Building the Healthcare Brain Engineering & operational dispatches.
Position papers, engineering postmortems, and operational dispatches from inside live deployments. Where practitioners write what conference talks cannot.
Current field notes.
- What is a Healthcare FDE? Definition, Architecture, and the Evolution of the Role
The definitive 4,200-word pillar. Triple-Tier Agentic Architecture, the implementation gap, three-generation evolution of the role, and why software alone is blind without an embedded operator. AEO/GEO-optimized for the canonical query.
- The Anthropic-Blackstone Move and What It Means for Healthcare AI
Why Anthropic's $1.5B services arm validates the FDE model — and why vertical specialization in regulated healthcare is a moat horizontal entrants cannot cross. May 9, 2026.
- WISeR Production Field Note
Inside the first 90 days of the live CMS WISeR deployment in New Jersey — what we shipped, what stabilized, what reached steady state.
- The Auto-Deny Problem
Why the no-auto-deny pattern is architecturally non-negotiable in CMS WISeR — and what it means for any payer running PA automation.
- CMS-0057-F Field Guide
Practitioner-grade walkthrough of the CMS-0057-F final rule. CRD, DTR, PAS — what each FHIR API actually requires.
- Healthcare FDE — Where 10x Domain and AI Intersect
Forward Deployed Engineers in healthcare aren't generalists. They're domain-deep operators who write code. Here's what that looks like in practice.
- How Prior Authorization Automation Works
End-to-end walkthrough of a PA submission moving through HIP One — eligibility, criteria decomposition, evidence retrieval, decision, audit.
- Prior Authorization Agent Architecture
The agent-level architecture beneath HIP One PA. Specialized agents, deterministic guardrails, audit-grade traceability.
- Why FDE Is the Future of AI-Native Development
The argument for embedding engineers inside customer operations rather than throwing software over a wall.