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Randy Horton

Randy Horton has spent much of his career working with healthcare and life sciences organizations to tackle the Quadruple Aim: 1) optimizing health system performance by improving the individual experience of care, 2) advancing the health of populations, 3) reducing the per capita cost of care, and 4) enhancing the work-life of those who deliver care. Horton brings strong experience, expertise, and creative business thinking to his leadership role, along with nearly three decades of experience with Internet-enabled digital transformation and a passion for being a connector of people and ideas. He helps organizations break through to their “what’s next” by building new capabilities and launching innovative, digitally enabled – and highly successful – products and services. 

Horton serves as VP of Solutions and Partnerships, Orthogonal.

Orthogonal is a software development consulting firm that creates Software as a Medical Device (SaMD), digital therapeutics (DTx), and connected medical devices. The company works with change agents who are responsible for digital transformation at medical device, pharma, and diagnostics manufacturers that want to accelerate their pipeline of product innovation to modernize patient care and gain competitive advantage.

Orthogonal applies deep experience in SaMD and the power of fast feedback loops to rapidly develop, successfully launch, and continuously improve connected, compliant products. It collaborates with clients to build their own rapid SaMD development engines.

For almost 10 years, it has helped  firms ranging from early-stage innovators to Fortune 100 industry leaders to develop and bring their regulated/connected devices to market.


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