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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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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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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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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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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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anti-payvidor legislation targets all insurer-provider integration without distinguishing acquisition-based arbitrage from purpose-built care delivery.md
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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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extract: 2025-06-01-cell-med-glp1-societal-implications-obesity
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2026-03-15 19:07:00 +00:00 |
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caregiver-workforce-crisis-shows-all-50-states-experiencing-shortages-with-43-states-reporting-facility-closures-signaling-care-infrastructure-collapse.md
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extract: 2025-07-24-aarp-caregiving-crisis-63-million
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2026-03-16 10:22:15 +00:00 |
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chronic-condition-special-needs-plans-grew-71-percent-in-one-year-indicating-explosive-demand-for-disease-management-infrastructure.md
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leo: consolidate new entities and claims from near-duplicate PRs
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2026-03-15 11:54:59 +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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auto-fix: strip 3 broken wiki links
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2026-03-16 13:32:37 +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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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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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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auto-fix: strip 3 broken wiki links
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2026-03-16 13:32:37 +00:00 |
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family-caregiving-functions-as-poverty-transmission-mechanism-forcing-debt-savings-depletion-and-food-insecurity-on-working-age-population.md
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extract: 2025-07-24-aarp-caregiving-crisis-63-million
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2026-03-16 10:22:15 +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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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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federal-budget-scoring-methodology-systematically-undervalues-preventive-interventions-because-10-year-window-excludes-long-term-savings.md
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extract: 2024-11-01-aspe-medicare-anti-obesity-medication-coverage
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2026-03-16 11:31:42 +00:00 |
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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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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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gatekeeping-systems-optimize-primary-care-at-the-expense-of-specialty-access-creating-structural-bottlenecks.md
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extract: 2025-00-00-nhs-england-waiting-times-underfunding
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2026-03-16 10:18:13 +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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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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extract: 2025-12-01-who-glp1-global-guidelines-obesity (#1156)
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2026-03-16 15:53:37 +00:00 |
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glp-1-multi-organ-protection-creates-compounding-value-across-kidney-cardiovascular-and-metabolic-endpoints.md
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auto-fix: strip 5 broken wiki links
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2026-03-16 15:09:53 +00:00 |
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glp-1-persistence-drops-to-15-percent-at-two-years-for-non-diabetic-obesity-patients-undermining-chronic-use-economics.md
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auto-fix: strip 5 broken wiki links
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2026-03-16 15:49:30 +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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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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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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home-based-care-could-capture-265-billion-in-medicare-spending-by-2025-through-hospital-at-home-remote-monitoring-and-post-acute-shift.md
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extract: 2021-02-00-mckinsey-facility-to-home-265-billion-shift
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2026-03-16 13:25:19 +00:00 |
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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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japan-demographic-trajectory-provides-20-year-preview-of-us-long-term-care-challenge.md
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extract: 2021-02-00-pmc-japan-ltci-past-present-future
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2026-03-15 15:57:44 +00:00 |
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japan-ltci-proves-mandatory-universal-long-term-care-insurance-is-viable-at-national-scale.md
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extract: 2021-02-00-pmc-japan-ltci-past-present-future
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2026-03-15 15:57:44 +00:00 |
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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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lower-income-patients-show-higher-glp-1-discontinuation-rates-suggesting-affordability-not-just-clinical-factors-drive-persistence.md
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extract: 2025-11-06-trump-novo-lilly-glp1-price-deals-medicare (#1143)
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2026-03-16 15:41:46 +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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extract: 2025-12-01-who-glp1-global-guidelines-obesity (#1156)
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2026-03-16 15:53:37 +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-advantage-crossed-majority-enrollment-in-2023-marking-structural-transformation-from-supplement-to-dominant-program.md
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leo: consolidate new entities and claims from near-duplicate PRs
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2026-03-15 11:54:59 +00:00 |
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medicare-advantage-market-is-an-oligopoly-with-unitedhealthgroup-and-humana-controlling-46-percent-despite-nominal-plan-choice.md
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leo: consolidate new entities and claims from near-duplicate PRs
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2026-03-15 11:54:59 +00:00 |
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medicare-advantage-spending-gap-grew-47x-while-enrollment-doubled-indicating-scale-worsens-overpayment-problem.md
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leo: consolidate new entities and claims from near-duplicate PRs
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2026-03-15 11:54:59 +00:00 |
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medicare-fiscal-pressure-forces-ma-reform-by-2030s-through-arithmetic-not-ideology.md
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auto-fix: strip 3 broken wiki links
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2026-03-16 13:32:37 +00:00 |
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medicare-trust-fund-insolvency-accelerated-12-years-by-tax-policy-demonstrating-fiscal-fragility.md
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vida: extract from 2026-02-23-cbo-medicare-trust-fund-2040-insolvency.md
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2026-03-12 10:22:08 +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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extract: 2025-07-24-aarp-caregiving-crisis-63-million
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2026-03-16 10:22:15 +00:00 |
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nhs-demonstrates-universal-coverage-without-adequate-funding-produces-excellent-primary-care-but-catastrophic-specialty-access.md
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leo: consolidate new entities and claims from near-duplicate PRs
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2026-03-15 11:54:59 +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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pace-demonstrates-integrated-care-averts-institutionalization-through-community-based-delivery-not-cost-reduction.md
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auto-fix: strip 7 broken wiki links
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2026-03-16 12:03:24 +00:00 |
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pace-restructures-costs-from-acute-to-chronic-spending-without-reducing-total-expenditure-challenging-prevention-saves-money-narrative.md
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vida: extract claims from 2014-00-00-aspe-pace-effect-costs-nursing-home-mortality (#202)
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2026-03-10 22:28:57 +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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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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rpm-technology-stack-enables-facility-to-home-care-migration-through-ai-middleware-that-converts-continuous-data-into-clinical-utility.md
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extract: 2021-02-00-mckinsey-facility-to-home-265-billion-shift
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2026-03-16 13:25:19 +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: extract from 2024-09-19-commonwealth-fund-mirror-mirror-2024.md
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2026-03-14 17:10:19 +00:00 |
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semaglutide-achieves-47-percent-one-year-persistence-versus-19-percent-for-liraglutide-showing-drug-specific-adherence-variation-of-2-5x.md
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extract: 2024-08-01-jmcp-glp1-persistence-adherence-commercial-populations
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2026-03-15 17:13:40 +00:00 |
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semaglutide-reduces-kidney-disease-progression-24-percent-and-delays-dialysis-creating-largest-per-patient-cost-savings.md
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auto-fix: strip 5 broken wiki links
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2026-03-16 15:09:53 +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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extract: 2025-07-24-aarp-caregiving-crisis-63-million
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2026-03-16 10:22:15 +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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extract: 2025-06-01-cell-med-glp1-societal-implications-obesity
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2026-03-15 19:07:00 +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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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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extract: 2025-12-01-who-glp1-global-guidelines-obesity (#1156)
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2026-03-16 15:53:37 +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: extract from 2026-02-23-cbo-medicare-trust-fund-2040-insolvency.md
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2026-03-12 10:22:08 +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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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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unpaid-family-caregiving-provides-870-billion-annually-representing-16-percent-of-total-us-health-economy-invisible-to-policy-models.md
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extract: 2025-07-24-aarp-caregiving-crisis-63-million
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2026-03-16 10:22:15 +00:00 |
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us-healthcare-ranks-last-among-peer-nations-despite-highest-spending-because-access-and-equity-failures-override-clinical-quality.md
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extract: 2025-00-00-nhs-england-waiting-times-underfunding
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2026-03-16 10:18:13 +00:00 |
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us-long-term-care-financing-gap-is-largest-unaddressed-structural-problem-in-american-healthcare.md
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extract: 2021-02-00-pmc-japan-ltci-past-present-future
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2026-03-15 15:57:44 +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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extract: 2025-12-23-cms-balance-model-glp1-obesity-coverage
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2026-03-16 14:07:31 +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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