The thinking behind the work.
Field notes on putting AI to work in health plans, private equity, and the public sector. The arguments we bring into the room, published in full.
Health plansIn progress
Three levers for AI in a health plan
Most plans point AI at the smallest lever. The bigger returns sit in the other two.
Health plansIn progress
The office that actually pulls the levers
Naming the levers is easy. Pulling them is a question of structure.
Cross-industryIn progress
Consolidate first, then deploy
A hundred workflow variants collapse into a handful, in the right order.
Health plans
The forward-deployed health plan
Sort the org chart into volume and judgment, then staff to the second.
How we AI
Most regional MA exits are not exits
Most “exits” are sales. Contract-level tracing tells them apart.
How we AI
Reading the Cityblock-Homeward deal
The read the headlines missed, built from public CMS data in an afternoon.
Health plans
The Star Ratings ruling removed less than the commentary suggests
Nineteen of the twenty “struck” measures are back for 2027, several heavier.
Health plans
Elevance named its own Medicaid exit test. Four states fail it.
What “alignment with duals” looks like when you actually measure it.
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