The Sovereign Venture Architecture

Every domain.
One architecture.

40+ products, one structural thesis: whoever owns the substrate owns what gets built on it. Clinical entities, family services, knowledge graphs, and the infrastructure beneath them — organized by who they serve.

49Sites in the registry
9Categories
1Physician-governed stack
The five-stage attestation pipeline

AI generates the draft. A physician signs.

The signature is the product. SolvingHealth is the infrastructure layer where attestation happens and scales. Every product in the network plays one stage of the same pipeline.

  1. 01
    Capture
    The surgeon dictates on a phone; Pocket carries the referral and the end-of-day export. No EMR integration, no login.
  2. 02
    Authorize
    Prior auth + LMN. Agent drafts it; physician reviews and signs or declines.
  3. 03
    Validate
    Diagnosis. Treatment. Care protocols. Agent generates → physician reviews/edits/signs.
  4. 04
    Monitor
    PROM collection at day 14, day 30, day 90. Physician reviews trends. RTM, MIPS, care-gap closure.
  5. 05
    Refer
    Agentic referral. AI surfaces specialist matches across the physician network.
How the network routes a patient

One patient, one trip through the entire stack.

  1. 01 Patient searches "hip pain" → lands on hippain.help (a condition entry node).
  2. 02 Patient arrives at the surgeon's clinic with a referral tag. PWA installed. Altru.care handles the front-door visit.
  3. 03 First visit: the surgeon dictates into Pocket on a phone; the note is the surgeon's own, reviewed and signed before anything leaves.
  4. 04 Prior auth and LMN drafted by SurgeonValue agents (Wonder Bill, Prior Auth). Surgeon attests.
  5. 05 Treatment plan validated through ClinicalSwipe (the physician signs or declines; the pilot runs on synthetic cases).
  6. 06 PROM collected at day 14, day 30, day 90 — surgeon sees the score in SurgeonValue's panel dashboard. Agent drafts the RTM billing note.
  7. 07 Physician attests once more via ClinicalSwipe. RTM billing captured.
  8. 08 Patient enrolled in co-op.care for post-surgical companion support. Altru.care-issued LMN documents the caregiver hours that already qualify under IRS §213(d) so HSA dollars can pay for them; recovery yoga is general wellness and is not covered.
  9. 09 The whole encounter — every signature, every dollar, every PROM — anchored to harnesshealth.ai's attestation engine and (optionally) hashcare.com for cryptographic proof.

One patient. One trip. Every product has a job. Every signature counts. That is the network.

Customer-side surfaces
  • SurgeonValue — orthopedic surgeons. Pocket app + Wonder Bill + CJR-X compliance.
  • ClinicalSwipe — any licensed physician. You sign or decline. The pilot runs on synthetic cases.
  • co-op.care — Boulder families. Build a care grid. Plug in.
  • altru.care — individual patients. our medical director. LMN / CCM / ACP.
  • ComfortCard — whole families. Wallet + app.
  • CareGoals — individuals. A conversation. Not a form.
Sovereign infrastructure (user-owned)
  • chanio — Socratic Interceptor. Watches AI questions, maps passion channels.
  • harnesshealth.ai — computer storage of AI, for health. NPI Registry + Attestation Engine + Authority Consumption.
  • hashcare.com — Cryptographic Health Identity + Health DAOs + Selective Disclosure Tokens.

Infrastructure

§ 01 · The layer everything runs on

For families

§ 02 · Aging, caregiving, advance planning
co-op.care →
Worker-owned home care cooperative. Caregivers are W-2 co-owners with equity. Families get continuity. ~75% industry turnover → ~24–38% at worker-owned co-ops.
Live · Boulder
comfortcard.org →
One scan. Your whole story. A scannable health identity holding medical essentials, care wishes, HSA/FSA access, and co-op equity.
Live
caregoals.com →
Advance care planning as a conversation, not a form. Every life deserves more than a dash between two dates.
Live
qualitydeath.com →
End-of-life planning, good death framing, and the conversations families should have before the moment arrives.
Live
hashcare.com →
Cryptographic proof for health records: hash-only receipts, no health data, and anyone can verify them.
Live
medfrail.com →
OBBBA Medicaid work-requirement attestation — frailty, disability, dementia, caregiving role. Physician-signed.
Live · Jan 2027 gate
hsaletter.com →
The Letter of Medical Necessity generator. A physician documents care that already qualifies under IRS §213(d) — per case, qualify or decline, never blanket.
Live · Funnel
agentichsa.com →
Agentic HSA wrapper for self-employed professionals and vibe coders. Pre-tax care dollars without the W-2 employer.
Designed
careho.me →
Age-in-place insurance concept. The home as the care setting, the caregiver as the clinical interface.
Designed
healthyho.me →
The smart home, from the neighbor up. Sensors, rituals, and routines that notice before the fall happens.
Designed
carescircle.com →
The family care circle — everyone who shows up, tagged and credited. The opposite of a staffing agency roster.
Live
fillforward.com →
Care hour accounting across the extended family. Your 27 hours a week become auditable, tradeable, reimbursable.
Live

For clinicians & surgeons

§ 03 · Physician-governed operating layer

Condition-specific landings

§ 04 · Patient-facing entry points
fallrisks.com →
Fall prevention + sarcopenia. The "Fall Risk Olympics" concept. Home safety assessment and caregiver matching for families at risk.
Live
fallprevention.help →
The fall-prevention conversation: STEADI framework, medication review, home modifications, caregiver matching.
Live
arthritisrisk.com →
Joint pain and early osteoarthritis. Risk factors, prevention strategies, and when to see a specialist.
Live
hippain.help →
Hip replacement prep, recovery, and HSA-eligible home modifications.
Live
shoulderpain.help →
Shoulder recovery at home — with the right support. Rotator cuff, post-op physical therapy, HSA eligibility.
Live
doesyourbackhurt.com →
Back pain triage. Red flags, self-care, and when specialist referral is needed. Plain-language, physician-reviewed.
Live
hearthealth.help →
Cardiac care and cardiovascular risk reduction — AFib awareness, HSA-eligible monitoring, preventive cardiology.
Live
bloodpressure.help →
Home blood pressure monitoring, HSA-eligible equipment, and the coaching to actually lower your numbers.
Live
memoryloss.help →
Early dementia detection and the CareGoals conversations to have before the diagnosis hardens choices.
Live
breathing.help →
COPD, asthma, and chronic pulmonary disease management. Home monitoring + specialist referral.
Live
pregnancycare.help →
Prenatal care, HSA-eligible home equipment, maternal health resources, and the physician attestation when needed.
Live
healthgait.com →
Gait as a vital sign. What your walking pattern reveals about health, recovery, and fall risk.
Live
jointclass.com →
Joint replacement education for the pre-op and post-op window. From clinic to couch to full mobility.
Live
jointcoach.com →
RTM joint recovery coaching — phone-camera ROM tracking and remote therapeutic monitoring after joint replacement.
Live

Care delivery models

§ 05 · How care is bundled and delivered

Knowledge & research

§ 06 · User-owned graphs, learner packs, intelligence
chanio.com →
An AI of your own, on your machine: it answers on the device first and uses the cloud only when the question needs it.
Live · pilot
solvinghealth-notebooks
NotebookLM learner packs. Curated primary sources on Claude for Healthcare, MCP, CJR-X, and the regulatory moments that shape the market.
Not built
solvinghealth.com/games
The Prolific learning loop. Gamified human review of AI output. Retired: its games were scored in dollar amounts.
Not built

Lifestyle & companion ventures

§ 07 · Adjacent products that share the architecture

Financial & market infrastructure

§ 08 · Adjacent markets that use the same discipline

Personal & family

§ 09 · Founder and family pages
The Thesis

Whoever owns the substrate
owns what gets built on it.

Every domain in this network is an ownership play against an extraction. co-op.care — worker-owned care vs. REIT-owned care. SurgeonValue — surgeon-owned tooling vs. hospital-IT-owned tooling. ClinicalSwipe — physician-attested AI vs. vendor-audited AI. hashcare.com — patient-owned data vs. platform-owned attention. These are not five products. They are one structural question asked five ways.