Vanderbilt Owen MBA · Session 7 Midterm
Persona Architecture Walkthrough
Presented by
Jessica
15-Minute Architecture Walkthrough
The Core Thesis
GeneEcho is not an app. It is the first full-stack health operating system that reads your multigenerational genetic memory, watches your body in real time, monitors your environment, checks your insurance — and executes the next step before you feel sick.
Every ER visit, every insurance switch, every new doctor — you start from scratch. Healthcare has no long memory. GeneEcho is the infrastructure fix.
The end user. The parent. The senior. The patient who needs a system that never forgets.
🧬 Genetic + Environmental Intelligence
Allergy, UV, humidity, HRV, sleep — all cross-referenced against family DNA history
💊 Supplement Lab Loop
Magnesium gap detected → lab order auto-drafted → dosage locked until results return
🚨 Fall Detection → EMS Cascade
Senior unresponsive → dispatches EMS with GPS, Lockbox Code, Eliquis bleed-risk alert
💰 Unified Finance OS
Open Enrollment optimizer + FSA/HSA predictive allocation + December Sweep = $4,200 saved
The doctor, the school nurse, the allergy clinic. The B2B Trojan Horse. We give them the population dashboard for free — they bring us 10,000 patients.
🏫 School Nurse B2B
Metro Nashville: 82k students, 41k opted in, zero CAC. Mass pollen triage dashboard.
⚡ EHR Write-Back
Agent writes clinical summaries directly into Epic/Cerner. Zero new login for the doctor.
📋 Auto Pre-Auth
Submits CPT codes and prior authorization to insurer before the patient arrives.
The insurance company, the employer HR team. They love GeneEcho because preventing one asthma ER visit ($4,200) pays for an entire family's annual subscription.
💳 Insurance Wallet
Real-time deductible status + exact out-of-pocket cost before any appointment is booked
📍 Care Routing
Telehealth vs. In-Person comparison. Filters in-network by specialty, cost, distance.
📊 VBC Alignment
Payers share in the savings. Prevented ER visits = shared savings revenue back to GeneEcho.
This is a life-critical system. What happens when it's wrong? We built the Reliability Audit first — before the pitch, before the demo. This is what trust looks like.
6 Failure Trees Mapped
Fall false positive, entity resolution error, insurance hallucination, API silent failure, overconfident treatment, novel tech whitelist
The Guardrail Rule
GeneEcho never prescribes. It surfaces questions for the physician, backed by clinical data. Treatment nodes only activate after NPI-verified sign-off.
"We are building the infrastructure for a health system that finally remembers you."