Teleo Pipeline ae9e993c58 leo: consolidate new entities and claims from near-duplicate PRs ... - What: 21 new entity/claim files + 5 archive updates extracted from 14 PRs that had merge conflicts on shared entity files - Why: PRs 700,701,716,753,758,765,778,790,791,797,805,818,823,831 each modified shared files (futardio.md, metadao.md, coal.md, drift.md, polymarket.md, paystream.md, avici.md) causing conflicts. PR 788 skipped (archive file already on main). Closed the PRs and consolidated only the new, unique files. - Connections: extends internet-finance entity coverage and health domain claims Pentagon-Agent: Leo <294C3CA1-0205-4668-82FA-B984D54F48AD>		2026-03-15 11:54:59 +00:00
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_map.md	vida: 5 health AI claims + 1 enrichment from Bessemer State of Health AI 2026	2026-03-06 09:25:22 -07:00
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	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
AI diagnostic triage achieves 97 percent sensitivity across 14 conditions making AI-first screening viable for all imaging and pathology.md	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
AI middleware bridges consumer wearable data to clinical utility because continuous data is too voluminous for direct clinician review.md	leo: foundations audit — 7 moves, 4 deletes, 3 condensations, 10 confidence demotions, 23 type fixes, 1 centaur rewrite	2026-03-07 11:56:38 -07:00
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	vida: 5 health AI claims + 1 enrichment from Bessemer State of Health AI 2026	2026-03-06 09:25:22 -07:00
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	vida: 5 health AI claims + 1 enrichment from Bessemer State of Health AI 2026	2026-03-06 09:25:22 -07:00
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	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
Americas declining life expectancy is driven by deaths of despair concentrated in populations and regions most damaged by economic restructuring since the 1980s.md	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
anti-payvidor legislation targets all insurer-provider integration without distinguishing acquisition-based arbitrage from purpose-built care delivery.md	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
Big Food companies engineer addictive products by hacking evolutionary reward pathways creating a noncommunicable disease epidemic more deadly than the famines specialization eliminated.md	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
chronic-condition-special-needs-plans-grew-71-percent-in-one-year-indicating-explosive-demand-for-disease-management-infrastructure.md	leo: consolidate new entities and claims from near-duplicate PRs	2026-03-15 11:54:59 +00:00
CMS 2027 chart review exclusion targets vertical integration profit arbitrage by removing upcoded diagnoses from MA risk scoring.md	vida: extract from 2026-02-23-cbo-medicare-trust-fund-2040-insolvency.md	2026-03-12 10:22:08 +00:00
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	vida: 5 health AI claims + 1 enrichment from Bessemer State of Health AI 2026	2026-03-06 09:25:22 -07:00
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	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
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	vida: 5 health AI claims + 1 enrichment from Bessemer State of Health AI 2026	2026-03-06 09:25:22 -07:00
continuous health monitoring is converging on a multi-layer sensor stack of ambient wearables periodic patches and environmental sensors processed through AI middleware.md	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
Devoted is the fastest-growing MA plan at 121 percent growth because purpose-built technology outperforms acquisition-based vertical integration during CMS tightening.md	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
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	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
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	vida: 5 health AI claims + 1 enrichment from Bessemer State of Health AI 2026	2026-03-06 09:25:22 -07:00
four competing payer-provider models are converging toward value-based care with vertical integration dominant today but aligned partnership potentially more durable.md	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
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	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
gatekeeping-systems-optimize-primary-care-at-the-expense-of-specialty-access-creating-structural-bottlenecks.md	leo: consolidate new entities and claims from near-duplicate PRs	2026-03-15 11:54:59 +00:00
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	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
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	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
healthcare AI creates a Jevons paradox because adding capacity to sick care induces more demand for sick care.md	leo: foundations audit — 7 moves, 4 deletes, 3 condensations, 10 confidence demotions, 23 type fixes, 1 centaur rewrite	2026-03-07 11:56:38 -07:00
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	vida: 5 health AI claims + 1 enrichment from Bessemer State of Health AI 2026	2026-03-06 09:25:22 -07:00
healthcare AI regulation needs blank-sheet redesign because the FDA drug-and-device model built for static products cannot govern continuously learning software.md	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
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	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
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	leo: foundations audit — 7 moves, 4 deletes, 3 condensations, 10 confidence demotions, 23 type fixes, 1 centaur rewrite	2026-03-07 11:56:38 -07:00
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	leo: foundations audit — 7 moves, 4 deletes, 3 condensations, 10 confidence demotions, 23 type fixes, 1 centaur rewrite	2026-03-07 11:56:38 -07:00
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	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
medical care explains only 10-20 percent of health outcomes because behavioral social and genetic factors dominate as four independent methodologies confirm.md	vida: extract from 2024-09-19-commonwealth-fund-mirror-mirror-2024.md	2026-03-14 17:10:19 +00:00
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	leo: foundations audit — 7 moves, 4 deletes, 3 condensations, 10 confidence demotions, 23 type fixes, 1 centaur rewrite	2026-03-07 11:56:38 -07:00
medicare-advantage-crossed-majority-enrollment-in-2023-marking-structural-transformation-from-supplement-to-dominant-program.md	leo: consolidate new entities and claims from near-duplicate PRs	2026-03-15 11:54:59 +00:00
medicare-advantage-market-is-an-oligopoly-with-unitedhealthgroup-and-humana-controlling-46-percent-despite-nominal-plan-choice.md	leo: consolidate new entities and claims from near-duplicate PRs	2026-03-15 11:54:59 +00:00
medicare-advantage-spending-gap-grew-47x-while-enrollment-doubled-indicating-scale-worsens-overpayment-problem.md	leo: consolidate new entities and claims from near-duplicate PRs	2026-03-15 11:54:59 +00:00
medicare-fiscal-pressure-forces-ma-reform-by-2030s-through-arithmetic-not-ideology.md	vida: extract from 2026-02-23-cbo-medicare-trust-fund-2040-insolvency.md	2026-03-12 10:22:08 +00:00
medicare-trust-fund-insolvency-accelerated-12-years-by-tax-policy-demonstrating-fiscal-fragility.md	vida: extract from 2026-02-23-cbo-medicare-trust-fund-2040-insolvency.md	2026-03-12 10:22:08 +00:00
modernization dismantles family and community structures replacing them with market and state relationships that increase individual freedom but erode psychosocial foundations of wellbeing.md	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
nhs-demonstrates-universal-coverage-without-adequate-funding-produces-excellent-primary-care-but-catastrophic-specialty-access.md	leo: consolidate new entities and claims from near-duplicate PRs	2026-03-15 11:54:59 +00:00
OpenEvidence became the fastest-adopted clinical technology in history reaching 40 percent of US physicians daily within two years.md	leo: foundations audit — 7 moves, 4 deletes, 3 condensations, 10 confidence demotions, 23 type fixes, 1 centaur rewrite	2026-03-07 11:56:38 -07:00
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	vida: fix pipe-alias wiki link in Oura claim	2026-03-06 13:06:41 +00:00
pace-demonstrates-integrated-care-averts-institutionalization-through-community-based-delivery-not-cost-reduction.md	vida: extract claims from 2014-00-00-aspe-pace-effect-costs-nursing-home-mortality (#202)	2026-03-10 22:28:57 +00:00
pace-restructures-costs-from-acute-to-chronic-spending-without-reducing-total-expenditure-challenging-prevention-saves-money-narrative.md	vida: extract claims from 2014-00-00-aspe-pace-effect-costs-nursing-home-mortality (#202)	2026-03-10 22:28:57 +00:00
personalized mRNA cancer vaccines show sustained 49 percent reduction in melanoma recurrence after five years representing a genuinely novel therapeutic paradigm.md	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
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	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
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	vida: extract from 2024-09-19-commonwealth-fund-mirror-mirror-2024.md	2026-03-14 17:10:19 +00:00
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	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
the epidemiological transition marks the shift from material scarcity to social disadvantage as the primary driver of health outcomes in developed nations.md	vida: extract from 2024-09-19-commonwealth-fund-mirror-mirror-2024.md	2026-03-14 17:10:19 +00:00
the FDA now separates wellness devices from medical devices based on claims not sensor technology enabling health insights without full medical device classification.md	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
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	auto-fix: strip 2 broken wiki links	2026-03-14 17:10:19 +00:00
the healthcare cost curve bends up through 2035 because new curative and screening capabilities create more treatable conditions faster than prices decline.md	vida: extract from 2026-02-23-cbo-medicare-trust-fund-2040-insolvency.md	2026-03-12 10:22:08 +00:00
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	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00
the physician role shifts from information processor to relationship manager as AI automates documentation triage and evidence synthesis.md	leo: foundations audit — 7 moves, 4 deletes, 3 condensations, 10 confidence demotions, 23 type fixes, 1 centaur rewrite	2026-03-07 11:56:38 -07:00
us-healthcare-ranks-last-among-peer-nations-despite-highest-spending-because-access-and-equity-failures-override-clinical-quality.md	auto-fix: strip 2 broken wiki links	2026-03-14 17:10:19 +00:00
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	vida: extract claims from 2014-00-00-aspe-pace-effect-costs-nursing-home-mortality (#202)	2026-03-10 22:28:57 +00:00
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	vida: fix broken wiki links and add Vida to Active Agents table	2026-03-06 11:35:25 +00:00