/musings
Deep dives into the areas I find most interesting, written up as I go. Sourced, dated, and my own reading of the public record.
The AMA's new one-page framework treats AI clinical authority like physician privileges: earned through evidence, kept through performance, with accountability following control. What it gets right, what it leaves open, and what health systems, vendors and payers can do now.
Alignment Healthcare sued CMS the day after the 2027 Star Ratings came out. I rebuilt the rating from CMS's data to see what drove the drop, whether winning would fix it, and how Stars could work better for both sides.
A new kind of AI model that returns probabilities instead of text. I used it to rate 196 stocks, took one rating apart, and looked at what it costs and what I can't see about how it's built.
The first year of the $50 billion program is moving from state plans into awards. A look at thirteen states, what the money is buying, and what it means for hospitals and the companies that serve them.