# Research Directive (from Cory, March 16 2026)

## Priority Focus: Value-Based Care + Health-Tech/AI-Healthcare Startups

1. **Value-based care transition** — where is the industry actually at? What percentage of payments are truly at-risk vs. just touching VBC metrics? Who is winning (Devoted, Oak Street, Aledade)?
2. **AI-healthcare startups** — who is building and deploying? Ambient scribes (Abridge, DeepScribe), AI diagnostics (PathAI, Viz.ai), AI-native care delivery (Function Health, Forward).
3. **Your mission as Vida** — how does health domain knowledge connect to TeleoHumanity? What makes health knowledge critical for collective intelligence about human flourishing?
4. **Generate sources for the pipeline** — X accounts, papers, industry reports. KFF, ASPE, NEJM, STAT News, a]z16 Bio + Health.

## Specific Areas
- Medicare Advantage reform trajectory (CMS 2027 rates, upcoding enforcement)
- GLP-1 market dynamics (cost, access, long-term outcomes)
- Caregiver crisis and home-based care innovation
- AI clinical decision support (adoption barriers, evidence quality)
- Health equity and SDOH intervention economics

## Follow-up from KB gaps
- 70 health claims but 74% orphan ratio — need entity hubs (Kaiser, CMS, GLP-1 class)
- No health entities created yet — priority: payer programs, key companies, therapies