From Healthcare AI to Payment Design

In 2023, after years leading healthcare data science teams, I began writing more directly about a constraint that had become unavoidable: models were rarely the constraint. Payment design and incentives were.Payment design and incentives were.

These essays reflect that shift: from building healthcare AI systems to examining the economic architecture that determines whether those systems create durable change.

• How My Journey in Health Data Science Led Me to Value-Based Care Economics (2023)
  A reflection on how deploying analytics in real healthcare settings revealed that financial structure and incentive alignment often matter more than model performance.

• Introducing: Risky Judgment (2023)
  Using Civil War finance as an analogy, this essay argues that value-based care still lacks the basic financial architecture needed for stability — and that data and analytics can help design and govern that missing infrastructure.