solvinghealth.com / blaine

The person behind the system.

I'm Blaine Warkentine, MD. I spent 20+ years in orthopedic technology and health-system partnerships watching healthcare software fail the people it was supposed to help. BrainLAB taught me how to build from zero. Multiple healthcare M&A exits taught me what creates durable value. Leaving residency taught me that I'm a clinical translator and builder, not a practicing surgeon.

From zero BrainLAB orthopedic vertical
5 Surgical navigation patents
Multiple Healthcare M&A exits
20+ Years at the surgeon-tech boundary
Why This Exists

SolvingHealth isn't a startup pitch. It's the output of a specific frustration: I watched surgeons leave documented work unbilled because their software was built for hospital administration, not for independent clinical practice. I watched families pay out of pocket without knowing which public programs or tax-advantaged rules already applied to their situation. I watched caregivers earn low wages with no ownership while doing the work that keeps people at home.

The health system isn't broken because of bad doctors. It's broken because the infrastructure around them was built for extraction, not for accountable care. I'm building the infrastructure that keeps a human signature on the work.

I'm a clinical translator who builds software directly with AI because the people who understand surgical workflow and reimbursement rarely write the code. Every surface in this network is built around one rule: AI drafts, a deterministic check verifies, a named licensed human signs, and a hash seals the receipt.

The Timeline
2003–2009 BrainLAB — Clinical Orthopaedic Director

Grew the orthopedic vertical from zero. Worked with 500+ surgeons across the US and Europe on image-guided navigation. Five issued patents assigned to BrainLAB. This is where I learned that the best technology in the world is useless if clinicians don't adopt it.

2009–2017 CMO and Advisory Roles

PumpOne (8 years as CMO, acquired by Anytime Fitness). InVivoLink (perioperative analytics, acquired by HCA Healthcare). WellDoc. Disior (3D surgical planning, acquired by Paragon 28; I contributed as a consultant). Each one taught me something about what makes healthcare technology stick — and what makes it fail.

2017–2024 Pristine Surgical, JointCoach, CareGoals

Founder attempts. Pristine Surgical (7 years). JointCoach (3 years, shelved — no customer, too many pivots). CareGoals (folded into the co-op.care family tools). Honest accounting: none of these generated meaningful revenue, and each failure sharpened the architecture that became SolvingHealth.

2025–Present SolvingHealth

The shared technology layer and open router that sites in the network use, among them SurgeonValue and ClinicalSwipe. Live keyless endpoints over federal health records (/api/v1), an on-device situation router (/doors), the open-source Flower Standard (/build#flower), and daily Bitcoin-countersigned receipts (/proof). Pre-revenue; clinical review runs on synthetic cases today.

What I'm Building
SolvingHealthLive The shared technology layer and open router: keyless federal-data endpoints (/api/v1), the on-device situation router (/doors), open-source harness-gate and Flower Standard, and live operating proof (/proof).
SurgeonValueLive AI front office for orthopedic surgeons. Domain-tuned agents, five of which run today (Wonder Bill missed-code check graded by the CMS NCCI engine, prior-auth drafts, coding audit, PROMs, episode readiness); the rest, including RTM billing, are designs. AI drafts; nothing is attested until the surgeon signs under her own NPI.
ClinicalSwipeLive · sandbox Physician attestation loop and open family-caregiver navigator API. A specialty-matched, NPI-verified physician signs, revises, or declines an AI output; each determination is hash-anchored. Runs on synthetic cases today; no reviewer is paid yet.
co-op.careLive · pre-revenue Worker-owned home care cooperative where W-2 caregivers hold equity. A physician-signed letter of medical necessity documents care that already qualifies under IRS §213(d), and declines when it does not.
HarnessHealthLive · demo The accountability layer for health AI: draft, held, reviewed, attested, sealed. Sandbox and demonstration today.
hashcare.comLive Public cryptographic proof ledger. Hash-only receipts (no PHI) with the daily registry root countersigned into Bitcoin via OpenTimestamps.
ComfortCardLive co-op.care's family health file and eligibility surface: an on-device emergency summary (comfortcard.org/family) and an interactive IRS §213(d) expense checker (comfortcard.org/covered).

Every domain in the network — with its live status (Live, Designed, Not built, Private) and what a visitor can do there today — is listed in one place at solvinghealth.com/network. My full interactive career arc and essays live at blainomd.com.

The Honest Version

I have an MD from the Medical College of Wisconsin, and I trained in orthopedic surgical residency at the University of Maryland and left in year four to join BrainLAB. I am not a licensed or practicing physician. My role is clinical translator — I understand how surgeons think and how reimbursement works, and I build technology clinicians can actually adopt.

My exits were real and my roles varied. BrainLAB was six years building the orthopedic navigation vertical from zero, with five issued patents assigned to BrainLAB. PumpOne was eight years as CMO before its acquisition by Anytime Fitness; at InVivoLink I contributed to its exit to HCA Healthcare; and at Disior (acquired by Paragon 28) I contributed as a consultant. I don't inflate.

I've been building founder-stage companies since 2017 without meaningful revenue. SolvingHealth is pre-revenue today, every clinical review so far runs on synthetic data, and nothing on this site is for sale yet. What is live is open for you to test yourself on /proof, /developers, and /doors.

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