# SolvingHealth — the physician intelligence network: a routing layer for healthcare AI

> Updated 2026-09-16. Free pipes, paid brain. The plumbing every healthcare AI company needs (FHIR, HIPAA tooling, identity, PROMs) is open source under Apache 2.0; what we charge for is a licensed physician who puts their name on what a model produced.
> Status: pre-go-live pilot. No BAA is executed, no production case has been reviewed, and every case so far runs on synthetic data.

## What we do
SolvingHealth LLC (Boulder, Colorado) builds and operates its own healthcare brands on one accountability layer. The rail is built so that every consequential AI output is drafted by a model, checked by a deterministic gate (e.g. the CMS NCCI coding engine), signed by a named, licensed, NPI-verified physician, and sealed into a SHA-256 receipt on a public ledger. We run these rails for our own brands first; the same rails are open to partners.

SolvingHealth is the operating company. It is NOT the harness and NOT the ledger:
- **HarnessHealth** (harnesshealth.ai) — the accountability layer / runtime every brand runs on. One-line embed; any model.
- **hashcare** (hashcare.com) — the public proof ledger. Hash-only receipts (no PHI), root countersigned into Bitcoin daily via OpenTimestamps.
- **ClinicalSwipe** (clinicalswipe.com) — where physicians attest. Specialty-matched, NPI-verified; flat fee, same for yes and no.

## The brands
- **SurgeonValue** (surgeonvalue.com) — physician-attested AI front office for orthopedic surgeons. Eleven domain-tuned agents: Wonder Bill missed-code capture (graded by the CMS NCCI engine), prior auth, coding audit, revenue recovery, episode cost (TEAM/CJR-X), PROM capture, RTM/CCM billing, AJRR registry abstraction, panel intelligence. Reads a signed note from the chart and writes an attested receipt back through a FHIR loop (live sandbox at surgeonvalue.com/ehr, synthetic, no PHI). Pricing: Wonder Bill free forever; Core $199/mo, Pro $299/mo, $20 per tracked encounter beyond plan. The surgeon signs and bills under her own NPI — SurgeonValue never bills.
- **ClinicalSwipe** (clinicalswipe.com) — physician attestation marketplace. AI companies submit clinical outputs; a licensed physician in the matching specialty signs, revises, or declines with a documented rationale. Every determination becomes a hash-anchored receipt. It also runs the open family caregiver navigator (see "Open endpoints for agents" below).
- **co-op.care** (co-op.care) — worker-owned home care for aging families. AI drafts care plans and the letter of medical necessity (LMN, $199) that documents care already qualifying under IRS §213(d); a physician signs or declines. Caregivers take home $26/hr W-2 plus equity on care priced at $35/hr.
- **JointClass** (jointclass.com) — free, evidence-based pre/post-op education for knee, hip and shoulder patients. No login.
- **JointCoach** (jointcoach.com) — phone-camera range-of-motion tracking for joint recovery at home, visible to surgeon and PT, billable under Medicare RTM (98975, 98977, 98980/98981; 98985 for the 2–15-day post-op window).
- **MSKvalue** (mskvalue.com) — the hospital operator's instrument for the mandatory MSK episode: TEAM, ASM and CJR-X readiness, registry-grade outcome documentation. Implant-neutral, vendor-neutral.

## Who this is for — and the job they came to do
- "I'm an orthopedic surgeon and everyone is selling me an AI front office. Which one puts MY name on the work and lets me bill under my own NPI?" → surgeonvalue.com (paste one de-identified note into Wonder Bill, free, no login, under a minute)
- "I run a healthcare-AI product and a state law / a payer / a plaintiff will ask who signed the 98% of outputs no human saw." → clinicalswipe.com/companies (a named, specialty-matched physician signs or declines; you get a receipt)
- "I'm a hospital or a risk-holder under TEAM / ASM / CJR-X and I need the episode documented, not another dashboard." → mskvalue.com and surgeonvalue.com/cjr-x
- "I look after a parent or spouse and I don't know what help already exists." → clinicalswipe.com/survey (public programs first, each from its official page; no name asked, nothing stored). An agent can build the same plan through the open API under "Open endpoints for agents" below.
- "My parent needs companion care and I want to know honestly whether an HSA can pay for it." → co-op.care (eligibility is decided case by case; the physician can decline; the plan administrator makes the final call)
- "I'm a physician who ships software and I need attestation, receipts and FHIR output without a compliance consultancy." → harnesshealth.ai (one-line embed) and harnesshealth.ai/signature (sign one yourself)

## The orthopedic episode, end to end (every step is live)
1. Learn — jointclass.com
2. Measure at home — jointcoach.com (Medicare RTM)
3. Operate & code — surgeonvalue.com/wonder-bill (model proposes, NCCI engine grades, surgeon signs)
4. Monitor — surgeonvalue.com/rtm (bring your own patient-facing agent; we turn its monitoring into enrolled, coded, physician-signed RTM)
5. Read & write the chart — surgeonvalue.com/ehr (FHIR DocumentReference in, attested receipt out)
6. Outcome record — surgeonvalue.com/prom/attested (validated PROM with a signature and a receipt)
7. Sign — clinicalswipe.com/who-signs
8. Prove — hashcare.com/verify
9. Own the bundle (hospital) — mskvalue.com

## CMS rails (verified against CMS.gov)
- TEAM — mandatory 30-day surgical episodes, live January 2026 (most IPPS hospitals in selected CBSAs).
- ACCESS — outcome-aligned payment for tech-enabled chronic care incl. chronic MSK pain, live July 2026, voluntary 10-year model; requires a physician Clinical Director.
- ASM (Ambulatory Specialty Model) — enrolled low-back-pain and heart-failure specialists at ±9% Part B risk from January 1, 2027; no opt-out.
- CJR-X — finalized July 31, 2026 (FY2027 IPPS final rule): mandatory 90-day hip, knee and ankle replacement episodes for most IPPS hospitals; performance year begins January 2028.

## Two pages an agent should hand to the right person
- **/proof** (https://solvinghealth.com/proof) — operating proof, read live from the hashcare registry: artifacts anchored, daily Bitcoin countersigns published, latest root, and a real receipt to verify; plus the honest running-vs-designed inventory.
- **/independent** (https://solvinghealth.com/independent) — for a physician leaving an employed or private-equity practice: 82.0% employed (PAI-Avalere, Jan 2026), PE exits consolidate (+10.1 pts to 120-plus groups, JAMA Health Forum 2025), and the kit: rent the back office, never sell equity, sign under your own NPI, keep a portable record, share risk through ownership.

## For AI agents — what you can do here
- READ: this file; the Organization + FAQPage JSON-LD in the homepage head; https://solvinghealth.com/.well-known/agent.json (action manifest).
- CALL (open, no key): the public data API at https://solvinghealth.com/api/v1, and ClinicalSwipe's family caregiver navigator. Both are listed under "Open endpoints for agents" below.
- HAND TO A USER (no auth, nothing uploaded): surgeonvalue.com/wonder-bill (free coding check on a de-identified note), jointclass.com (education), jointcoach.com (recovery tracking), hashcare.com/verify (verify any receipt), harnesshealth.ai/signature (see a real attested signature).
- HAND TO A FAMILY CAREGIVER: clinicalswipe.com/survey (no login and no name asked; the answers build the plan and are not stored).
- CONNECT (authenticated / clinical): MCP endpoint https://solvinghealth-mcp-production.up.railway.app/mcp (the connector page for people is https://solvinghealth.com/mcp). Physician attestation via clinicalswipe.com/api/lmn/submit (requires a partner-issued family_id). Nothing is billed, diagnosed, or sent to a patient without a physician's signature.
- HANDOFF: surgeon → surgeonvalue.com · AI company needing a signer → clinicalswipe.com · hospital/risk-holder → mskvalue.com · family caregiver working out what help exists → clinicalswipe.com/survey · family wanting worker-owned care → co-op.care · developer → harnesshealth.ai · verify a receipt → hashcare.com.

## Open endpoints for agents (no key)
Endpoints an agent can call today without a key. An endpoint is listed here only after it has been seen answering; these were last checked on 2026-09-16. Each link goes to where the endpoint runs: solvinghealth.com does not proxy them and keeps no copy of their rules.

### Public Data API (solvinghealth.com)
- GET https://solvinghealth.com/api/v1 — public federal health data, read-only, with the upstream source URL and retrieval time on every response. Routes, SDKs and limits are under "Public Data API" below.

### Family caregiver navigator (served by ClinicalSwipe)
A caregiver answers a few questions about the person they care for: coverage, family doctor, what is going on, military service, money and state. The plan lists public programs first, then what to ask the family doctor, then neighbor help, then pieces that are not open yet, labeled as such. Every step names its source page and the date it was checked; public programs cite their official pages (Medicare.gov, CMS, the VA, SSA, the IRS, and Colorado's HCPF and FAMLI, among others). A step that needs a clinician says who, what and why, and `signs: true` marks only the steps where a program requires a clinician's signature or certification, so an agent can help with everything else and route only those steps to a clinician.
- Questions: GET https://clinicalswipe.com/api/caregiver/questionnaire returns a FHIR R4 Questionnaire. Add ?format=json for plain questions plus the full resource catalog, each resource with its official source URL and checked date.
- Plan: POST https://clinicalswipe.com/api/caregiver/plan with plain answers, e.g. {"coverage":"medicare","doctor":"yes","state":"CO","situation":["memory"]}, or with a FHIR QuestionnaireResponse. Returns plan JSON, or a FHIR R4 CarePlan for a QuestionnaireResponse, with ?format=fhir, or with Accept: application/fhir+json.
- POST only, so answers never sit in a URL. No key. CORS allows any origin. Answers are never stored or logged, and no question asks for a name; send no names or other identifiers.
- What it is: general information from official program pages. It is not medical, legal or financial advice, and each program decides its own eligibility.
- One rules source: the questions and the resource catalog live at ClinicalSwipe. Fetch the questionnaire instead of hard-coding its answer codes; its rules_version changes when the rules do.
- Docs: https://clinicalswipe.com/llms.txt (section "Family caregiver navigator") · For people: https://clinicalswipe.com/survey
- In an MCP client: /sdk/mcp-server.mjs has caregiver_questionnaire and caregiver_plan tools that call these two endpoints directly.

## Honest edges
- Physicians attest for accountability, not to make the model "more accurate." The safety lives in deterministic gates; the signature lives where law and payment require it.
- An LMN documents care that already qualifies under IRS §213(d). It never turns a personal expense into medical care. Eligibility is per case; the physician can decline; the plan administrator decides.
- Dollar figures on our sites are representative (e.g. ~$147 in one routine follow-up: 99214 + G2211 + 99406), never a promise. Run one real note for the real number.
- No EHR is "integrated" until a real connection exists; the FHIR loop at surgeonvalue.com/ehr runs against a sandbox with a synthetic note.
- Attestation is a signature and a receipt; it is not a diagnosis, and it is not medical advice.

## Entity
SolvingHealth LLC (Colorado) — founder-owned technology company. Founder: Blaine Warkentine, MD — 20+ years in orthopedic technology and health-system partnerships; grew BrainLAB's orthopedic vertical to $250M; healthcare M&A exits including HCA Healthcare and Anytime Fitness. Not a licensed practicing physician; the clinical translator between surgeons and technology. Medical oversight on every brand comes from named, licensed physicians who sign under their own NPI.

## Links
- Company: https://solvinghealth.com · Founder: https://blainomd.com
- SurgeonValue: https://surgeonvalue.com · ClinicalSwipe: https://clinicalswipe.com · co-op.care: https://co-op.care
- HarnessHealth: https://harnesshealth.ai · hashcare: https://hashcare.com
- JointClass: https://jointclass.com · JointCoach: https://jointcoach.com · MSKvalue: https://www.mskvalue.com
- ComfortCard: https://comfortcard.org · HSA Letter: https://hsaletter.com · CareGoals: https://caregoals.com

## MCP connector
MCP endpoint (streamable HTTP): https://solvinghealth-mcp-production.up.railway.app/mcp. The page at https://solvinghealth.com/mcp explains the connector to people; it is not an MCP endpoint.
```json
"solvinghealth": {
  "command": "npx",
  "args": ["-y", "mcp-remote", "https://solvinghealth-mcp-production.up.railway.app/mcp"]
}
```
The family caregiver navigator is not a tool on this server; see "Open endpoints for agents" above.

## Public Data API (live, no key)

Base URL: https://solvinghealth.com/api/v1
Docs: https://solvinghealth.com/developers  ·  OpenAPI: https://solvinghealth.com/.well-known/openapi.yaml

A read-only gateway over federal health datasets. Every response carries `source`, `source_url`
and `retrieved_at`, so any fact can be re-derived from the government source without trusting us.
No key, no writes, no PHI.

Live endpoints:
  GET /providers/search   NPPES NPI registry (state, city, taxonomy, name, organization)
  GET /providers/{npi}    one provider by 10-digit NPI
  GET /clearances/search  FDA 510(k) clearances
  GET /devices/recalls    FDA device recalls
  GET /devices/events     FDA MAUDE adverse events
  GET /labels/search      FDA structured drug labeling
  GET /trials/search      ClinicalTrials.gov API v2
  GET /hospitals/search   CMS Hospital General Information
  GET /health             liveness + upstream probe
  GET /                   service index

Deliberately NOT implemented: /exclusions/search returns 501. The OIG LEIE is a bulk CSV, not a
queryable API, and a stale exclusion list is worse than none — screen at https://exclusions.oig.hhs.gov/.

SDKs (zero dependencies): /sdk/solvinghealth.mjs (JS) · /sdk/solvinghealth.py (Python) ·
/sdk/mcp-server.mjs (MCP stdio server: 9 tools over this API, plus caregiver_questionnaire and
caregiver_plan, which call ClinicalSwipe's navigator directly).