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What I work on

Even a sound clinical plan can break down in the work between visits. Records that don’t move, referrals that stall, and follow-through no one owns: that is where the complexity behind high-cost care lives. Digital front doors help, but this work still takes people, with software that lets their judgment and follow-through scale.

That is why I focus on Medicare-funded navigation and value-based care: ACOs and CMS models such as TEAM that hold providers accountable for cost and quality, and newer services such as Principal Illness Navigation and Community Health Integration that pay for work between visits. The operating questions are the ones I care most about: who can deliver the work, how Medicare pays for it, and whether patients can afford their share.

Selected results at Cosán

Over ten years I went from founding architect to COO and acting CTO as Cosán grew from a care-management SaaS platform into technology-enabled CCM, PCM, and RPM services for physician practices. As COO (2023 to 2025):

  • Grew from about 180 to 400+ people across 41 states and Jamaica while run-rate revenue nearly tripled; the CEO led sales.
  • Improved gross margin 16 percentage points and billable productivity 14 percentage points.
  • Ran care delivery at 80,000+ patient encounters a month.
  • Took call QA from under 1% sampling to nearly 100% of recorded calls with AI-assisted review and human QA.
  • Built a captive nearshore enrollment operation from entity formation up, cutting enrollment delivery costs about 50% at up to 5,000 calls a day.
  • With no CFO, oversaw finance with a contract accountant, and owned the Series E data room and diligence, co-presenting with the CEO.

Now

Averyn Care

I founded Averyn Care while navigating my mother’s care. It is a family-directed, private-pay, non-clinical coordination service: we organize records into a portable Record Vault, coordinate providers and home services, and keep the whole family on the same page. I built the service and its platform together, from the legal and compliance design to the Care Continuity Partner role and the AI-assisted tools behind it.

I’m also exploring how this kind of navigation can be delivered inside Medicare itself, through models like Principal Illness Navigation, so it doesn’t stay a private-pay luxury.

Administrative coordination and follow-through: not medical advice, not clinical monitoring, not emergency response.

Recent conversations

Signal Forge Labs

I advise investors, founders, and boards through Signal Forge Labs: buy-side operating diligence (including a care-management acquisition for a private equity buyer), strategic and board counsel, and AI operating architecture.

Policy and industry roles

I serve on the Advocacy Committee of the Northern Ohio HIMSS AI Center of Excellence, which works on the governance, safety, and adoption of AI in healthcare, and I’m a founding advisor on eldercare and sandwich-generation policy at the Workforce Infrastructure Institute.

How I build

I build organizations that can ship, learn, and scale without depending on any single person, including me. That starts with people, not technology.

  • People first. Coach managers into leaders. Set clear decision rights, roles, and incentives so the team operates with autonomy and accountability.
  • Operating cadence. Translate strategy into models and metrics the team can actually run: outcomes over activity, clarity over chaos.
  • Product + delivery alignment. Connect what we build to what customers value. Manage cost discipline and innovation from the same seat.
  • Hands-on when it clears the path. Architecture reviews, production incidents, pricing models, vendor diligence, compliance. I go where the bottleneck is.
  • AI with people accountable. Put AI where it removes labor or catches what sampling misses, with a person responsible for the result.

At Averyn I wrote the first codebase, designed the service tiers, built the compliance framework, and ran day-to-day operations and client delivery.

Contact

Operating conversations: I’m glad to talk about scaling healthcare technology and care delivery. Reach out via my Contact Form or dan@dzina.com.

For Averyn Care, I’m interested in referral and care-management partnerships, design-partner pilots, and conversations with adjacent operators working in aging, caregiving, home-based support, discharge, and care logistics.

For advisory or fractional work, start the conversation via Signal Forge Labs.

For background and career history, LinkedIn is the best source.

Averyn Care Contact Form Signal Forge Labs
View background on LinkedIn →