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vida: extract claims from 2026-01-00-commonwealth-fund-risk-adjustment-ma-explainer #808

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leo merged 2 commits from extract/2026-01-00-commonwealth-fund-risk-adjustment-ma-explainer into main 2026-03-12 13:40:44 +00:00
Conversation 8 Commits 2 Files changed 1 +14 -1
vida commented 2026-03-12 11:34:28 +00:00
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Automated Extraction

Source: inbox/archive/2026-01-00-commonwealth-fund-risk-adjustment-ma-explainer.md
Domain: health
Extracted by: headless cron (worker 3)

## Automated Extraction Source: `inbox/archive/2026-01-00-commonwealth-fund-risk-adjustment-ma-explainer.md` Domain: health Extracted by: headless cron (worker 3)
vida added 1 commit 2026-03-12 11:34:29 +00:00 
- Source: inbox/archive/2026-01-00-commonwealth-fund-risk-adjustment-ma-explainer.md
- Domain: health
- Extracted by: headless extraction cron (worker 3)

Pentagon-Agent: Vida <HEADLESS>
leo commented 2026-03-12 11:35:14 +00:00
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Eval started — 2 reviewers: leo (cross-domain, opus), vida (domain-peer, sonnet)

teleo-eval-orchestrator v2

**Eval started** — 2 reviewers: leo (cross-domain, opus), vida (domain-peer, sonnet) *teleo-eval-orchestrator v2*
leo commented 2026-03-12 11:35:16 +00:00
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Changes requested by leo(cross-domain), vida(domain-peer). Address feedback and push to trigger re-eval.

teleo-eval-orchestrator v2

**Changes requested** by leo(cross-domain), vida(domain-peer). Address feedback and push to trigger re-eval. *teleo-eval-orchestrator v2*
m3taversal commented 2026-03-12 11:36:39 +00:00
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Tier 0 Validation (shadow mode) — 0/4 claims pass

[FAIL] health/chart-review-diagnosis-mining-has-70-percent-unsupported-rate-in-cms-audits-revealing-systematic-upcoding-as-core-ma-payment-mechanism.md

  • broken_wiki_link:CMS 2027 chart review exclusion targets vertical integration profit arbitrage by
  • broken_wiki_link:medicare-fiscal-pressure-forces-ma-reform-by-2030s-through-arithmetic-not-ideolo
  • broken_wiki_link:domains/health/_map

[FAIL] health/cms-2027-chart-review-exclusion-saves-7-billion-by-requiring-diagnosis-codes-link-to-documented-medical-encounters.md

  • broken_wiki_link:CMS 2027 chart review exclusion targets vertical integration profit arbitrage by
  • broken_wiki_link:chart-review-diagnosis-mining-has-70-percent-unsupported-rate-in-cms-audits-reve
  • broken_wiki_link:cms-hcc-v28-model-reduces-diagnosis-to-hcc-mappings-saving-7-6-billion-annually-
  • broken_wiki_link:medicare-fiscal-pressure-forces-ma-reform-by-2030s-through-arithmetic-not-ideolo
  • broken_wiki_link:domains/health/_map

[FAIL] health/cms-hcc-v28-model-reduces-diagnosis-to-hcc-mappings-saving-7-6-billion-annually-by-narrowing-codeable-conditions.md

  • broken_wiki_link:CMS 2027 chart review exclusion targets vertical integration profit arbitrage by
  • broken_wiki_link:medicare-fiscal-pressure-forces-ma-reform-by-2030s-through-arithmetic-not-ideolo
  • broken_wiki_link:domains/health/_map

[FAIL] health/ma-risk-adjustment-gaming-faces-converging-enforcement-from-doj-oig-cms-and-bipartisan-congressional-action.md

  • broken_wiki_link:CMS 2027 chart review exclusion targets vertical integration profit arbitrage by
  • broken_wiki_link:chart-review-diagnosis-mining-has-70-percent-unsupported-rate-in-cms-audits-reve
  • broken_wiki_link:medicare-fiscal-pressure-forces-ma-reform-by-2030s-through-arithmetic-not-ideolo
  • broken_wiki_link:domains/health/_map

Shadow mode — these results are informational only. This PR will proceed to evaluation regardless.

tier0-gate v1 | 2026-03-12 11:36 UTC

<!-- TIER0-VALIDATION:cc2553c136247e460c4bac29a06a722c99339399 --> **Tier 0 Validation (shadow mode)** — 0/4 claims pass **[FAIL]** `health/chart-review-diagnosis-mining-has-70-percent-unsupported-rate-in-cms-audits-revealing-systematic-upcoding-as-core-ma-payment-mechanism.md` - broken_wiki_link:CMS 2027 chart review exclusion targets vertical integration profit arbitrage by - broken_wiki_link:medicare-fiscal-pressure-forces-ma-reform-by-2030s-through-arithmetic-not-ideolo - broken_wiki_link:domains/health/_map **[FAIL]** `health/cms-2027-chart-review-exclusion-saves-7-billion-by-requiring-diagnosis-codes-link-to-documented-medical-encounters.md` - broken_wiki_link:CMS 2027 chart review exclusion targets vertical integration profit arbitrage by - broken_wiki_link:chart-review-diagnosis-mining-has-70-percent-unsupported-rate-in-cms-audits-reve - broken_wiki_link:cms-hcc-v28-model-reduces-diagnosis-to-hcc-mappings-saving-7-6-billion-annually- - broken_wiki_link:medicare-fiscal-pressure-forces-ma-reform-by-2030s-through-arithmetic-not-ideolo - broken_wiki_link:domains/health/_map **[FAIL]** `health/cms-hcc-v28-model-reduces-diagnosis-to-hcc-mappings-saving-7-6-billion-annually-by-narrowing-codeable-conditions.md` - broken_wiki_link:CMS 2027 chart review exclusion targets vertical integration profit arbitrage by - broken_wiki_link:medicare-fiscal-pressure-forces-ma-reform-by-2030s-through-arithmetic-not-ideolo - broken_wiki_link:domains/health/_map **[FAIL]** `health/ma-risk-adjustment-gaming-faces-converging-enforcement-from-doj-oig-cms-and-bipartisan-congressional-action.md` - broken_wiki_link:CMS 2027 chart review exclusion targets vertical integration profit arbitrage by - broken_wiki_link:chart-review-diagnosis-mining-has-70-percent-unsupported-rate-in-cms-audits-reve - broken_wiki_link:medicare-fiscal-pressure-forces-ma-reform-by-2030s-through-arithmetic-not-ideolo - broken_wiki_link:domains/health/_map --- *Shadow mode — these results are informational only. This PR will proceed to evaluation regardless.* *tier0-gate v1 | 2026-03-12 11:36 UTC*
m3taversal force-pushed extract/2026-01-00-commonwealth-fund-risk-adjustment-ma-explainer from cc2553c136 to 32f340242f 2026-03-12 12:40:52 +00:00 Compare
leo commented 2026-03-12 12:42:00 +00:00
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Eval started — 2 reviewers: leo (cross-domain, opus), vida (domain-peer, sonnet)

teleo-eval-orchestrator v2

**Eval started** — 2 reviewers: leo (cross-domain, opus), vida (domain-peer, sonnet) *teleo-eval-orchestrator v2*
leo commented 2026-03-12 12:42:02 +00:00
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Changes requested by vida(domain-peer), leo(cross-domain). Address feedback and push to trigger re-eval.

teleo-eval-orchestrator v2

**Changes requested** by vida(domain-peer), leo(cross-domain). Address feedback and push to trigger re-eval. *teleo-eval-orchestrator v2*
m3taversal commented 2026-03-12 12:53:35 +00:00
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Everything passes. The claims are technically accurate, well-supported, and provide appropriate context. No duplicates or issues identified.

Everything passes. The claims are technically accurate, well-supported, and provide appropriate context. No duplicates or issues identified. <!-- VERDICT:VIDA:APPROVE -->
m3taversal force-pushed extract/2026-01-00-commonwealth-fund-risk-adjustment-ma-explainer from 32f340242f to 1ea2cf8fcd 2026-03-12 13:40:20 +00:00 Compare
leo commented 2026-03-12 13:40:39 +00:00
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Schema check passed — ingest-only PR, auto-merging.

Files: 1 source/musing files

teleo-eval-orchestrator v2 (proportional eval)

**Schema check passed** — ingest-only PR, auto-merging. Files: 1 source/musing files *teleo-eval-orchestrator v2 (proportional eval)*
leo approved these changes 2026-03-12 13:40:39 +00:00
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Approved by leo (automated eval)

Approved by leo (automated eval)
theseus approved these changes 2026-03-12 13:40:39 +00:00
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Approved by theseus (automated eval)

Approved by theseus (automated eval)
leo merged commit e69c62bb6c into main 2026-03-12 13:40:43 +00:00
leo commented 2026-03-12 13:40:44 +00:00
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Auto-merged — ingest-only PR passed schema compliance.

teleo-eval-orchestrator v2

**Auto-merged** — ingest-only PR passed schema compliance. *teleo-eval-orchestrator v2*
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