I'm a family doctor who's spent 25+ years working at the intersection of health care and technology. I've been blogging about it at docnotes.net since 1999. These days I advise and invest in early-stage health tech companies, serve on a few boards, and occasionally still see patients. I care deeply about making technology work for clinicians and patients—not the other way around.
Current Roles
- Chief Health Officer, WavelyDx — Smartphone-based otitis media diagnostics
- Founder & CEO, Huddle Health Solutions — Health care strategy consulting
- Board Member, ActX — Genomic clinical decision support
Advisory Roles
- Nabla — AI clinical documentation
- WellPro — Personalized medicine platform
- Navina — AI for primary care
- Blue Slate Health — Value-based care enablement
- Babyscripts — Virtual maternity care
- Redesign Health — Health care company builder
- Stellar Health — Provider incentive platform
- Elimu Informatics — Clinical knowledge management
- Apixio — AI for health plans
Investments
- Funds: Scrub Capital Fund I (LP), J-Ventures Fund 3 (LP), Evidenced (LP)
- Direct: Photon Health, Lotus Health AI, WavelyDx, Perplexity, DirectShifts, Fanthem
Projects
- ResearchFlo — Building an AI platform that extracts clinical data from physician notes for research databases, using Direct secure messaging
Background Highlights
- ONC Leadership (2011–2014) — Deputy National Coordinator and Acting National Coordinator for Health IT, leading federal health IT policy and standards
- Alliance for Better Health (2016–2021) — CEO, transformed a DSRIP organization into a sustainable value-based care model serving 150,000 Medicaid members
- Harbor Health ACO (2024–2025) — CEO, launched Medicare ACO REACH program
- Startups — Co-founded Twistle (acquired by Health Catalyst) and Physera (acquired by Omada)
- Allscripts (2006–2010) — Chief Medical Informatics Officer
Former Board Roles
- DirectTrust (2021–2025) — Secure health information exchange
- Avhana Health (2016–2020) — Board Chair; acquired by AmalgamRx
- HIXNY (2006–2011) — Founding board member, Health Information Exchange of New York
Education
- MD — Albany Medical College
- Family Medicine Residency — St. Clare's Hospital, Schenectady (Chief Resident)
- BA, Cognitive Science — Hampshire College