Watching the currents in healthcare, finance and technology

The first wave taught the system to fight harder over each dollar. The next has to make each dollar go further.

Spotting a missed payment is easy. Autonomously recovering it is the hard, trust-earning part. This piece maps five levels of financial autonomy and argues most health systems are stuck further down the ladder than they think.

"It seems fine" isn't an answer. This piece makes the case for evals, measuring AI changes with evidence instead of gut feel, and how to build that discipline even when your data's too sensitive to test on directly.

The revenue side of the ledger is contracting for reasons no health system controls. The margin already earned, and never captured, is the lever that remains.