I am inspired and driven by a simple yet revolutionary principle championed by the Galien Foundation: "No Decision About Me Without Me" (NDAMWM).
My origin story - At 15, I witnessed firsthand how healthcare systems can fail those they're meant to serve. My father's catastrophic reaction to medication, Neuroleptic Malignant Syndrome, landed him in the ICU for 10 days with a 15% chance of surviving. He lived, not survived. His, my, and our family's subsequent two-year journey is something I hope no one has to endure.
I don't just strategize about healthcare transformation—I live it, breathe it, and build it. Because every patient deserves agency. I understand healthcare from all sides through direct experience and expertise, not just academic theory.
My Focus Areas:
→ Patient advocacy and NDAMWM implementation
→ Clinical capability optimization through technology
→ Healthcare system transformation and strategic consulting
→ Building empathic pipelines in medical institutions
→ Trauma-informed healthcare design

Aegis: Protection, sponsorship, patronage, guidance, direction, or control.
Cipher: A secret code, usually one created using a mathematical algorithm
Aegis Cipher exists to serve as a steward—ensuring that emerging technologies align with the core values of healthcare.

Healthcare: the Hammurabi Codex and Hippocratic Oath.
The origins of insurance trace back to the Hammurabi Codex, a framework of justice built “to prevent the strong from oppressing the weak” and to equitably manage risk.
The Hammurabi Codex guided the early architects of America’s group insurance model, including my great-uncle, Colonel Gilbert E. Humphrey, who formed Allstate and served as its first president. Long before “You’re in good hands,” his vision was rooted in stability, service, and savings.
Trust strategies are an integral part of transformation in healthcare. Of recent, the degradation of trust has accelerated. If distrust is not remediated, a point of no return is reached, and that is when patients and providers feel disrespect.
1. Messaging Doesn’t Resonate with Patients
2. Emphasis on “System Broken” Narratives Raises Reactance
3. Lack of Patient Stories or Peer Narratives
4. Transparency & Empathy Overlooked
5. Misleading Use of Administrative Tools as Clinical Value
6. Overstated Accuracy and Misaligned Purpose
7. Pushing agendas and products for profit
To rebuild trust and prevent similar failures:
- Design with purpose: Build tools that support—not replace—clinical judgment
- Require peer-reviewed validation before deployment
- Communicate limitations and guardrails clearly
- Ensure clinician governance and continuous feedback
- Respect patients and physicians are the owners of clinical data.

Watson 1.0 Case Study - based on direct experience. I was asked to weigh in on Watson shortly before the launch. Published articles mirror what I shared.
Overstated accuracy - “When they launched it ... they picked a sensitive diagnostic panel with massive comorbidities, then made statements that it was better than a physician. "Providers saw this as arrogant and unethical."
Unsafe Recommendations - “Often recommended treatments not suitable for their patients.” Clinicians rejected AI credibility.
Lack of transparency - Aggressive marketing without studies. Hospitals canceled contracts. Consumer AI backlash - Consumers are suspicious of AI-only messaging, prefer human-led narratives. Patients distrust opaque AI claims


A growing concern and fail point for considering emerging technology is lack of collaboration with the end users and not addressing the operational and organizational processes.
Emerging technologies are a vehicle and not a strategy. AI is most successful as a solution for task level focus and not replacing reasoning.
Emerging technology needs more upfront consideration to be successful. The business of business is business - the business of healthcare is the care of health. We cannot conflate the adjudication of claims and care of health.
20-year lookback on due dilligece, partnerships, ecosystems, rigor, roadmaps, HIT delivery, security
A satirical overview of the top 10 issues where conflation of the care of health, and the adjudication of claims must be addressed.
The road to somewhere. The lost art of Vetting.. Do not move fast and break things in healthcare. Approaches for HIT.

Collaborative transformation is best practice. Sustained innovation requires creative destruction.

Case study - Adding dimensions while simplifying population health for greater benefit, trust, quality

1984 Apple playbook. How to curate emerging technology harmonize in healthcare ecosystems.
2026 = Assurance of Discontinuance (AOD) as a remedy. Impact to prior auth, AI, decision support, edits. A study in Cuomo and Spitzer AG eras.

$12T revenue of cyber criminal activy AI and TOR tools will double it. An illustrative approach, and silver lining of retention and engagement, and reference guide.
National Provider Directory (pdf)
DownloadDarwin Awards Healthcare (pdf)
DownloadFHIR Rip Replace Reality (pdf)
DownloadWatson 1.0 AI Healthcare My Role Experience (pdf)
DownloadAI Lobbying and Reform not DeReg (pdf)
DownloadInsurances First Pop Health Framework (pdf)
DownloadAward winning thought leadership (pptx)
DownloadThe Dartmouth Paper AI Academic Launch- 1956 (pdf)
Download2025 11 CMS Interop and EHR Assessment vfs (pdf)
DownloadIntellectual Property Notice
Framework Name:Defined & Aligned ™
Company: Aegis Cipher
Tagline: Decode. Define. Deliver.
© 2025
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