HeyJaredAI-Native Engineer
How AI-native engineers actually work. Claude Code, Codex, agent workflows, and field notes from shipping real systems in healthcare
- Indexed issues, last 90 days
- 9
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- Sep 23, 2026
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- Jul 7, 2026
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Instinct and Muse Are UX Innovations. That's the Whole Point. (opens the original)
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I’ve been running my own personal agent for months. Hermes on a server I control, reached through the Hermes desktop app, a mobile app on TestFlight, and Telegram. It books things, watches things, cancels things. So when Instinct and Muse showed up this month I had a strange reaction. Nothing they do is new to me. And I still want one.These agents are built for productivity. At RevelAI Health we build agents for patients, to keep them engaged through ACCESS and other care journeys. Healthcare is
CMS ACCESS: An Engineer's Field Guide (opens the original)
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The reimbursement for ACCESS is small and I’m not going to relitigate it here. What I’ll say is that this is the first CMS model I’ve worked on where a technology-enabled care organization is the aligned participant, gets an eligibility answer from the payer directly, reports the instrument answers and scored values rather than a summary measure, and can ask for the claims afterward. Whether that combination pays for itself depends on acquisition and retention, which was the previous post, and o
I Left the Mac After 12 Years. Omarchy Made Computers Fun Again. (opens the original)
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I have not opened my MacBook in two weeks. After 12 years on a Mac, that feels weird to write.My daily laptop now is a lightweight Lenovo Yoga Slim 7i Ultra Aura Edition running Omarchy. My agents live on a server. And I am having more fun with my computer than I have in years.<p class="cta-caption
I Built My Agent Computer in the Cloud (opens the original)
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I live in Ashburn, Virginia. Home of the data center. There’s a stat that goes around that two thirds of US internet traffic passes through Ashburn. So it felt right that my agents should live here too. I rented a machine through OVH, a good Linux box that stays on, in a data center in Virginia. 16 cores, 62 GB of RAM, two NVMe drives in RAID1. I pay about $90 a month for it.Why do this?Keeping my laptop on was a problem. When multiple Claudes and Codex and Hermes run in para
CMS ACCESS: Getting the Patient in the Door Is the Hard Part (opens the original)
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It’s very hard to automate patient referrals into a digital health program. You’d think patients will see a program like CMS ACCESS online and onboard themselves, but there’s a lot more to it.We’ve spent the last few months at RevelAI Health building for this model, and most of that time went into a problem that isn’t in the RFA at all: how does a patient actually get into your program, and how do you keep them there for twelve months? I want to share how we think about it, what the evidence say
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