, together with the written materials and engagements delivered under the name.
Filed and under examination in classes 42, 35 and 9, held by Netspective Communications LLC.
Our standing argument that the interesting question about AI is not which jobs get faster, but which jobs become possible that nobody was ever staffed to do. It underwrites how all four units pick their work.
Journal of Diabetes Science and Technology. The Diabetes Research Hub (DRH) is a centralized data management system and repository that will revolutionize how diabetes data are gathered, stored, analyzed, and utilized for research. By harnessing advanced analytics for large datasets, the DRH will support a nuanced understanding of physiological patterns and treatment effectiveness, ultimately advancing diabetes management and patient outcomes.
Under the DoD’s CMMC Program, maintaining continuous compliance is crucial, and machine attestation provides the consistency and accuracy human checks can’t match. By automating compliance tracking, contractors can ensure real-time verification, creating a robust audit trail and reducing compliance risks across contract lifecycles.
Healthcare's cybersecurity crisis is critical, with outdated defenses exposing patient data and trust. Zero Trust is now mandatory, and delays in breach detection can cause immense damage. Effective leadership, including fractional CISOs, is essential for modern defense. Inaction isn't an option, proactive steps are necessary to safeguard against sophisticated threats.
Venture capitalists often overlook the strategic importance of a Chief Technology Officer (CTO), mistaking technical co-founders as a simple checkbox. A seasoned CTO bridges vision and execution, aligning tech strategy with business goals, mitigating risks, and driving innovation, key factors that can make or break a startup's success.
High-performance computing (HPC) has revolutionized healthcare, particularly in fields like oncology and biomedical engineering, where it enables researchers to perform complex simulations and genetic analyses far quicker than traditional methods. The transition from conventional numerical analysis to dynamic generative AI has further expanded the capabilities of this powerful technology, not only enhancing patient care but also reshaping expectations for rapid medical innovation.
There was a time when no one really needed a CISO. Today, an organization would be dangerously insane not to have one. And that CISO had better be top-notch. The role of the Chief Information Security Officer (CISO) has evolved significantly from being solely a technology-focused professional to becoming a strategic business leader
Over a decade of innovation in precision learning and education has led to a significant surge in patent activity, with filings growing from 85 in 2014 to 1145 in 2023, marking a clear trend towards increased innovation and investment in this sector. Driven by a surge in demand for remote learning solutions during the COVID-19 pandemic, the precision learning sector has witnessed an unprecedented focus on developing and commercializing e-learning platforms recently, which is visible in patenting trends as well.
Electronic Medical Records (EMR) systems are used for efficient and effective patient care management. However, with the increasing reliance on these digital systems comes a significant challenge: ensuring the security and integrity of sensitive medical data.
Granted as US11388077, US11888597, first filed 2019-10-30. 2 filings on record with the USPTO.
Granted as US10963585, US11874949, first filed 2012-09-10. 3 filings on record with the USPTO.
Registered in classes 42 and 9, held by Netspective Communications LLC.
Registered in classes 9 and 42, held by Netspective Communications LLC.
Registered in classes 9 and 42, held by Netspective Communications LLC.
Exploring the benefits of transitioning to a 'compliance as code' model by reflecting on successful implementations of other 'as code' models.
Explore how a Fractional CTO can navigate the complex technological landscape in heavily regulated industries, making compliant and informed decisions.
While a system may meet all the necessary regulations and standards, it can still be vulnerable to threats and attacks because of human attestation.
Staff retention refers to the ability of a company to retain its employees over a period of time. It is a crucial aspect of any organization, especially in the technology sector where skilled professionals are in high demand.…
Enterprise architecture is a strategic framework that helps organizations align their business and technology strategies. It provides a holistic view of the organization’s structure, processes, and systems, enabling effective…
A Fractional Chief Technology Officer (CTO) is a senior-level executive who provides part-time, strategic guidance and leadership in the technology domain. Unlike a full-time CTO, a fractional CTO works on a contract basis,…
A Chief Information Security Officer (CISO) is a senior executive responsible for establishing and maintaining the enterprise vision, strategy, and program to ensure information assets and technologies are adequately…
Granted as US10643208, US11568401, first filed 2019-02-24. 2 filings on record with the USPTO.
Granted as US11561884, first filed 2020-11-18. 1 filing on record with the USPTO.
A Fractional Chief Technology Officer (CTO) is a highly skilled and experienced technology executive who works with companies on a part-time or project basis. They provide strategic guidance and leadership in the development…
Every family in the register, rewritten so an operator can tell in two minutes whether it applies to their problem. A standing publication program, not a marketing page.
Granted as US11475441, first filed 2018-07-25. 1 filing on record with the USPTO.
Published in Journal of Diabetes Science and Technology. DOI 10.1177/19322968221119146.
I challenge the conventional wisdom on cybersecurity, focusing on the problem of 'compliant insecurity'.
Journal of Diabetes Science and Technology. The first meeting of the Integration of Continuous Glucose Monitor Data into the Electronic Health Record (iCoDE) project, organized by Diabetes Technology Society, took place virtually on January 27, 2022. Clinicians, government officials, data aggregators, attorneys, and standards experts spoke in panels and breakout groups.
Granted as US11270263, first filed 2013-09-12. 2 filings on record with the USPTO.
First filed 2012-02-02. 3 filings on record with the USPTO.
Granted as US10638999, US11006920, first filed 2012-02-02. 4 filings on record with the USPTO.
Granted as US10984913, first filed 2012-04-27. 2 filings on record with the USPTO.
First filed 2013-04-18. 2 filings on record with the USPTO.
First filed 2012-05-14. 3 filings on record with the USPTO.
Granted as US10839020, first filed 2014-04-14. 3 filings on record with the USPTO.
Granted as US10490304, US10811124, first filed 2012-01-26. 4 filings on record with the USPTO.
First filed 2012-05-01. 2 filings on record with the USPTO.
Granted as US10586069, first filed 2016-05-24. 1 filing on record with the USPTO.
Training is treated as a broadcast: publish the course, record the completion, hope for the change. We treat human knowledge as a control loop instead, where every step from delivery to outcome produces evidence and the evidence decides what the person gets next.
Granted as US9846896, US10489830, first filed 2014-06-22. 3 filings on record with the USPTO.
Granted as US10403399, first filed 2014-11-20. 2 filings on record with the USPTO.
Granted as US10089492, first filed 2015-05-25. 2 filings on record with the USPTO.
Granted as US7039898, first filed 2002-07-12. 1 filing on record with the USPTO.
Granted as US9870591, first filed 2013-09-12. 2 filings on record with the USPTO.
The record of what systems actually do in the field versus what they are documented to do, which is where our findings start.
Revenue operations and denial management built for home-based care. We run the operational layer over the intake-to-cash lifecycle for home health, home infusion, DME, hospice, and respiratory providers.
Registered in classes 35 and 42, held by Netspective Communications LLC.
A health innovation discovery platform: crowd-curated technology, use cases, and market signal used as an intelligence surface, not a blog.
Granted as US9418355, first filed 2013-09-20. 1 filing on record with the USPTO.
The standing argument that passing an audit is not the same as being secure, written for the people who own both obligations.
Our method for turning a finding into an owned position: find, prove, decide, compound. It is a work in its own right, because everything else in this register was produced by running it.
GovCon Intelligence Center (GovCon IC): the publication for how public agencies buy, modernize, and evaluate technology.
A nonprofit operating company that equips medical researchers, clinicians, and patient advocates with software engineering, data architecture, AI, and machine learning to advance real-world evidence.
A healthcare media network of news, interviews, and vendor coverage written for the people who buy and run health technology, not the people who sell it.
The longest continuous record in the publishing program: a personal site where health IT arguments, field observations, and invention sketches have been published in public for two decades.
Pending at Intellectual Frontiers in class 42, held by Shahid N. Shah.
Registered in class 42, held by Netspective Communications LLC.
Registered in class 42, held by Netspective Communications LLC.
Engineering and delivery for regulated software: the bridge between AI-generated code and a product that survives FDA submission, FedRAMP authorization, HIPAA audit, and SOC 2.
A family of USPTO filings around one invention, granted or pending, with its real status.
An operating company chartered by Studios, with an entity, an operator, and a closure path.
A capability built for the whole portfolio and designed to be spun out on its own.
A company funded, built, or spun out. (Lapsed filings remain in the patent register.)
A pool of capital with a written thesis and a stated deployment model.
Long-form publishing that makes the case for an invention or an operating model.
Standing research programs and publication series, including peer-reviewed work.
A landscape read that changed a filing or funding decision.
A defensive publication that puts prior art in the open so a bad patent cannot be filed later.
A structured intelligence asset that decides where capital, filings, or ventures go next.
A reusable operating method that the rest of the portfolio is built on.
A piece the founder published on his own site, tagged by type, that argues a finding in the open before it becomes a filing or a fund.
An owned online publication that makes the case for our work to a standing audience.