CTO & Co-founder, Nextvisit AI New York, USA

Healthcare software that holds up.

CTO and co-founder of Nextvisit AI. I write software for behavioral health, clinical documentation, and the parts of care that fall apart when the tooling is lazy.

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I / VI About

I learned infrastructure before I learned polish.

I started with websites, then got pulled into hospital networks, VoIP migrations, M365 rollouts, and data center operations. In 2021 I co-founded Nextvisit AI with a psychiatrist who had spent years losing evenings to documentation. The common thread has been healthcare software where failure is not theoretical.

Writing software
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At Nextvisit AI
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Companies co-founded
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II / VI Nextvisit

Building Nextvisit AI with the clinician who needed it first

Dr. Faisal Rafiq spent 15 years trying to keep up with documentation between patient sessions. We built Nextvisit around the notes behavioral health providers actually sign: SOAP, DAP, and addiction-treatment documentation with the clinical details intact.

The time savings matter, but the bigger point is context. Medication compliance, toxicology, counseling progress, billing, and outcomes should not live in separate corners of the day. When those pieces line up, clinicians make better decisions and close charts sooner.

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behavioral health practices on the platform today
Certified SOC 2 Type II HIPAA ISO/IEC 42001
Less documentation
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Saved per clinician daily
0.0 hrs
Revenue lift for practices
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Patient retention gain
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III / VI Expertise

The tools I reach for when the problem is real

01 / 04

Languages & Frameworks

  • PHP
  • Laravel
  • Python
  • TypeScript
  • JavaScript
  • Vue.js
  • React
  • Next.js
  • Node.js
  • Astro
  • Swift
02 / 04

Cloud & Infrastructure

  • AWS
  • DigitalOcean
  • Google Cloud
  • Azure
  • Firebase
  • Vercel
  • Docker
  • Kubernetes
  • GitHub
  • CI/CD
  • Datadog
03 / 04

AI & Machine Learning

  • Anthropic Claude API
  • OpenAI API
  • Gemini API
  • TensorFlow
  • LLM Integration
  • Speech-to-Text
  • Clinical NLP
  • Hugging Face
  • Prompt Engineering
04 / 04

Healthcare & Compliance

  • HIPAA
  • SOC 2
  • GDPR
  • FHIR
  • HL7
  • Clinical Documentation
  • EHR Integration
  • Behavioral Health
IV / VI Writing

Notes from the work

personal JUN 2026 6 min read

Nobody fell in love with AI. They fell in love with AI below cost.

The flat-rate AI era was a subsidy, and the bill is now landing in public. A look at the receipts from Cursor, GitHub Copilot, OpenAI, and Anthropic.
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V / VI Type 1 Diabetes Advocacy

Type 1 Diabetes changed how I read healthcare claims

I have Type 1 Diabetes. It is not the kind you fix with diet or exercise. My pancreas stopped making insulin, and the management never clocks out.

That changes how I build. From the patient side, healthcare is not an abstraction or a workflow diagram. It is the cost of insulin, device access, alarms at 3am, and whether software gives clinicians enough attention to catch what matters.

  1. 01
    DIY Loop community

    Active in the open-source movement building DIY closed-loop insulin systems.

  2. 02
    Breakthrough T1D Walk

    Walk the Westchester event every year to raise awareness and money for T1D research.

  3. 03
    Insulin access

    Pushing for better access to medication that people literally need to stay alive. I run Omnipod Dash with DIY Loop myself.

VI / VI Connect

Send the useful version

Healthcare tech, T1D, open source, a technical problem worth thinking through. A clear note is enough.

ryanyannelli@gmail.com