Connected infrastructure for healthcare's next decade.
A growing practice working on protocol-layer thinking, AI-ready health systems, and the architectural decisions that separate fragmentation from flow.
Siloed systems fracture every pillar of the Quadruple Aim — margin, quality, clinician experience, patient outcomes. CMS 2026 enforcement turned the cost of that fragmentation from theoretical to operational. The infrastructure required to fix it already exists.
The Cost of Silos
$5.3T
U.S. national health expenditure — roughly 18% of GDP.1
~$266B
Annual U.S. administrative-complexity waste — the single largest waste domain.2
10
Distinct AI use-case categories now active across health systems — most still struggling to scale.3
Featured Work
Gatwiri Mwiti · Featured work01 / 03
Interactive demo
The healthcare ecosystem, in motion
A live map of how a patient — and their data — moves across clinics, hospitals, and payers, and exactly where the handoffs break.
Three arcs — interoperability, analytics, intelligent action — in the order that moves a health system from raw data to the right call at the point of care.
Centers for Medicare & Medicaid Services. National Health Expenditure Data, NHE Fact Sheet.
cms.gov
Shrank WH, Rogstad TL, Parekh N. Waste in the US Health Care System: Estimated Costs and Potential for Savings. JAMA. 2019;322(15):1501–1509.
pubmed.ncbi.nlm.nih.gov
Reviewed AI use-case categories across clinical documentation, chart review, risk stratification, diagnosis, patient engagement, patient access, revenue cycle, business operations, analytics automation, and research support.
pmc.ncbi.nlm.nih.gov