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_map.md
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vida: 5 health AI claims + 1 enrichment from Bessemer State of Health AI 2026
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2026-03-06 09:25:22 -07:00 |
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aca-2010-reduced-standard-ma-rebates-but-created-quality-bonus-system-for-high-star-plans-accelerating-growth-through-selective-overpayment.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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AI compresses drug discovery timelines by 30-40 percent but has not yet improved the 90 percent clinical failure rate that determines industry economics.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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AI diagnostic triage achieves 97 percent sensitivity across 14 conditions making AI-first screening viable for all imaging and pathology.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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AI middleware bridges consumer wearable data to clinical utility because continuous data is too voluminous for direct clinician review.md
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leo: foundations audit — 7 moves, 4 deletes, 3 condensations, 10 confidence demotions, 23 type fixes, 1 centaur rewrite
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2026-03-07 11:56:38 -07:00 |
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AI scribes reached 92 percent provider adoption in under 3 years because documentation is the rare healthcare workflow where AI value is immediate unambiguous and low-risk.md
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vida: 5 health AI claims + 1 enrichment from Bessemer State of Health AI 2026
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2026-03-06 09:25:22 -07:00 |
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AI-native health companies achieve 3-5x the revenue productivity of traditional health services because AI eliminates the linear scaling constraint between headcount and output.md
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vida: 5 health AI claims + 1 enrichment from Bessemer State of Health AI 2026
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2026-03-06 09:25:22 -07:00 |
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ambient AI documentation reduces physician documentation burden by 73 percent but the relationship between automation and burnout is more complex than time savings alone.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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Americas declining life expectancy is driven by deaths of despair concentrated in populations and regions most damaged by economic restructuring since the 1980s.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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anti-payvidor legislation targets all insurer-provider integration without distinguishing acquisition-based arbitrage from purpose-built care delivery.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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bba-1997-crash-demonstrates-ma-viability-requires-above-ffs-payments-as-plan-exits-caused-30-percent-enrollment-collapse.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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bba-1997-created-medicare-plus-choice-with-expanded-plan-types-and-risk-adjustment-but-triggered-30-percent-enrollment-collapse-through-payment-formula-changes.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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bba-1997-payment-constraints-caused-30-percent-ma-enrollment-collapse-and-2-million-involuntary-disenrollments-proving-plan-participation-requires-above-ffs-payments.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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Big Food companies engineer addictive products by hacking evolutionary reward pathways creating a noncommunicable disease epidemic more deadly than the famines specialization eliminated.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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big-beautiful-bill-2025-erased-12-years-medicare-solvency-in-11-months-through-tax-cuts-on-social-security-benefits.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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CMS 2027 chart review exclusion targets vertical integration profit arbitrage by removing upcoded diagnoses from MA risk scoring.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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CMS is creating AI-specific reimbursement codes which will formalize a two-speed adoption system where proven AI applications get payment parity while experimental ones remain in cash-pay limbo.md
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vida: 5 health AI claims + 1 enrichment from Bessemer State of Health AI 2026
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2026-03-06 09:25:22 -07:00 |
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consumer CGMs are going mainstream as behavioral change tools not clinical diagnostics because real-time glucose visibility changes food choices even without randomized trial evidence.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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consumer willingness to pay out of pocket for AI-enhanced care is outpacing reimbursement creating a cash-pay adoption pathway that bypasses traditional payer gatekeeping.md
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vida: 5 health AI claims + 1 enrichment from Bessemer State of Health AI 2026
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2026-03-06 09:25:22 -07:00 |
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continuous health monitoring is converging on a multi-layer sensor stack of ambient wearables periodic patches and environmental sensors processed through AI middleware.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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Devoted is the fastest-growing MA plan at 121 percent growth because purpose-built technology outperforms acquisition-based vertical integration during CMS tightening.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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famine disease and war are products of the agricultural revolution not immutable features of human existence and specialization has converted all three from unforeseeable catastrophes into preventable problems.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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favorable-selection-in-medicare-advantage-is-structural-not-fraudulent-because-plan-design-incentivizes-attracting-healthier-members.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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favorable-selection-overpayments-equal-coding-intensity-at-580-billion-but-receive-less-policy-attention-because-the-mechanism-is-structural-not-fraudulent.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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FDA is replacing animal testing with AI models and organ-on-chip as the default preclinical pathway which will compress drug development timelines and reduce the 90 percent clinical failure rate.md
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vida: 5 health AI claims + 1 enrichment from Bessemer State of Health AI 2026
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2026-03-06 09:25:22 -07:00 |
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four competing payer-provider models are converging toward value-based care with vertical integration dominant today but aligned partnership potentially more durable.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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Function Health drives down diagnostic conversion costs to 499 per year for 100-plus lab tests making atoms-to-bits health data generation accessible at consumer scale.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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gene editing is shifting from ex vivo to in vivo delivery via lipid nanoparticles which will reduce curative therapy costs from millions to hundreds of thousands per treatment.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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GLP-1 receptor agonists are the largest therapeutic category launch in pharmaceutical history but their chronic use model makes the net cost impact inflationary through 2035.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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healthcare AI creates a Jevons paradox because adding capacity to sick care induces more demand for sick care.md
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leo: foundations audit — 7 moves, 4 deletes, 3 condensations, 10 confidence demotions, 23 type fixes, 1 centaur rewrite
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2026-03-07 11:56:38 -07:00 |
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healthcare AI funding follows a winner-take-most pattern with category leaders absorbing capital at unprecedented velocity while 35 percent of deals are flat or down rounds.md
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vida: 5 health AI claims + 1 enrichment from Bessemer State of Health AI 2026
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2026-03-06 09:25:22 -07:00 |
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healthcare AI regulation needs blank-sheet redesign because the FDA drug-and-device model built for static products cannot govern continuously learning software.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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healthcare is a complex adaptive system requiring simple enabling rules not complicated management because standardized processes erode the clinical autonomy needed for value creation.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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healthcares defensible layer is where atoms become bits because physical-to-digital conversion generates the data that powers AI care while building patient trust that software alone cannot create.md
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leo: foundations audit — 7 moves, 4 deletes, 3 condensations, 10 confidence demotions, 23 type fixes, 1 centaur rewrite
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2026-03-07 11:56:38 -07:00 |
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human-in-the-loop clinical AI degrades to worse-than-AI-alone because physicians both de-skill from reliance and introduce errors when overriding correct outputs.md
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leo: foundations audit — 7 moves, 4 deletes, 3 condensations, 10 confidence demotions, 23 type fixes, 1 centaur rewrite
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2026-03-07 11:56:38 -07:00 |
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Kaiser Permanentes 80-year tripartite structure is the strongest precedent for purpose-built payvidor exemptions because any structural separation bill that captures Kaiser faces 12.5 million members and Californias entire healthcare infrastructure.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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ma-growth-from-13-to-54-percent-was-driven-by-political-payment-decisions-not-consumer-preference-as-the-bba-crash-demonstrates.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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ma-legislative-cycle-follows-cost-concern-restriction-disruption-backlash-overpayment-pattern-across-1997-2003-2010-periods.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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ma-overpayments-accelerate-medicare-trust-fund-insolvency-by-510-billion-over-2025-2034-making-payment-reform-fiscally-necessary.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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medical care explains only 10-20 percent of health outcomes because behavioral social and genetic factors dominate as four independent methodologies confirm.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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medical LLM benchmark performance does not translate to clinical impact because physicians with and without AI access achieve similar diagnostic accuracy in randomized trials.md
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leo: foundations audit — 7 moves, 4 deletes, 3 condensations, 10 confidence demotions, 23 type fixes, 1 centaur rewrite
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2026-03-07 11:56:38 -07:00 |
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medicare-2040-insolvency-creates-14-year-forced-function-for-structural-reform-independent-of-political-control.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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medicare-2040-insolvency-creates-forced-function-for-structural-reform-regardless-of-political-control.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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medicare-2040-insolvency-requires-8-percent-benefit-cuts-without-congressional-action-creating-automatic-political-forcing-function.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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medicare-2040-insolvency-triggers-automatic-8-percent-benefit-cuts-rising-to-10-percent-by-2056-without-congressional-action.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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medicare-advantage-growth-is-policy-contingent-not-market-driven-as-the-1997-2003-crash-and-rescue-cycle-demonstrates.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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medicare-advantage-overpayments-total-1-2-trillion-over-2025-2034-driven-equally-by-coding-intensity-and-favorable-selection.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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medicare-demographics-are-locked-in-not-projected-as-baby-boomers-all-reach-65-by-2030-reducing-worker-to-beneficiary-ratio-from-2-8-to-2-2.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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medicare-fiscal-collision-combines-demographics-ma-overpayments-and-tax-revenue-reduction-forcing-2030s-structural-reform.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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medicare-part-c-was-authorized-in-1972-social-security-amendments-establishing-capitation-payments-14-years-before-common-narrative-start-date.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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medicare-trust-fund-solvency-collapsed-12-years-in-11-months-from-2055-to-2040-after-big-beautiful-bill-demonstrating-extreme-fiscal-fragility.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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medicare-trust-fund-solvency-collapsed-12-years-in-one-year-demonstrating-fiscal-fragility-under-tax-policy-changes.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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medicare-trust-fund-solvency-collapsed-from-2055-to-2040-in-one-year-after-big-beautiful-bill-tax-cuts.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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medicare-trust-fund-solvency-collapsed-from-2055-to-2040-in-under-one-year-after-big-beautiful-bill-tax-cuts-demonstrating-fiscal-fragility.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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mma-2003-ideological-reframe-from-cost-problem-to-market-solution-enabled-ma-growth-independent-of-payment-mechanics.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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mma-2003-payment-increase-was-11-percent-average-with-minimum-floor-at-100-percent-ffs-reversing-bba-1997-constraints.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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mma-2003-shifted-medicare-ideology-from-cost-containment-to-market-accommodation-through-republican-unified-control-enabling-ma-growth-from-13-to-54-percent.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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modernization dismantles family and community structures replacing them with market and state relationships that increase individual freedom but erode psychosocial foundations of wellbeing.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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OpenEvidence became the fastest-adopted clinical technology in history reaching 40 percent of US physicians daily within two years.md
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leo: foundations audit — 7 moves, 4 deletes, 3 condensations, 10 confidence demotions, 23 type fixes, 1 centaur rewrite
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2026-03-07 11:56:38 -07:00 |
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Oura controls 80 percent of the smart ring market with patent-defended form factor while a demographic pivot from fitness enthusiasts to wellness-focused women drives 250 percent sales growth.md
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vida: fix pipe-alias wiki link in Oura claim
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2026-03-06 13:06:41 +00:00 |
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pace-avoids-institutionalization-through-single-capitated-payment-integrating-medical-social-psychiatric-care.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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pace-demonstrates-lower-mortality-and-reduced-nursing-home-utilization-through-community-based-integrated-care.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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pace-restructures-costs-from-acute-to-chronic-care-without-reducing-total-spending.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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pace-restructures-healthcare-costs-from-acute-to-chronic-spending-without-reducing-total-expenditure.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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pace-restructures-healthcare-spending-from-acute-to-chronic-care-at-cost-neutral-medicare-but-higher-medicaid-expenditure.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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pace-restructures-healthcare-spending-from-acute-to-chronic-care-without-reducing-total-costs.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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personalized mRNA cancer vaccines show sustained 49 percent reduction in melanoma recurrence after five years representing a genuinely novel therapeutic paradigm.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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prescription digital therapeutics failed as a business model because FDA clearance creates regulatory cost without the pricing power that justifies it for near-zero marginal cost software.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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private-medicare-plans-existed-since-1966-inception-but-capitation-authority-came-in-1972-social-security-amendments-14-years-before-common-narrative.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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savings-based-healthcare-financing-creates-cost-discipline-through-individual-account-visibility-while-third-party-payment-obscures-price-signals.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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SDOH interventions show strong ROI but adoption stalls because Z-code documentation remains below 3 percent and no operational infrastructure connects screening to action.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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singapore-3m-framework-demonstrates-individual-responsibility-and-universal-coverage-can-coexist-achieving-comparable-outcomes-at-one-quarter-us-spending.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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social isolation costs Medicare 7 billion annually and carries mortality risk equivalent to smoking 15 cigarettes per day making loneliness a clinical condition not a personal problem.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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tefra-1982-established-risk-contract-hmos-with-prospective-capitation-reaching-2-8-percent-penetration-by-1985-as-first-viable-ma-predecessor.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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tefra-1982-to-mma-2003-demonstrates-21-year-political-learning-cycle-where-each-payment-restriction-generated-disruption-that-made-subsequent-restrictions-politically-impossible.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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tefra-to-mma-21-year-cycle-demonstrates-political-ratchet-where-disruption-makes-future-payment-restrictions-impossible.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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the epidemiological transition marks the shift from material scarcity to social disadvantage as the primary driver of health outcomes in developed nations.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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the FDA now separates wellness devices from medical devices based on claims not sensor technology enabling health insights without full medical device classification.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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the healthcare attractor state is a prevention-first system where aligned payment continuous monitoring and AI-augmented care delivery create a flywheel that profits from health rather than sickness.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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the healthcare cost curve bends up through 2035 because new curative and screening capabilities create more treatable conditions faster than prices decline.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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the mental health supply gap is widening not closing because demand outpaces workforce growth and technology primarily serves the already-served rather than expanding access.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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the physician role shifts from information processor to relationship manager as AI automates documentation triage and evidence synthesis.md
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leo: foundations audit — 7 moves, 4 deletes, 3 condensations, 10 confidence demotions, 23 type fixes, 1 centaur rewrite
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2026-03-07 11:56:38 -07:00 |
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the-21-year-tefra-to-mma-cycle-demonstrates-political-ratchet-where-each-payment-restriction-creates-disruption-that-makes-future-restrictions-impossible.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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the-mma-2003-ideological-shift-from-cost-containment-to-market-accommodation-explains-ma-trajectory-more-than-payment-mechanics.md
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vida: extract claims from 2025-00-00-singapore-3m-healthcare-system.md
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2026-03-10 21:55:25 +00:00 |
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value-based care transitions stall at the payment boundary because 60 percent of payments touch value metrics but only 14 percent bear full risk.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
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WHOOP subscription-only wearable model generates $260M revenue but trails Oura at half the revenue and a third the valuation because fitness-first positioning limits the addressable wellness market.md
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vida: fix broken wiki links and add Vida to Active Agents table
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2026-03-06 11:35:25 +00:00 |
