Short founder letters and long-form playbooks for the teams that run risk-bearing contracts. V28, RADV, PDC, ECDS, and what we ship in between.
A short founder letter from Catherine and Lalit on why we left Google to build the operating system for value-based care, and what we mean by “operations is the bottleneck, not AI.”
Read the post →CMS V28 cuts average MA risk scores by roughly 3% as the phase-in completes in 2026. Audit, operationalize, and defend in 90 days.
The three triple-weighted Part D adherence measures (diabetes, RAS, statins) move Stars more than any other lever. The math and the operational levers.
The 2023 RADV rule made findings extrapolated and removed the FFS adjuster. Seven design choices that turn HCC capture into something that survives audit.
NCQA retires hybrid HEDIS by 2029 in favor of ECDS-only measures. Supplemental data volumes increase 35x to 75x per measure. How to prepare now.