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1<!doctype html>
2<html lang="en">
3<head>
4	<meta charset="UTF-8" />
5	<meta name="viewport" content="width=device-width, initial-scale=1.0" />
6	<link rel="profile" href="https://gmpg.org/xfn/11" />
7	<title>Admin</title>
8<meta name='robots' content='max-image-preview:large' />
9<meta name="google-site-verification" content="1KHvOTfnSPJP__lci3iznNtdcWoHoVbgjAWKOyiI294" />
10<meta name="msvalidate.01" content="3CB917BB9CC2B520621141747A66D3BF" />
11
12<!-- Async WordPress.com Remote Login -->
13<script id="wpcom_remote_login_js">
14var wpcom_remote_login_extra_auth = '';
15function wpcom_remote_login_remove_dom_node_id( element_id ) {
16	var dom_node = document.getElementById( element_id );
17	if ( dom_node ) { dom_node.parentNode.removeChild( dom_node ); }
18}
19function wpcom_remote_login_remove_dom_node_classes( class_name ) {
20	var dom_nodes = document.querySelectorAll( '.' + class_name );
21	for ( var i = 0; i < dom_nodes.length; i++ ) {
22		dom_nodes[ i ].parentNode.removeChild( dom_nodes[ i ] );
23	}
24}
25function wpcom_remote_login_final_cleanup() {
26	wpcom_remote_login_remove_dom_node_classes( "wpcom_remote_login_msg" );
27	wpcom_remote_login_remove_dom_node_id( "wpcom_remote_login_key" );
28	wpcom_remote_login_remove_dom_node_id( "wpcom_remote_login_validate" );
29	wpcom_remote_login_remove_dom_node_id( "wpcom_remote_login_js" );
30	wpcom_remote_login_remove_dom_node_id( "wpcom_request_access_iframe" );
31	wpcom_remote_login_remove_dom_node_id( "wpcom_request_access_styles" );
32}
33
34// Watch for messages back from the remote login
35window.addEventListener( "message", function( e ) {
36	if ( e.origin === "https://r-login.wordpress.com" ) {
37		var data = {};
38		try {
39			data = JSON.parse( e.data );
40		} catch( e ) {
41			wpcom_remote_login_final_cleanup();
42			return;
43		}
44
45		if ( data.msg === 'LOGIN' ) {
46			// Clean up the login check iframe
47			wpcom_remote_login_remove_dom_node_id( "wpcom_remote_login_key" );
48
49			var id_regex = new RegExp( /^[0-9]+$/ );
50			var token_regex = new RegExp( /^.*|.*|.*$/ );
51			if (
52				token_regex.test( data.token )
53				&& id_regex.test( data.wpcomid )
54			) {
55				// We have everything we need to ask for a login
56				var script = document.createElement( "script" );
57				script.setAttribute( "id", "wpcom_remote_login_validate" );
58				script.src = '/remote-login.php?wpcom_remote_login=validate'
59					+ '&wpcomid=' + data.wpcomid
60					+ '&token=' + encodeURIComponent( data.token )
61					+ '&host=' + window.location.protocol
62					+ '//' + window.location.hostname
63					+ '&postid=6470'
64					+ '&is_singular=';
65				document.body.appendChild( script );
66			}
67
68			return;
69		}
70
71		// Safari ITP, not logged in, so redirect
72		if ( data.msg === 'LOGIN-REDIRECT' ) {
73			window.location = 'https://wordpress.com/log-in?redirect_to=' + window.location.href;
74			return;
75		}
76
77		// Safari ITP, storage access failed, remove the request
78		if ( data.msg === 'LOGIN-REMOVE' ) {
79			var css_zap = 'html { -webkit-transition: margin-top 1s; transition: margin-top 1s; } /* 9001 */ html { margin-top: 0 !important; } * html body { margin-top: 0 !important; } @media screen and ( max-width: 782px ) { html { margin-top: 0 !important; } * html body { margin-top: 0 !important; } }';
80			var style_zap = document.createElement( 'style' );
81			style_zap.type = 'text/css';
82			style_zap.appendChild( document.createTextNode( css_zap ) );
83			document.body.appendChild( style_zap );
84
85			var e = document.getElementById( 'wpcom_request_access_iframe' );
86			e.parentNode.removeChild( e );
87
88			document.cookie = 'wordpress_com_login_access=denied; path=/; max-age=31536000';
89
90			return;
91		}
92
93		// Safari ITP
94		if ( data.msg === 'REQUEST_ACCESS' ) {
95			console.log( 'request access: safari' );
96
97			// Check ITP iframe enable/disable knob
98			if ( wpcom_remote_login_extra_auth !== 'safari_itp_iframe' ) {
99				return;
100			}
101
102			// If we are in a "private window" there is no ITP.
103			var private_window = false;
104			try {
105				var opendb = window.openDatabase( null, null, null, null );
106			} catch( e ) {
107				private_window = true;
108			}
109
110			if ( private_window ) {
111				console.log( 'private window' );
112				return;
113			}
114
115			var iframe = document.createElement( 'iframe' );
116			iframe.id = 'wpcom_request_access_iframe';
117			iframe.setAttribute( 'scrolling', 'no' );
118			iframe.setAttribute( 'sandbox', 'allow-storage-access-by-user-activation allow-scripts allow-same-origin allow-top-navigation-by-user-activation' );
119			iframe.src = 'https://r-login.wordpress.com/remote-login.php?wpcom_remote_login=request_access&origin=' + encodeURIComponent( data.origin ) + '&wpcomid=' + encodeURIComponent( data.wpcomid );
120
121			var css = 'html { -webkit-transition: margin-top 1s; transition: margin-top 1s; } /* 9001 */ html { margin-top: 46px !important; } * html body { margin-top: 46px !important; } @media screen and ( max-width: 660px ) { html { margin-top: 71px !important; } * html body { margin-top: 71px !important; } #wpcom_request_access_iframe { display: block; height: 71px !important; } } #wpcom_request_access_iframe { border: 0px; height: 46px; position: fixed; top: 0; left: 0; width: 100%; min-width: 100%; z-index: 99999; background: #23282d; } ';
122
123			var style = document.createElement( 'style' );
124			style.type = 'text/css';
125			style.id = 'wpcom_request_access_styles';
126			style.appendChild( document.createTextNode( css ) );
127			document.body.appendChild( style );
128
129			document.body.appendChild( iframe );
130		}
131
132		if ( data.msg === 'DONE' ) {
133			wpcom_remote_login_final_cleanup();
134		}
135	}
136}, false );
137
138// Inject the remote login iframe after the page has had a chance to load
139// more critical resources
140window.addEventListener( "DOMContentLoaded", function( e ) {
141	var iframe = document.createElement( "iframe" );
142	iframe.style.display = "none";
143	iframe.setAttribute( "scrolling", "no" );
144	iframe.setAttribute( "id", "wpcom_remote_login_key" );
145	iframe.src = "https://r-login.wordpress.com/remote-login.php"
146		+ "?wpcom_remote_login=key"
147		+ "&origin=aHR0cHM6Ly9hY293YXRjaC5tZQ%3D%3D"
148		+ "&wpcomid=15370283"
149		+ "&time=" + Math.floor( Date.now() / 1000 );
150	document.body.appendChild( iframe );
151}, false );
152</script>
152
153<link rel='dns-prefetch' href='//s1.wp.com' />
154<link rel='dns-prefetch' href='//s2.wp.com' />
155<link rel='dns-prefetch' href='//fonts-api.wp.com' />
156<link rel='dns-prefetch' href='//s0.wp.com' />
157<link rel='dns-prefetch' href='//af.pubmine.com' />
158<link rel="alternate" type="application/rss+xml" title=" &raquo; Feed" href="https://acowatch.me/feed/" />
159<link rel="alternate" type="application/rss+xml" title=" &raquo; Comments Feed" href="https://acowatch.me/comments/feed/" />
160<link rel="alternate" type="application/rss+xml" title=" &raquo; Posts by Admin Feed" href="https://acowatch.me/author/acowatch/feed/" />
161	
161<script type="text/javascript">
162		/* <![CDATA[ */
163		function addLoadEvent(func) {
164			var oldonload = window.onload;
165			if (typeof window.onload != 'function') {
166				window.onload = func;
167			} else {
168				window.onload = function () {
169					oldonload();
170					func();
171				}
172			}
173		}
174		/* ]]> */
175	</script>
175
176	<style id="wp-img-auto-sizes-contain-inline-css">
177img:is([sizes=auto i],[sizes^="auto," i]){contain-intrinsic-size:3000px 1500px}
178/*# sourceURL=wp-img-auto-sizes-contain-inline-css */
179</style>
180<link crossorigin='anonymous' rel='stylesheet' id='all-css-2-1' href='/_static/??-eJx9jsEKwkAMRH/INVYLPYnfsmxjTZtNFpNl6d/bgt6kl4HHMI+BVkJScRSHXEPhOpEYzOglpuXLkFX3GCujgb8wY3BVNkiaS3Twtu1XIUFHlHMyO8F/caNxQjfAurW6EAaODRxz4eib3HxlPBIcPSN5kpBjsPRW5h+vu++R790wDH13uV37+QMMFl1L&cssminify=yes' type='text/css' media='all' />
181<style id="wp-emoji-styles-inline-css">
182
183	img.wp-smiley, img.emoji {
184		display: inline !important;
185		border: none !important;
186		box-shadow: none !important;
187		height: 1em !important;
188		width: 1em !important;
189		margin: 0 0.07em !important;
190		vertical-align: -0.1em !important;
191		background: none !important;
192		padding: 0 !important;
193	}
194/*# sourceURL=wp-emoji-styles-inline-css */
195</style>
196<style id="wp-block-library-inline-css">
197:root{--wp-block-synced-color:#7a00df;--wp-block-synced-color--rgb:122,0,223;--wp-bound-block-color:var(--wp-block-synced-color);--wp-editor-canvas-background:#ddd;--wp-admin-theme-color:#007cba;--wp-admin-theme-color--rgb:0,124,186;--wp-admin-theme-color-darker-10:#006ba1;--wp-admin-theme-color-darker-10--rgb:0,107,160.5;--wp-admin-theme-color-darker-20:#005a87;--wp-admin-theme-color-darker-20--rgb:0,90,135;--wp-admin-border-width-focus:2px}@media (min-resolution:192dpi){:root{--wp-admin-border-width-focus:1.5px}}.wp-element-button{cursor:pointer}:root .has-very-light-gray-background-color{background-color:#eee}:root .has-very-dark-gray-background-color{background-color:#313131}:root .has-very-light-gray-color{color:#eee}:root .has-very-dark-gray-color{color:#313131}:root .has-vivid-green-cyan-to-vivid-cyan-blue-gradient-background{background:linear-gradient(135deg,#00d084,#0693e3)}:root .has-purple-crush-gradient-background{background:linear-gradient(135deg,#34e2e4,#4721fb 50%,#ab1dfe)}:root .has-hazy-dawn-gradient-background{background:linear-gradient(135deg,#faaca8,#dad0ec)}:root .has-subdued-olive-gradient-background{background:linear-gradient(135deg,#fafae1,#67a671)}:root .has-atomic-cream-gradient-background{background:linear-gradient(135deg,#fdd79a,#004a59)}:root .has-nightshade-gradient-background{background:linear-gradient(135deg,#330968,#31cdcf)}:root .has-midnight-gradient-background{background:linear-gradient(135deg,#020381,#2874fc)}:root{--wp--preset--font-size--normal:16px;
197--wp--preset--font-size--huge:42px}.has-regular-font-size{font-size:1em}.has-larger-font-size{font-size:2.625em}.has-normal-font-size{font-size:var(--wp--preset--font-size--normal)}.has-huge-font-size{font-size:var(--wp--preset--font-size--huge)}:root .has-text-align-center{text-align:center}:root .has-text-align-left{text-align:left}:root .has-text-align-right{text-align:right}.has-fit-text{white-space:nowrap!important}#end-resizable-editor-section{display:none}.aligncenter{clear:both}.items-justified-left{justify-content:flex-start}.items-justified-center{justify-content:center}.items-justified-right{justify-content:flex-end}.items-justified-space-between{justify-content:space-between}.screen-reader-text{border:0;clip-path:inset(50%);height:1px;margin:-1px;overflow:hidden;overflow-wrap:normal!important;padding:0;position:absolute;width:1px;word-break:normal!important}.screen-reader-text:focus{background-color:#ddd;clip-path:none;color:#444;display:block;font-size:1em;height:auto;left:5px;line-height:normal;padding:15px 23px 14px;text-decoration:none;top:5px;width:auto;z-index:100000}html :where(.has-border-color){border-style:solid}html :where([style^=border-color],[style*=";border-color"],[style*="; border-color"]){border-style:solid}html :where([style^=border-top-color],[style*=";border-top-color"],[style*="; border-top-color"]){border-top-style:solid}html :where([style^=border-right-color],[style*=";border-right-color"],[style*="; border-right-color"]){border-right-style:solid}html :where([style^=border-bottom-color],[style*=";border-bottom-color"],[style*="; border-bottom-color"]){border-bottom-style:solid}html :where([style^=border-left-color],[style*=";border-left-color"],[style*="; border-left-color"]){border-left-style:solid}html :where([style^=border-width],[style*=";border-width"],[style*="; border-width"]){border-style:solid}html :where([style^=border-top-width],[style*=";border-top-width"],[style*="; border-top-width"]){border-top-style:solid}html :where([style^=border-right-width],[style*=";border-right-width"],[style*="; border-right-width"]){border-right-style:solid}html :where([style^=border-bottom-width],[style*=";border-bottom-width"],[style*="; border-bottom-width"]){border-bottom-style:solid}html :where([style^=border-left-width],[style*=";border-left-width"],[style*="; border-left-width"]){border-left-style:solid}html :where(img[class*=wp-image-]){height:auto;max-width:100%}:where(figure){margin:0 0 1em}html :where(.is-position-sticky){--wp-admin--admin-bar--position-offset:var(--wp-admin--admin-bar--height,0px)}@media screen and (max-width:600px){html :where(.is-position-sticky){--wp-admin--admin-bar--position-offset:0px}}
198
199/*# sourceURL=/wp-content/plugins/gutenberg-core/v24.1.0/build/styles/block-library/common.min.css */
200</style>
201<style id="wp-block-quote-inline-css">
202.wp-block-quote{box-sizing:border-box;overflow-wrap:break-word}.wp-block-quote.is-large:where(:not(.is-style-plain)),.wp-block-quote.is-style-large:where(:not(.is-style-plain)){margin-bottom:1em;padding:0 1em}.wp-block-quote.is-large:where(:not(.is-style-plain)) p,.wp-block-quote.is-style-large:where(:not(.is-style-plain)) p{font-size:1.5em;font-style:italic;line-height:1.6}.wp-block-quote.is-large:where(:not(.is-style-plain)) cite,.wp-block-quote.is-large:where(:not(.is-style-plain)) footer,.wp-block-quote.is-style-large:where(:not(.is-style-plain)) cite,.wp-block-quote.is-style-large:where(:not(.is-style-plain)) footer{font-size:1.125em;text-align:right}.wp-block-quote>cite{display:block}
203/*# sourceURL=/wp-content/plugins/gutenberg-core/v24.1.0/build/styles/block-library/quote/style.min.css */
204</style>
205<style id="wp-block-quote-theme-inline-css">
206.wp-block-quote{border-left:.25em solid;margin:0 0 1.75em;padding-left:1em}.wp-block-quote cite,.wp-block-quote footer{color:currentColor;font-size:.8125em;font-style:normal;position:relative}.wp-block-quote:where(.has-text-align-right){border-left:none;border-right:.25em solid;padding-left:0;padding-right:1em}.wp-block-quote:where(.has-text-align-center){border:none;padding-left:0}.wp-block-quote.is-large,.wp-block-quote.is-style-large,.wp-block-quote:where(.is-style-plain){border:none}
207/*# sourceURL=/wp-content/plugins/gutenberg-core/v24.1.0/build/styles/block-library/quote/theme.min.css */
208</style>
209<style id="wp-block-heading-inline-css">
210h1:where(.wp-block-heading).has-background,h2:where(.wp-block-heading).has-background,h3:where(.wp-block-heading).has-background,h4:where(.wp-block-heading).has-background,h5:where(.wp-block-heading).has-background,h6:where(.wp-block-heading).has-background{padding:var(--wp--style--block-background-padding,1.25em 2.375em)}h1.has-text-align-left[style*=writing-mode]:where([style*=vertical-lr]),h1.has-text-align-right[style*=writing-mode]:where([style*=vertical-rl]),h2.has-text-align-left[style*=writing-mode]:where([style*=vertical-lr]),h2.has-text-align-right[style*=writing-mode]:where([style*=vertical-rl]),h3.has-text-align-left[style*=writing-mode]:where([style*=vertical-lr]),h3.has-text-align-right[style*=writing-mode]:where([style*=vertical-rl]),h4.has-text-align-left[style*=writing-mode]:where([style*=vertical-lr]),h4.has-text-align-right[style*=writing-mode]:where([style*=vertical-rl]),h5.has-text-align-left[style*=writing-mode]:where([style*=vertical-lr]),h5.has-text-align-right[style*=writing-mode]:where([style*=vertical-rl]),h6.has-text-align-left[style*=writing-mode]:where([style*=vertical-lr]),h6.has-text-align-right[style*=writing-mode]:where([style*=vertical-rl]){rotate:180deg}
211/*# sourceURL=/wp-content/plugins/gutenberg-core/v24.1.0/build/styles/block-library/heading/style.min.css */
212</style>
213<style id="wp-block-paragraph-inline-css">
214.is-small-text{font-size:.875em}.is-regular-text{font-size:1em}.is-large-text{font-size:2.25em}.is-larger-text{font-size:3em}.has-drop-cap:not(:focus):first-letter{float:left;font-size:8.4em;font-style:normal;font-weight:100;line-height:.68;margin:.05em .1em 0 0;text-transform:uppercase}body.rtl .has-drop-cap:not(:focus):first-letter{float:none;margin-left:.1em}p.has-drop-cap.has-background{overflow:hidden}:root :where(p.has-background){padding:var(--wp--style--block-background-padding,1.25em 2.375em)}:where(p.has-text-color:not(.has-link-color)) a{color:inherit}p.has-text-align-left[style*="writing-mode:vertical-lr"],p.has-text-align-right[style*="writing-mode:vertical-rl"]{rotate:180deg}
215/*# sourceURL=/wp-content/plugins/gutenberg-core/v24.1.0/build/styles/block-library/paragraph/style.min.css */
216</style>
217<style id="wp-block-library-inline-css-extra">
218.has-text-align-justify {
219	text-align:justify;
220}
221.has-text-align-justify{text-align:justify;}
222/*# sourceURL=wp-block-library-inline-css */
223</style>
224
225<style id="classic-theme-styles-inline-css">
226.wp-block-button__link{background-color:#32373c;border-radius:9999px;box-shadow:none;color:#fff;font-size:1.125em;
226padding:calc(.667em + 2px) calc(1.333em + 2px);text-decoration:none}.wp-block-file__button{background:#32373c;color:#fff}.wp-block-accordion-heading{margin:0}.wp-block-accordion-heading__toggle{background-color:inherit!important;color:inherit!important}.wp-block-accordion-heading__toggle:not(:focus-visible){outline:none}.wp-block-accordion-heading__toggle:focus,.wp-block-accordion-heading__toggle:hover{background-color:inherit!important;border:none;box-shadow:none;color:inherit;padding:var(--wp--preset--spacing--20,1em) 0;text-decoration:none}.wp-block-accordion-heading__toggle:focus-visible{outline:auto;outline-offset:0}.wp-block-tab:not(.has-text-color){color:inherit!important}.wp-block-tab:not(.has-background){background-color:inherit!important}.wp-block-tab:focus,.wp-block-tab:hover{text-decoration:none}.wp-block-tab:focus-visible{outline:auto;outline-offset:0}
227/*# sourceURL=/wp-content/plugins/gutenberg-core/v24.1.0/build/styles/block-library/classic.min.css */
228</style>
229
230<style id="coblocks-inline-format-inline-css">
231.uppercase{text-transform:uppercase}
232/*# sourceURL=coblocks-inline-format-inline-css */
233</style>
234<link crossorigin='anonymous' rel='stylesheet' id='all-css-12-1' href='/_static/??-eJx9jUsOwjAMRC+EY6UgCAvEWZrEKoG4jWq3hduTLvisurFG1nszuBQIQ6/UK5Y8dakXDIPPQ3gINsY6Y0ESl0ww0mwOGJPolwDRVyYTRHb4V8QT/LpGqn8ura4EU0wtZeKKbWlLih1p1eWTQem5rZQ6A96XkUSgXk4Tg97qlqzelS/26KzbN835dH8DjlpbIA==&cssminify=yes' type='text/css' media='all' />
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237/*# sourceURL=global-styles-inline-css */
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239
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446			
447<article id="post-6470" class="post-6470 post type-post status-publish format-standard has-post-thumbnail hentry category-accountable-care category-hmo category-managed-care tag-aca tag-fhp tag-health tag-health-reform tag-healthcare tag-hmo tag-innovation tag-medicare tag-mental-health tag-news tag-politics tag-robert-gumbiner-md tag-transformation entry">
448	<header class="entry-header">
449		<h2 class="entry-title"><a href="https://acowatch.me/2026/07/28/how-for-profit-models-altered-american-healthcare/" rel="bookmark">How For-Profit Models Altered American&nbsp;Healthcare</a></h2>	</header><!-- .entry-header -->
450
451	
452		<figure class="post-thumbnail">
453			<a class="post-thumbnail-inner" href="https://acowatch.me/2026/07/28/how-for-profit-models-altered-american-healthcare/" aria-hidden="true" tabindex="-1">
454				<img width="1024" height="1024" src="https://acowatch.me/wp-content/uploads/2026/07/image-6a694168ca5f3.png?w=1024" class="attachment-post-thumbnail size-post-thumbnail wp-post-image" alt="Infographic illustrating HMO healthcare system components including network analysis, claim processing, cost structures, coverage complexities, and regulatory framework." decoding="async" srcset="https://acowatch.me/wp-content/uploads/2026/07/image-6a694168ca5f3.png 1024w, https://acowatch.me/wp-content/uploads/2026/07/image-6a694168ca5f3.png?w=150 150w, https://acowatch.me/wp-content/uploads/2026/07/image-6a694168ca5f3.png?w=300 300w, https://acowatch.me/wp-content/uploads/2026/07/image-6a694168ca5f3.png?w=768 768w" sizes="(max-width: 34.9rem) calc(100vw - 2rem), (max-width: 53rem) calc(8 * (100vw / 12)), (min-width: 53rem) calc(6 * (100vw / 12)), 100vw" data-attachment-id="6477" data-permalink="https://acowatch.me/image-6a694168ca5f3/" data-orig-file="https://acowatch.me/wp-content/uploads/2026/07/image-6a694168ca5f3.png" data-orig-size="1024,1024" data-comments-opened="1" data-image-title="Detailed HMO Healthcare System Analysis" data-image-description="&lt;p&gt;The image is a detailed infographic focused on explaining various aspects of Health Maintenance Organizations (HMO). It features a central bold text reading &amp;#8216;HMO TAKING IT ALL APART&amp;#8217; surrounded by illustrative icons and diagrams representing key components such as network analysis, claim processing, cost structures, coverage complexities, regulatory framework, and unraveling complexities. The infographic uses a cool color palette with shades of blue and green, accented with arrows and connectors to show relationships between elements. The background contains faint silhouettes of medical and administrative concepts, enhancing the theme of healthcare and complexity.&lt;/p&gt;
455" data-image-caption="&lt;p&gt;An infographic breaking down the complexities of HMO healthcare systems.&lt;/p&gt;
456" data-large-file="https://acowatch.me/wp-content/uploads/2026/07/image-6a694168ca5f3.png?w=640" />			</a>
457		</figure>
458
459			
460	<div class="entry-content">
461		<p>How the Insurance Companies Took Over the HMO Industry &amp; the Raid on FHP International An Enhanced Reconstruction of the Robert Gumbiner Monograph Cross-referenced and augmented from oral history, SEC filings, corporate histories, and contemporaneous press sources by Gregg Anthony Masters, MPH**Managing Director, Health Innovation Media | Executive Producer, Healthcare NOW Radio Let me be &hellip; </p>
462<p class="link-more"><a href="https://acowatch.me/2026/07/28/how-for-profit-models-altered-american-healthcare/" class="more-link">Continue reading<span class="screen-reader-text"> &#8220;How For-Profit Models Altered American&nbsp;Healthcare&#8221;</span></a></p>
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466		<span class="byline"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" viewBox="0 0 24 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path d="M12 12c2.21 0 4-1.79 4-4s-1.79-4-4-4-4 1.79-4 4 1.79 4 4 4zm0 2c-2.67 0-8 1.34-8 4v2h16v-2c0-2.66-5.33-4-8-4z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Posted by</span><span class="author vcard"><a class="url fn n" href="https://acowatch.me/author/acowatch/">Admin</a></span></span><span class="posted-on"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><defs><path id="a" d="M0 0h24v24H0V0z"></path></defs><clipPath id="b"><use xlink:href="#a" overflow="visible"></use></clipPath><path clip-path="url(#b)" d="M12 2C6.5 2 2 6.5 2 12s4.5 10 10 10 10-4.5 10-10S17.5 2 12 2zm4.2 14.2L11 13V7h1.5v5.2l4.5 2.7-.8 1.3z"></path></svg><a href="https://acowatch.me/2026/07/28/how-for-profit-models-altered-american-healthcare/" rel="bookmark"><time class="entry-date published" datetime="2026-07-28T16:58:09-07:00">July 28, 2026</time><time class="updated" datetime="2026-07-28T17:38:39-07:00">July 28, 2026</time></a></span><span class="cat-links"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24">
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469<article id="post-6459" class="post-6459 post type-post status-publish format-standard has-post-thumbnail hentry category-accountable-care category-public-health tag-aca tag-accountable-care tag-accountable-care-organization tag-aco tag-business tag-health tag-health-reform tag-healthcare tag-innovation tag-leadership tag-technology tag-transformation entry">
470	<header class="entry-header">
471		<h2 class="entry-title"><a href="https://acowatch.me/2026/07/17/why-leadership-isnt-the-issue-in-healthcare/" rel="bookmark">Why Leadership Isn’t the Issue in&nbsp;Healthcare</a></h2>	</header><!-- .entry-header -->
472
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474		<figure class="post-thumbnail">
475			<a class="post-thumbnail-inner" href="https://acowatch.me/2026/07/17/why-leadership-isnt-the-issue-in-healthcare/" aria-hidden="true" tabindex="-1">
476				<img width="687" height="455" src="https://acowatch.me/wp-content/uploads/2026/07/us_healthcare_spending_percent_gdp_1970_2023.png?w=687" class="attachment-post-thumbnail size-post-thumbnail wp-post-image" alt="Trends in Healthcare Spending as Percent of GDP" decoding="async" srcset="https://acowatch.me/wp-content/uploads/2026/07/us_healthcare_spending_percent_gdp_1970_2023.png 687w, https://acowatch.me/wp-content/uploads/2026/07/us_healthcare_spending_percent_gdp_1970_2023.png?w=150 150w, https://acowatch.me/wp-content/uploads/2026/07/us_healthcare_spending_percent_gdp_1970_2023.png?w=300 300w" sizes="(max-width: 34.9rem) calc(100vw - 2rem), (max-width: 53rem) calc(8 * (100vw / 12)), (min-width: 53rem) calc(6 * (100vw / 12)), 100vw" data-attachment-id="6463" data-permalink="https://acowatch.me/2026/07/17/why-leadership-isnt-the-issue-in-healthcare/us_healthcare_spending_percent_gdp_1970_2023/" data-orig-file="https://acowatch.me/wp-content/uploads/2026/07/us_healthcare_spending_percent_gdp_1970_2023.png" data-orig-size="687,455" data-comments-opened="1" data-image-title="US_Healthcare_Spending_Percent_GDP_1970_2023" data-image-description="&lt;p&gt;Trends in Healthcare Spending as Percent of GDP&lt;/p&gt;
477" data-image-caption="" data-large-file="https://acowatch.me/wp-content/uploads/2026/07/us_healthcare_spending_percent_gdp_1970_2023.png?w=640" />			</a>
478		</figure>
479
480			
481	<div class="entry-content">
482		<p>Part I: Leadership Isn&#8217;t the Problem. Leadership Is the Symptom. By Gregg Anthony Masters, MPH** Today I read a piece quoting the insights of Sachin H. Jain, MD, MBA, FACP, CEO of SCAN Group, SCAN Health Plan, and Forbes contributor, titled: &#8220;Healthcare’s problem isn’t the system, it’s us&#8221;. The core argument: The &#8220;it&#8217;s us&#8220; indictment. &hellip; </p>
483<p class="link-more"><a href="https://acowatch.me/2026/07/17/why-leadership-isnt-the-issue-in-healthcare/" class="more-link">Continue reading<span class="screen-reader-text"> &#8220;Why Leadership Isn’t the Issue in&nbsp;Healthcare&#8221;</span></a></p>
484	</div><!-- .entry-content -->
485
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487		<span class="byline"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" viewBox="0 0 24 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path d="M12 12c2.21 0 4-1.79 4-4s-1.79-4-4-4-4 1.79-4 4 1.79 4 4 4zm0 2c-2.67 0-8 1.34-8 4v2h16v-2c0-2.66-5.33-4-8-4z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Posted by</span><span class="author vcard"><a class="url fn n" href="https://acowatch.me/author/acowatch/">Admin</a></span></span><span class="posted-on"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><defs><path id="a" d="M0 0h24v24H0V0z"></path></defs><clipPath id="b"><use xlink:href="#a" overflow="visible"></use></clipPath><path clip-path="url(#b)" d="M12 2C6.5 2 2 6.5 2 12s4.5 10 10 10 10-4.5 10-10S17.5 2 12 2zm4.2 14.2L11 13V7h1.5v5.2l4.5 2.7-.8 1.3z"></path></svg><a href="https://acowatch.me/2026/07/17/why-leadership-isnt-the-issue-in-healthcare/" rel="bookmark"><time class="entry-date published" datetime="2026-07-17T15:39:48-07:00">July 17, 2026</time><time class="updated" datetime="2026-07-17T16:02:37-07:00">July 17, 2026</time></a></span><span class="cat-links"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24">
487<path d="M10 4H4c-1.1 0-1.99.9-1.99 2L2 18c0 1.1.9 2 2 2h16c1.1 0 2-.9 2-2V8c0-1.1-.9-2-2-2h-8l-2-2z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Posted in</span><a href="https://acowatch.me/category/accountable-care/" rel="category tag">Accountable Care</a>, <a href="https://acowatch.me/category/public-health/" rel="category tag">public health</a></span><span class="tags-links"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><path d="M21.41 11.58l-9-9C12.05 2.22 11.55 2 11 2H4c-1.1 0-2 .9-2 2v7c0 .55.22 1.05.59 1.42l9 9c.36.36.86.58 1.41.58.55 0 1.05-.22 1.41-.59l7-7c.37-.36.59-.86.59-1.41 0-.55-.23-1.06-.59-1.42zM5.5 7C4.67 7 4 6.33 4 5.5S4.67 4 5.5 4 7 4.67 7 5.5 6.33 7 5.5 7z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Tags: </span><a href="https://acowatch.me/tag/aca/" rel="tag">ACA</a>, <a href="https://acowatch.me/tag/accountable-care/" rel="tag">Accountable Care</a>, <a href="https://acowatch.me/tag/accountable-care-organization/" rel="tag">accountable care organization</a>, <a href="https://acowatch.me/tag/aco/" rel="tag">aco</a>, <a href="https://acowatch.me/tag/business/" rel="tag">business</a>, <a href="https://acowatch.me/tag/health/" rel="tag">health</a>, <a href="https://acowatch.me/tag/health-reform/" rel="tag">health reform</a>, <a href="https://acowatch.me/tag/healthcare/" rel="tag">healthcare</a>, <a href="https://acowatch.me/tag/innovation/" rel="tag">innovation</a>, <a href="https://acowatch.me/tag/leadership/" rel="tag">leadership</a>, <a href="https://acowatch.me/tag/technology/" rel="tag">technology</a>, <a href="https://acowatch.me/tag/transformation/" rel="tag">transformation</a></span><span class="comments-link"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" viewBox="0 0 24 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path d="M21.99 4c0-1.1-.89-2-1.99-2H4c-1.1 0-2 .9-2 2v12c0 1.1.9 2 2 2h14l4 4-.01-18z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><a href="https://acowatch.me/2026/07/17/why-leadership-isnt-the-issue-in-healthcare/#comments">1 Comment<span class="screen-reader-text"> on Why Leadership Isn’t the Issue in&nbsp;Healthcare</span></a></span>	</footer><!-- .entry-footer -->
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489
490<article id="post-6447" class="post-6447 post type-post status-publish format-standard hentry category-accountable-care tag-aca tag-accountable-care tag-cms tag-fred-goldstein tag-gregg-anthony-masters tag-health tag-healthcare-now-radio-2 tag-hhs tag-innovation tag-managed-care tag-news tag-nih tag-politics tag-pophealthweek tag-population-health tag-public-health tag-transformation entry">
491	<header class="entry-header">
492		<h2 class="entry-title"><a href="https://acowatch.me/2026/06/22/defending-science-in-an-age-of-misinformation/" rel="bookmark">Defending Science in an Age of&nbsp;Misinformation</a></h2>	</header><!-- .entry-header -->
493
494	
495	<div class="entry-content">
496		<p>by Gregg Anthony Masters, MPH &amp; Fred Goldstein, MS ** PopHealth Week | Healthcare NOW Radio Host: Fred Goldstein, President, Accountable Health, LLC Executive Producer &amp; Co-Host: Gregg Anthony Masters, MPH Episode Theme: &#8220;Enough Is Enough&#8221; &#8211; The Decimation of Public Health Infrastructure, the Rise of Health Quackery, and Why Science Still Matters &#8220;Silence is &hellip; </p>
497<p class="link-more"><a href="https://acowatch.me/2026/06/22/defending-science-in-an-age-of-misinformation/" class="more-link">Continue reading<span class="screen-reader-text"> &#8220;Defending Science in an Age of&nbsp;Misinformation&#8221;</span></a></p>
498	</div><!-- .entry-content -->
499
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501		<span class="byline"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" viewBox="0 0 24 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path d="M12 12c2.21 0 4-1.79 4-4s-1.79-4-4-4-4 1.79-4 4 1.79 4 4 4zm0 2c-2.67 0-8 1.34-8 4v2h16v-2c0-2.66-5.33-4-8-4z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Posted by</span><span class="author vcard"><a class="url fn n" href="https://acowatch.me/author/acowatch/">Admin</a></span></span><span class="posted-on"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><defs><path id="a" d="M0 0h24v24H0V0z"></path></defs><clipPath id="b"><use xlink:href="#a" overflow="visible"></use></clipPath><path clip-path="url(#b)" d="M12 2C6.5 2 2 6.5 2 12s4.5 10 10 10 10-4.5 10-10S17.5 2 12 2zm4.2 14.2L11 13V7h1.5v5.2l4.5 2.7-.8 1.3z"></path></svg><a href="https://acowatch.me/2026/06/22/defending-science-in-an-age-of-misinformation/" rel="bookmark"><time class="entry-date published" datetime="2026-06-22T12:01:23-07:00">June 22, 2026</time><time class="updated" datetime="2026-06-22T13:46:58-07:00">June 22, 2026</time></a></span><span class="cat-links"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24">
501<path d="M10 4H4c-1.1 0-1.99.9-1.99 2L2 18c0 1.1.9 2 2 2h16c1.1 0 2-.9 2-2V8c0-1.1-.9-2-2-2h-8l-2-2z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Posted in</span><a href="https://acowatch.me/category/accountable-care/" rel="category tag">Accountable Care</a></span><span class="tags-links"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><path d="M21.41 11.58l-9-9C12.05 2.22 11.55 2 11 2H4c-1.1 0-2 .9-2 2v7c0 .55.22 1.05.59 1.42l9 9c.36.36.86.58 1.41.58.55 0 1.05-.22 1.41-.59l7-7c.37-.36.59-.86.59-1.41 0-.55-.23-1.06-.59-1.42zM5.5 7C4.67 7 4 6.33 4 5.5S4.67 4 5.5 4 7 4.67 7 5.5 6.33 7 5.5 7z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Tags: </span><a href="https://acowatch.me/tag/aca/" rel="tag">ACA</a>, <a href="https://acowatch.me/tag/accountable-care/" rel="tag">Accountable Care</a>, <a href="https://acowatch.me/tag/cms/" rel="tag">cms</a>, <a href="https://acowatch.me/tag/fred-goldstein/" rel="tag">Fred Goldstein</a>, <a href="https://acowatch.me/tag/gregg-anthony-masters/" rel="tag">Gregg Anthony Masters</a>, <a href="https://acowatch.me/tag/health/" rel="tag">health</a>, <a href="https://acowatch.me/tag/healthcare-now-radio-2/" rel="tag">Healthcare NOW Radio</a>, <a href="https://acowatch.me/tag/hhs/" rel="tag">hhs</a>, <a href="https://acowatch.me/tag/innovation/" rel="tag">innovation</a>, <a href="https://acowatch.me/tag/managed-care/" rel="tag">managed care</a>, <a href="https://acowatch.me/tag/news/" rel="tag">news</a>, <a href="https://acowatch.me/tag/nih/" rel="tag">nih</a>, <a href="https://acowatch.me/tag/politics/" rel="tag">politics</a>, <a href="https://acowatch.me/tag/pophealthweek/" rel="tag">PopHealthWeek</a>, <a href="https://acowatch.me/tag/population-health/" rel="tag">population health</a>, <a href="https://acowatch.me/tag/public-health/" rel="tag">public health</a>, <a href="https://acowatch.me/tag/transformation/" rel="tag">transformation</a></span><span class="comments-link"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" viewBox="0 0 24 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path d="M21.99 4c0-1.1-.89-2-1.99-2H4c-1.1 0-2 .9-2 2v12c0 1.1.9 2 2 2h14l4 4-.01-18z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><a href="https://acowatch.me/2026/06/22/defending-science-in-an-age-of-misinformation/#respond">Leave a comment<span class="screen-reader-text"> on Defending Science in an Age of&nbsp;Misinformation</span></a></span>	</footer><!-- .entry-footer -->
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503
504<article id="post-6440" class="post-6440 post type-post status-publish format-standard hentry category-accountable-care category-aco-2 category-health-reform category-medicare-2 category-population-health tag-aca tag-accountable-care tag-aco tag-cms tag-health-reform-aco tag-health-innovation tag-health-reform tag-healthcare tag-insurance tag-medicare tag-medicare-advantage tag-retirement tag-value-based-care entry">
505	<header class="entry-header">
506		<h2 class="entry-title"><a href="https://acowatch.me/2026/01/13/medicare-advantage-isnt-medicare-the-senate-unitedhealthcare-and-why-we-need-truth-in-advertising/" rel="bookmark">Medicare Advantage Isn&#8217;t Medicare: The Senate, UnitedHealthcare, and Why We Need Truth in&nbsp;Advertising</a></h2>	</header><!-- .entry-header -->
507
508	
509	<div class="entry-content">
510		<p>By Gregg Anthony Masters, MPHJanuary 13, 2026 Here’s the thing. Healthcare leadership is rarely bold and too often ‘MIA’ when it comes the hard (risky) work of transforming our dysfunctional by design healthcare delivery and financing model about to implode on itself. They’re generally risk averse and lazy bunch, preferring the hedge of ‘me too’ &hellip; </p>
511<p class="link-more"><a href="https://acowatch.me/2026/01/13/medicare-advantage-isnt-medicare-the-senate-unitedhealthcare-and-why-we-need-truth-in-advertising/" class="more-link">Continue reading<span class="screen-reader-text"> &#8220;Medicare Advantage Isn&#8217;t Medicare: The Senate, UnitedHealthcare, and Why We Need Truth in&nbsp;Advertising&#8221;</span></a></p>
512	</div><!-- .entry-content -->
513
514	<footer class="entry-footer">
515		<span class="byline"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" viewBox="0 0 24 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path d="M12 12c2.21 0 4-1.79 4-4s-1.79-4-4-4-4 1.79-4 4 1.79 4 4 4zm0 2c-2.67 0-8 1.34-8 4v2h16v-2c0-2.66-5.33-4-8-4z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Posted by</span><span class="author vcard"><a class="url fn n" href="https://acowatch.me/author/acowatch/">Admin</a></span></span><span class="posted-on"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><defs><path id="a" d="M0 0h24v24H0V0z"></path></defs><clipPath id="b"><use xlink:href="#a" overflow="visible"></use></clipPath><path clip-path="url(#b)" d="M12 2C6.5 2 2 6.5 2 12s4.5 10 10 10 10-4.5 10-10S17.5 2 12 2zm4.2 14.2L11 13V7h1.5v5.2l4.5 2.7-.8 1.3z"></path></svg><a href="https://acowatch.me/2026/01/13/medicare-advantage-isnt-medicare-the-senate-unitedhealthcare-and-why-we-need-truth-in-advertising/" rel="bookmark"><time class="entry-date published" datetime="2026-01-13T20:08:50-08:00">January 13, 2026</time><time class="updated" datetime="2026-01-13T22:15:08-08:00">January 13, 2026</time></a></span><span class="cat-links"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24">
515<path d="M10 4H4c-1.1 0-1.99.9-1.99 2L2 18c0 1.1.9 2 2 2h16c1.1 0 2-.9 2-2V8c0-1.1-.9-2-2-2h-8l-2-2z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Posted in</span><a href="https://acowatch.me/category/accountable-care/" rel="category tag">Accountable Care</a>, <a href="https://acowatch.me/category/aco-2/" rel="category tag">ACO</a>, <a href="https://acowatch.me/category/health-reform/" rel="category tag">health reform</a>, <a href="https://acowatch.me/category/medicare-2/" rel="category tag">Medicare</a>, <a href="https://acowatch.me/category/population-health/" rel="category tag">population health</a></span><span class="tags-links"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><path d="M21.41 11.58l-9-9C12.05 2.22 11.55 2 11 2H4c-1.1 0-2 .9-2 2v7c0 .55.22 1.05.59 1.42l9 9c.36.36.86.58 1.41.58.55 0 1.05-.22 1.41-.59l7-7c.37-.36.59-.86.59-1.41 0-.55-.23-1.06-.59-1.42zM5.5 7C4.67 7 4 6.33 4 5.5S4.67 4 5.5 4 7 4.67 7 5.5 6.33 7 5.5 7z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Tags: </span><a href="https://acowatch.me/tag/aca/" rel="tag">ACA</a>, <a href="https://acowatch.me/tag/accountable-care/" rel="tag">Accountable Care</a>, <a href="https://acowatch.me/tag/aco/" rel="tag">aco</a>, <a href="https://acowatch.me/tag/cms/" rel="tag">cms</a>, <a href="https://acowatch.me/tag/health-reform-aco/" rel="tag">heal;th reform.aCO</a>, <a href="https://acowatch.me/tag/health-innovation/" rel="tag">health innovation</a>, <a href="https://acowatch.me/tag/health-reform/" rel="tag">health reform</a>, <a href="https://acowatch.me/tag/healthcare/" rel="tag">healthcare</a>, <a href="https://acowatch.me/tag/insurance/" rel="tag">insurance</a>, <a href="https://acowatch.me/tag/medicare/" rel="tag">medicare</a>, <a href="https://acowatch.me/tag/medicare-advantage/" rel="tag">medicare advantage</a>, <a href="https://acowatch.me/tag/retirement/" rel="tag">retirement</a>, <a href="https://acowatch.me/tag/value-based-care/" rel="tag">value based care</a></span><span class="comments-link"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" viewBox="0 0 24 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path d="M21.99 4c0-1.1-.89-2-1.99-2H4c-1.1 0-2 .9-2 2v12c0 1.1.9 2 2 2h14l4 4-.01-18z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><a href="https://acowatch.me/2026/01/13/medicare-advantage-isnt-medicare-the-senate-unitedhealthcare-and-why-we-need-truth-in-advertising/#comments">2 Comments<span class="screen-reader-text"> on Medicare Advantage Isn&#8217;t Medicare: The Senate, UnitedHealthcare, and Why We Need Truth in&nbsp;Advertising</span></a></span>	</footer><!-- .entry-footer -->
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517
518<article id="post-6403" class="post-6403 post type-post status-publish format-standard hentry category-accountable-care tag-280e-cannabis-tax tag-cannabis-public-health tag-cannabis-rescheduling tag-cbd-regulation tag-controlled-substances-act tag-de-scheduling-marijuana tag-dea-rulemaking tag-marijuana-schedule-iii tag-real-world-evidence tag-trump-executive-order-marijuana entry">
519	<header class="entry-header">
520		<h2 class="entry-title"><a href="https://acowatch.me/2025/12/18/trumps-cannabis-executive-order-schedule-iii-280e-and-the-long-road-to-de-scheduling/" rel="bookmark">Trump’s Cannabis Executive Order: Schedule III, 280E, and the Long Road to&nbsp;De-scheduling</a></h2>	</header><!-- .entry-header -->
521
522	
523	<div class="entry-content">
524		<p>by Gregg Anthony Masters, MPH ** The news is monumental for the cannabis space and public health writ large. Here’s what actually happened today (Dec 18, 2025) and what the Trump cannabis Executive Order (EO) actually does &#8211; plus the 280E implications and the road ahead. An interesting &#8216;sidebar&#8216; came via CMS Administrator Oz who &hellip; </p>
525<p class="link-more"><a href="https://acowatch.me/2025/12/18/trumps-cannabis-executive-order-schedule-iii-280e-and-the-long-road-to-de-scheduling/" class="more-link">Continue reading<span class="screen-reader-text"> &#8220;Trump’s Cannabis Executive Order: Schedule III, 280E, and the Long Road to&nbsp;De-scheduling&#8221;</span></a></p>
526	</div><!-- .entry-content -->
527
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529		<span class="byline"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" viewBox="0 0 24 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path d="M12 12c2.21 0 4-1.79 4-4s-1.79-4-4-4-4 1.79-4 4 1.79 4 4 4zm0 2c-2.67 0-8 1.34-8 4v2h16v-2c0-2.66-5.33-4-8-4z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Posted by</span><span class="author vcard"><a class="url fn n" href="https://acowatch.me/author/acowatch/">Admin</a></span></span><span class="posted-on"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><defs><path id="a" d="M0 0h24v24H0V0z"></path></defs><clipPath id="b"><use xlink:href="#a" overflow="visible"></use></clipPath><path clip-path="url(#b)" d="M12 2C6.5 2 2 6.5 2 12s4.5 10 10 10 10-4.5 10-10S17.5 2 12 2zm4.2 14.2L11 13V7h1.5v5.2l4.5 2.7-.8 1.3z"></path></svg><a href="https://acowatch.me/2025/12/18/trumps-cannabis-executive-order-schedule-iii-280e-and-the-long-road-to-de-scheduling/" rel="bookmark"><time class="entry-date published" datetime="2025-12-18T20:37:29-08:00">December 18, 2025</time><time class="updated" datetime="2025-12-18T21:14:44-08:00">December 18, 2025</time></a></span><span class="cat-links"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24">
529<path d="M10 4H4c-1.1 0-1.99.9-1.99 2L2 18c0 1.1.9 2 2 2h16c1.1 0 2-.9 2-2V8c0-1.1-.9-2-2-2h-8l-2-2z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Posted in</span><a href="https://acowatch.me/category/accountable-care/" rel="category tag">Accountable Care</a></span><span class="tags-links"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><path d="M21.41 11.58l-9-9C12.05 2.22 11.55 2 11 2H4c-1.1 0-2 .9-2 2v7c0 .55.22 1.05.59 1.42l9 9c.36.36.86.58 1.41.58.55 0 1.05-.22 1.41-.59l7-7c.37-.36.59-.86.59-1.41 0-.55-.23-1.06-.59-1.42zM5.5 7C4.67 7 4 6.33 4 5.5S4.67 4 5.5 4 7 4.67 7 5.5 6.33 7 5.5 7z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Tags: </span><a href="https://acowatch.me/tag/280e-cannabis-tax/" rel="tag">280E cannabis tax</a>, <a href="https://acowatch.me/tag/cannabis-public-health/" rel="tag">cannabis public health</a>, <a href="https://acowatch.me/tag/cannabis-rescheduling/" rel="tag">cannabis rescheduling</a>, <a href="https://acowatch.me/tag/cbd-regulation/" rel="tag">CBD regulation</a>, <a href="https://acowatch.me/tag/controlled-substances-act/" rel="tag">Controlled Substances Act</a>, <a href="https://acowatch.me/tag/de-scheduling-marijuana/" rel="tag">de-scheduling marijuana</a>, <a href="https://acowatch.me/tag/dea-rulemaking/" rel="tag">DEA rulemaking</a>, <a href="https://acowatch.me/tag/marijuana-schedule-iii/" rel="tag">marijuana schedule III</a>, <a href="https://acowatch.me/tag/real-world-evidence/" rel="tag">real-world evidence</a>, <a href="https://acowatch.me/tag/trump-executive-order-marijuana/" rel="tag">Trump executive order marijuana</a></span><span class="comments-link"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" viewBox="0 0 24 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path d="M21.99 4c0-1.1-.89-2-1.99-2H4c-1.1 0-2 .9-2 2v12c0 1.1.9 2 2 2h14l4 4-.01-18z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><a href="https://acowatch.me/2025/12/18/trumps-cannabis-executive-order-schedule-iii-280e-and-the-long-road-to-de-scheduling/#respond">Leave a comment<span class="screen-reader-text"> on Trump’s Cannabis Executive Order: Schedule III, 280E, and the Long Road to&nbsp;De-scheduling</span></a></span>	</footer><!-- .entry-footer -->
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531
532<article id="post-6388" class="post-6388 post type-post status-publish format-standard hentry category-accountable-care tag-cdc tag-cms tag-doge tag-fda tag-health tag-health-policy tag-health-reform tag-healthcare-now-radio tag-nih tag-public-health tag-usaid entry">
533	<header class="entry-header">
534		<h2 class="entry-title"><a href="https://acowatch.me/2025/12/16/open-mic-predictions/" rel="bookmark">Open Mic Predictions</a></h2>	</header><!-- .entry-header -->
535
536	
537	<div class="entry-content">
538		<p>By Gregg Anthony Masters, MPH** As producer or executive producer of six shows, both live and on demand, for Healthcare NOW Radio, including our most recent launch &#8216;Inside the Revival&#8216; we (the hosts and producers) were asked for our &#8216;Open Mic&#8217; predictions for 2026 as follows: What major event, transformation, or innovation in 2025 had &hellip; </p>
539<p class="link-more"><a href="https://acowatch.me/2025/12/16/open-mic-predictions/" class="more-link">Continue reading<span class="screen-reader-text"> &#8220;Open Mic Predictions&#8221;</span></a></p>
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541
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543		<span class="byline"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" viewBox="0 0 24 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path d="M12 12c2.21 0 4-1.79 4-4s-1.79-4-4-4-4 1.79-4 4 1.79 4 4 4zm0 2c-2.67 0-8 1.34-8 4v2h16v-2c0-2.66-5.33-4-8-4z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Posted by</span><span class="author vcard"><a class="url fn n" href="https://acowatch.me/author/acowatch/">Admin</a></span></span><span class="posted-on"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><defs><path id="a" d="M0 0h24v24H0V0z"></path></defs><clipPath id="b"><use xlink:href="#a" overflow="visible"></use></clipPath><path clip-path="url(#b)" d="M12 2C6.5 2 2 6.5 2 12s4.5 10 10 10 10-4.5 10-10S17.5 2 12 2zm4.2 14.2L11 13V7h1.5v5.2l4.5 2.7-.8 1.3z"></path></svg><a href="https://acowatch.me/2025/12/16/open-mic-predictions/" rel="bookmark"><time class="entry-date published" datetime="2025-12-16T09:55:59-08:00">December 16, 2025</time><time class="updated" datetime="2025-12-22T14:30:12-08:00">December 22, 2025</time></a></span><span class="cat-links"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24">
543<path d="M10 4H4c-1.1 0-1.99.9-1.99 2L2 18c0 1.1.9 2 2 2h16c1.1 0 2-.9 2-2V8c0-1.1-.9-2-2-2h-8l-2-2z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Posted in</span><a href="https://acowatch.me/category/accountable-care/" rel="category tag">Accountable Care</a></span><span class="tags-links"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><path d="M21.41 11.58l-9-9C12.05 2.22 11.55 2 11 2H4c-1.1 0-2 .9-2 2v7c0 .55.22 1.05.59 1.42l9 9c.36.36.86.58 1.41.58.55 0 1.05-.22 1.41-.59l7-7c.37-.36.59-.86.59-1.41 0-.55-.23-1.06-.59-1.42zM5.5 7C4.67 7 4 6.33 4 5.5S4.67 4 5.5 4 7 4.67 7 5.5 6.33 7 5.5 7z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Tags: </span><a href="https://acowatch.me/tag/cdc/" rel="tag">cdc</a>, <a href="https://acowatch.me/tag/cms/" rel="tag">cms</a>, <a href="https://acowatch.me/tag/doge/" rel="tag">doge</a>, <a href="https://acowatch.me/tag/fda/" rel="tag">fda</a>, <a href="https://acowatch.me/tag/health/" rel="tag">health</a>, <a href="https://acowatch.me/tag/health-policy/" rel="tag">health policy</a>, <a href="https://acowatch.me/tag/health-reform/" rel="tag">health reform</a>, <a href="https://acowatch.me/tag/healthcare-now-radio/" rel="tag">healthcare-now-radio</a>, <a href="https://acowatch.me/tag/nih/" rel="tag">nih</a>, <a href="https://acowatch.me/tag/public-health/" rel="tag">public health</a>, <a href="https://acowatch.me/tag/usaid/" rel="tag">usaid</a></span><span class="comments-link"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" viewBox="0 0 24 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path d="M21.99 4c0-1.1-.89-2-1.99-2H4c-1.1 0-2 .9-2 2v12c0 1.1.9 2 2 2h14l4 4-.01-18z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><a href="https://acowatch.me/2025/12/16/open-mic-predictions/#respond">Leave a comment<span class="screen-reader-text"> on Open Mic Predictions</span></a></span>	</footer><!-- .entry-footer -->
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545
546<article id="post-6375" class="post-6375 post type-post status-publish format-standard has-post-thumbnail hentry category-accountable-care category-public-health tag-accountable-care tag-ai tag-artificial-intelligence tag-harm-reduction tag-health tag-healthcare tag-medical-error tag-patient-safety tag-public-health tag-quality-improvement tag-technology tag-who tag-world-patient-safety-day entry">
547	<header class="entry-header">
548		<h2 class="entry-title"><a href="https://acowatch.me/2024/10/06/the-hidden-epidemic-challenges-in-measuring-deaths-from-medical-errors/" rel="bookmark">The Hidden Epidemic: Challenges in Measuring Deaths from Medical&nbsp;Errors</a></h2>	</header><!-- .entry-header -->
549
550	
551		<figure class="post-thumbnail">
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554		</figure>
555
556			
557	<div class="entry-content">
558		<p>by Gregg Anthony Masters, MPH Editor&#8217;s Note: This is the first in a series of posts on &#8216;Patient Safety&#8217; and specifically the NMP (&#8220;not my patient, not my problem&#8221;) problem in medicine. I recently participated in the World Patient Safety Day in Washington, D.C., September 17th, 2024, with organizing founding members of the Patients for &hellip; </p>
559<p class="link-more"><a href="https://acowatch.me/2024/10/06/the-hidden-epidemic-challenges-in-measuring-deaths-from-medical-errors/" class="more-link">Continue reading<span class="screen-reader-text"> &#8220;The Hidden Epidemic: Challenges in Measuring Deaths from Medical&nbsp;Errors&#8221;</span></a></p>
560	</div><!-- .entry-content -->
561
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563		<span class="byline"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" viewBox="0 0 24 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path d="M12 12c2.21 0 4-1.79 4-4s-1.79-4-4-4-4 1.79-4 4 1.79 4 4 4zm0 2c-2.67 0-8 1.34-8 4v2h16v-2c0-2.66-5.33-4-8-4z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Posted by</span><span class="author vcard"><a class="url fn n" href="https://acowatch.me/author/acowatch/">Admin</a></span></span><span class="posted-on"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><defs><path id="a" d="M0 0h24v24H0V0z"></path></defs><clipPath id="b"><use xlink:href="#a" overflow="visible"></use></clipPath><path clip-path="url(#b)" d="M12 2C6.5 2 2 6.5 2 12s4.5 10 10 10 10-4.5 10-10S17.5 2 12 2zm4.2 14.2L11 13V7h1.5v5.2l4.5 2.7-.8 1.3z"></path></svg><a href="https://acowatch.me/2024/10/06/the-hidden-epidemic-challenges-in-measuring-deaths-from-medical-errors/" rel="bookmark"><time class="entry-date published" datetime="2024-10-06T16:35:39-07:00">October 6, 2024</time><time class="updated" datetime="2024-10-16T15:49:37-07:00">October 16, 2024</time></a></span><span class="cat-links"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24">
563<path d="M10 4H4c-1.1 0-1.99.9-1.99 2L2 18c0 1.1.9 2 2 2h16c1.1 0 2-.9 2-2V8c0-1.1-.9-2-2-2h-8l-2-2z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Posted in</span><a href="https://acowatch.me/category/accountable-care/" rel="category tag">Accountable Care</a>, <a href="https://acowatch.me/category/public-health/" rel="category tag">public health</a></span><span class="tags-links"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><path d="M21.41 11.58l-9-9C12.05 2.22 11.55 2 11 2H4c-1.1 0-2 .9-2 2v7c0 .55.22 1.05.59 1.42l9 9c.36.36.86.58 1.41.58.55 0 1.05-.22 1.41-.59l7-7c.37-.36.59-.86.59-1.41 0-.55-.23-1.06-.59-1.42zM5.5 7C4.67 7 4 6.33 4 5.5S4.67 4 5.5 4 7 4.67 7 5.5 6.33 7 5.5 7z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Tags: </span><a href="https://acowatch.me/tag/accountable-care/" rel="tag">Accountable Care</a>, <a href="https://acowatch.me/tag/ai/" rel="tag">ai</a>, <a href="https://acowatch.me/tag/artificial-intelligence/" rel="tag">artificial-intelligence</a>, <a href="https://acowatch.me/tag/harm-reduction/" rel="tag">harm reduction</a>, <a href="https://acowatch.me/tag/health/" rel="tag">health</a>, <a href="https://acowatch.me/tag/healthcare/" rel="tag">healthcare</a>, <a href="https://acowatch.me/tag/medical-error/" rel="tag">medical error</a>, <a href="https://acowatch.me/tag/patient-safety/" rel="tag">patient safety</a>, <a href="https://acowatch.me/tag/public-health/" rel="tag">public health</a>, <a href="https://acowatch.me/tag/quality-improvement/" rel="tag">quality improvement</a>, <a href="https://acowatch.me/tag/technology/" rel="tag">technology</a>, <a href="https://acowatch.me/tag/who/" rel="tag">WHO</a>, <a href="https://acowatch.me/tag/world-patient-safety-day/" rel="tag">World Patient Safety Day</a></span><span class="comments-link"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" viewBox="0 0 24 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path d="M21.99 4c0-1.1-.89-2-1.99-2H4c-1.1 0-2 .9-2 2v12c0 1.1.9 2 2 2h14l4 4-.01-18z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><a href="https://acowatch.me/2024/10/06/the-hidden-epidemic-challenges-in-measuring-deaths-from-medical-errors/#respond">Leave a comment<span class="screen-reader-text"> on The Hidden Epidemic: Challenges in Measuring Deaths from Medical&nbsp;Errors</span></a></span>	</footer><!-- .entry-footer -->
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565
566<article id="post-6362" class="post-6362 post type-post status-publish format-standard has-post-thumbnail hentry category-accountable-care category-aco-2 category-health-insurance-reform category-health-reform category-medicare-2 tag-accountable-care-organization tag-cmmi tag-cms tag-health-reform tag-innovation tag-kaiser-permanente tag-kaiser-permanente-san-diego tag-medicare tag-medicare-advantage tag-permenente-medical-group entry">
567	<header class="entry-header">
568		<h2 class="entry-title"><a href="https://acowatch.me/2023/12/06/medicare-open-enrollment-to-dis-enroll-or-not-searching-for-answers-with-an-ai-assist/" rel="bookmark">Medicare Open Enrollment: To Dis-enroll or Not? Searching For Answers with an AI&nbsp;Assist</a></h2>	</header><!-- .entry-header -->
569
570	
571		<figure class="post-thumbnail">
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573				<img width="950" height="531" src="https://acowatch.me/wp-content/uploads/2019/04/screen-shot-2019-04-30-at-12.15.51-pm.png?w=950" class="attachment-post-thumbnail size-post-thumbnail wp-post-image" alt="" decoding="async" loading="lazy" srcset="https://acowatch.me/wp-content/uploads/2019/04/screen-shot-2019-04-30-at-12.15.51-pm.png 950w, https://acowatch.me/wp-content/uploads/2019/04/screen-shot-2019-04-30-at-12.15.51-pm.png?w=150 150w, https://acowatch.me/wp-content/uploads/2019/04/screen-shot-2019-04-30-at-12.15.51-pm.png?w=300 300w, https://acowatch.me/wp-content/uploads/2019/04/screen-shot-2019-04-30-at-12.15.51-pm.png?w=768 768w" sizes="(max-width: 34.9rem) calc(100vw - 2rem), (max-width: 53rem) calc(8 * (100vw / 12)), (min-width: 53rem) calc(6 * (100vw / 12)), 100vw" data-attachment-id="6120" data-permalink="https://acowatch.me/2019/04/30/apg-overview-of-cmmi-new-models-primary-care-first-and-direct-contracting/screen-shot-2019-04-30-at-12-15-51-pm/" data-orig-file="https://acowatch.me/wp-content/uploads/2019/04/screen-shot-2019-04-30-at-12.15.51-pm.png" data-orig-size="950,531" data-comments-opened="1" data-image-title="Screen Shot 2019-04-30 at 12.15.51 PM" data-image-description="" data-image-caption="" data-large-file="https://acowatch.me/wp-content/uploads/2019/04/screen-shot-2019-04-30-at-12.15.51-pm.png?w=640" />			</a>
574		</figure>
575
576			
577	<div class="entry-content">
578		<p>by Gregg Anthony Masters, MPH Some of you may have heard about the whining by UnitedHealthcare&#8217;s leadership on a recent earnings call which included the required &#8216;management&#8217;s discussion or operating results and market conditions&#8217; analysis. A BIG WHAAAA! Overfunded since inception and having perfected the art of &#8216;upcoding&#8216; (i.e,, severity of illness and intensity of &hellip; </p>
579<p class="link-more"><a href="https://acowatch.me/2023/12/06/medicare-open-enrollment-to-dis-enroll-or-not-searching-for-answers-with-an-ai-assist/" class="more-link">Continue reading<span class="screen-reader-text"> &#8220;Medicare Open Enrollment: To Dis-enroll or Not? Searching For Answers with an AI&nbsp;Assist&#8221;</span></a></p>
580	</div><!-- .entry-content -->
581
582	<footer class="entry-footer">
583		<span class="byline"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" viewBox="0 0 24 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path d="M12 12c2.21 0 4-1.79 4-4s-1.79-4-4-4-4 1.79-4 4 1.79 4 4 4zm0 2c-2.67 0-8 1.34-8 4v2h16v-2c0-2.66-5.33-4-8-4z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Posted by</span><span class="author vcard"><a class="url fn n" href="https://acowatch.me/author/acowatch/">Admin</a></span></span><span class="posted-on"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><defs><path id="a" d="M0 0h24v24H0V0z"></path></defs><clipPath id="b"><use xlink:href="#a" overflow="visible"></use></clipPath><path clip-path="url(#b)" d="M12 2C6.5 2 2 6.5 2 12s4.5 10 10 10 10-4.5 10-10S17.5 2 12 2zm4.2 14.2L11 13V7h1.5v5.2l4.5 2.7-.8 1.3z"></path></svg><a href="https://acowatch.me/2023/12/06/medicare-open-enrollment-to-dis-enroll-or-not-searching-for-answers-with-an-ai-assist/" rel="bookmark"><time class="entry-date published" datetime="2023-12-06T11:21:19-08:00">December 6, 2023</time><time class="updated" datetime="2024-10-16T15:49:14-07:00">October 16, 2024</time></a></span><span class="cat-links"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24">
583<path d="M10 4H4c-1.1 0-1.99.9-1.99 2L2 18c0 1.1.9 2 2 2h16c1.1 0 2-.9 2-2V8c0-1.1-.9-2-2-2h-8l-2-2z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Posted in</span><a href="https://acowatch.me/category/accountable-care/" rel="category tag">Accountable Care</a>, <a href="https://acowatch.me/category/aco-2/" rel="category tag">ACO</a>, <a href="https://acowatch.me/category/health-insurance-reform/" rel="category tag">health insurance reform</a>, <a href="https://acowatch.me/category/health-reform/" rel="category tag">health reform</a>, <a href="https://acowatch.me/category/medicare-2/" rel="category tag">Medicare</a></span><span class="tags-links"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><path d="M21.41 11.58l-9-9C12.05 2.22 11.55 2 11 2H4c-1.1 0-2 .9-2 2v7c0 .55.22 1.05.59 1.42l9 9c.36.36.86.58 1.41.58.55 0 1.05-.22 1.41-.59l7-7c.37-.36.59-.86.59-1.41 0-.55-.23-1.06-.59-1.42zM5.5 7C4.67 7 4 6.33 4 5.5S4.67 4 5.5 4 7 4.67 7 5.5 6.33 7 5.5 7z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Tags: </span><a href="https://acowatch.me/tag/accountable-care-organization/" rel="tag">accountable care organization</a>, <a href="https://acowatch.me/tag/cmmi/" rel="tag">CMMI</a>, <a href="https://acowatch.me/tag/cms/" rel="tag">cms</a>, <a href="https://acowatch.me/tag/health-reform/" rel="tag">health reform</a>, <a href="https://acowatch.me/tag/innovation/" rel="tag">innovation</a>, <a href="https://acowatch.me/tag/kaiser-permanente/" rel="tag">kaiser permanente</a>, <a href="https://acowatch.me/tag/kaiser-permanente-san-diego/" rel="tag">Kaiser Permanente San Diego</a>, <a href="https://acowatch.me/tag/medicare/" rel="tag">medicare</a>, <a href="https://acowatch.me/tag/medicare-advantage/" rel="tag">medicare advantage</a>, <a href="https://acowatch.me/tag/permenente-medical-group/" rel="tag">Permenente Medical Group[</a></span><span class="comments-link"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" viewBox="0 0 24 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path d="M21.99 4c0-1.1-.89-2-1.99-2H4c-1.1 0-2 .9-2 2v12c0 1.1.9 2 2 2h14l4 4-.01-18z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><a href="https://acowatch.me/2023/12/06/medicare-open-enrollment-to-dis-enroll-or-not-searching-for-answers-with-an-ai-assist/#comments">1 Comment<span class="screen-reader-text"> on Medicare Open Enrollment: To Dis-enroll or Not? Searching For Answers with an AI&nbsp;Assist</span></a></span>	</footer><!-- .entry-footer -->
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585
586<article id="post-6320" class="post-6320 post type-post status-publish format-standard hentry category-accountable-care category-aco-2 category-affordable-care-act tag-aca tag-accountable-care tag-aco tag-health-reform tag-healthcarenow-radio tag-medical-cannabis tag-nick-van-terheyden-md tag-transformation tag-value-based-care mentions-acowatch entry">
587	<header class="entry-header">
588		<h2 class="entry-title"><a href="https://acowatch.me/2022/08/10/aco-digital-assets-available/" rel="bookmark">ACO Digital Assets&nbsp;Available</a></h2>	</header><!-- .entry-header -->
589
590	
591	<div class="entry-content">
592		<p>by Gregg A. Masters, MPH It&#8217;s been quite some time that I&#8217;ve updated this site though not for a lack of news. Yet some 434 posts later following the rollout of the Affordable Care Act, the signature, and against all odds accomplishment of then President Barack Obama, I thought I&#8217;d update both subscribers and followers &hellip; </p>
593<p class="link-more"><a href="https://acowatch.me/2022/08/10/aco-digital-assets-available/" class="more-link">Continue reading<span class="screen-reader-text"> &#8220;ACO Digital Assets&nbsp;Available&#8221;</span></a></p>
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597		<span class="byline"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" viewBox="0 0 24 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path d="M12 12c2.21 0 4-1.79 4-4s-1.79-4-4-4-4 1.79-4 4 1.79 4 4 4zm0 2c-2.67 0-8 1.34-8 4v2h16v-2c0-2.66-5.33-4-8-4z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Posted by</span><span class="author vcard"><a class="url fn n" href="https://acowatch.me/author/acowatch/">Admin</a></span></span><span class="posted-on"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><defs><path id="a" d="M0 0h24v24H0V0z"></path></defs><clipPath id="b"><use xlink:href="#a" overflow="visible"></use></clipPath><path clip-path="url(#b)" d="M12 2C6.5 2 2 6.5 2 12s4.5 10 10 10 10-4.5 10-10S17.5 2 12 2zm4.2 14.2L11 13V7h1.5v5.2l4.5 2.7-.8 1.3z"></path></svg><a href="https://acowatch.me/2022/08/10/aco-digital-assets-available/" rel="bookmark"><time class="entry-date published" datetime="2022-08-10T12:17:08-07:00">August 10, 2022</time><time class="updated" datetime="2022-08-15T11:38:38-07:00">August 15, 2022</time></a></span><span class="cat-links"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24">
597<path d="M10 4H4c-1.1 0-1.99.9-1.99 2L2 18c0 1.1.9 2 2 2h16c1.1 0 2-.9 2-2V8c0-1.1-.9-2-2-2h-8l-2-2z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Posted in</span><a href="https://acowatch.me/category/accountable-care/" rel="category tag">Accountable Care</a>, <a href="https://acowatch.me/category/aco-2/" rel="category tag">ACO</a>, <a href="https://acowatch.me/category/affordable-care-act/" rel="category tag">Affordable Care Act</a></span><span class="tags-links"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><path d="M21.41 11.58l-9-9C12.05 2.22 11.55 2 11 2H4c-1.1 0-2 .9-2 2v7c0 .55.22 1.05.59 1.42l9 9c.36.36.86.58 1.41.58.55 0 1.05-.22 1.41-.59l7-7c.37-.36.59-.86.59-1.41 0-.55-.23-1.06-.59-1.42zM5.5 7C4.67 7 4 6.33 4 5.5S4.67 4 5.5 4 7 4.67 7 5.5 6.33 7 5.5 7z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Tags: </span><a href="https://acowatch.me/tag/aca/" rel="tag">ACA</a>, <a href="https://acowatch.me/tag/accountable-care/" rel="tag">Accountable Care</a>, <a href="https://acowatch.me/tag/aco/" rel="tag">aco</a>, <a href="https://acowatch.me/tag/health-reform/" rel="tag">health reform</a>, <a href="https://acowatch.me/tag/healthcarenow-radio/" rel="tag">HealthcareNOW Radio</a>, <a href="https://acowatch.me/tag/medical-cannabis/" rel="tag">medical cannabis</a>, <a href="https://acowatch.me/tag/nick-van-terheyden-md/" rel="tag">Nick van Terheyden MD</a>, <a href="https://acowatch.me/tag/transformation/" rel="tag">transformation</a>, <a href="https://acowatch.me/tag/value-based-care/" rel="tag">value based care</a></span><span class="comments-link"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" viewBox="0 0 24 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path d="M21.99 4c0-1.1-.89-2-1.99-2H4c-1.1 0-2 .9-2 2v12c0 1.1.9 2 2 2h14l4 4-.01-18z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><a href="https://acowatch.me/2022/08/10/aco-digital-assets-available/#comments">1 Comment<span class="screen-reader-text"> on ACO Digital Assets&nbsp;Available</span></a></span>	</footer><!-- .entry-footer -->
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599
600<article id="post-6290" class="post-6290 post type-post status-publish format-standard hentry category-accountable-care category-aco-2 category-affordable-care-act tag-aca tag-accountable-care tag-accountable-care-organizations tag-affordable-care-act tag-innovation tag-medicare tag-mssp entry">
601	<header class="entry-header">
602		<h2 class="entry-title"><a href="https://acowatch.me/2020/09/15/cms-announces-2019-shared-savings-results/" rel="bookmark">CMS Announces 2019 Shared Savings&nbsp;Results</a></h2>	</header><!-- .entry-header -->
603
604	
605	<div class="entry-content">
606		<p>by Gregg A. Masters, MPH Some eight plus years in, ACOs are still earning their &#8216;shared savings&#8216; industry &#8216;sea-legs&#8217;. While they remain a central actor of transformation from volume to value birthed by the ACA for both the public (Medicare and Medicaid) and private (commercial health plans) sectors, the results are continuing to build. The &hellip; </p>
607<p class="link-more"><a href="https://acowatch.me/2020/09/15/cms-announces-2019-shared-savings-results/" class="more-link">Continue reading<span class="screen-reader-text"> &#8220;CMS Announces 2019 Shared Savings&nbsp;Results&#8221;</span></a></p>
608	</div><!-- .entry-content -->
609
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611		<span class="byline"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" viewBox="0 0 24 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path d="M12 12c2.21 0 4-1.79 4-4s-1.79-4-4-4-4 1.79-4 4 1.79 4 4 4zm0 2c-2.67 0-8 1.34-8 4v2h16v-2c0-2.66-5.33-4-8-4z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Posted by</span><span class="author vcard"><a class="url fn n" href="https://acowatch.me/author/acowatch/">Admin</a></span></span><span class="posted-on"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><defs><path id="a" d="M0 0h24v24H0V0z"></path></defs><clipPath id="b"><use xlink:href="#a" overflow="visible"></use></clipPath><path clip-path="url(#b)" d="M12 2C6.5 2 2 6.5 2 12s4.5 10 10 10 10-4.5 10-10S17.5 2 12 2zm4.2 14.2L11 13V7h1.5v5.2l4.5 2.7-.8 1.3z"></path></svg><a href="https://acowatch.me/2020/09/15/cms-announces-2019-shared-savings-results/" rel="bookmark"><time class="entry-date published" datetime="2020-09-15T10:28:48-07:00">September 15, 2020</time><time class="updated" datetime="2022-03-17T15:16:08-07:00">March 17, 2022</time></a></span><span class="cat-links"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24">
611<path d="M10 4H4c-1.1 0-1.99.9-1.99 2L2 18c0 1.1.9 2 2 2h16c1.1 0 2-.9 2-2V8c0-1.1-.9-2-2-2h-8l-2-2z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Posted in</span><a href="https://acowatch.me/category/accountable-care/" rel="category tag">Accountable Care</a>, <a href="https://acowatch.me/category/aco-2/" rel="category tag">ACO</a>, <a href="https://acowatch.me/category/affordable-care-act/" rel="category tag">Affordable Care Act</a></span><span class="tags-links"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 24 24"><path d="M21.41 11.58l-9-9C12.05 2.22 11.55 2 11 2H4c-1.1 0-2 .9-2 2v7c0 .55.22 1.05.59 1.42l9 9c.36.36.86.58 1.41.58.55 0 1.05-.22 1.41-.59l7-7c.37-.36.59-.86.59-1.41 0-.55-.23-1.06-.59-1.42zM5.5 7C4.67 7 4 6.33 4 5.5S4.67 4 5.5 4 7 4.67 7 5.5 6.33 7 5.5 7z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><span class="screen-reader-text">Tags: </span><a href="https://acowatch.me/tag/aca/" rel="tag">ACA</a>, <a href="https://acowatch.me/tag/accountable-care/" rel="tag">Accountable Care</a>, <a href="https://acowatch.me/tag/accountable-care-organizations/" rel="tag">accountable care organizations</a>, <a href="https://acowatch.me/tag/affordable-care-act/" rel="tag">Affordable Care Act</a>, <a href="https://acowatch.me/tag/innovation/" rel="tag">innovation</a>, <a href="https://acowatch.me/tag/medicare/" rel="tag">medicare</a>, <a href="https://acowatch.me/tag/mssp/" rel="tag">mssp</a></span><span class="comments-link"><svg class="svg-icon" width="16" height="16" aria-hidden="true" role="img" focusable="false" viewBox="0 0 24 24" version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><path d="M21.99 4c0-1.1-.89-2-1.99-2H4c-1.1 0-2 .9-2 2v12c0 1.1.9 2 2 2h14l4 4-.01-18z"></path><path d="M0 0h24v24H0z" fill="none"></path></svg><a href="https://acowatch.me/2020/09/15/cms-announces-2019-shared-savings-results/#respond">Leave a comment<span class="screen-reader-text"> on CMS Announces 2019 Shared Savings&nbsp;Results</span></a></span>	</footer><!-- .entry-footer -->
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681</section><section id="twitter-3" class="widget widget_twitter"><h2 class="widget-title"><a href='http://twitter.com/acowatch'>Twitter Updates</a></h2><a class="twitter-timeline" data-height="600" data-dnt="true" href="https://twitter.com/acowatch">Tweets by acowatch</a></section><section id="text-4" class="widget widget_text"><h2 class="widget-title">This Week in Accountable Care</h2>			<div class="textwidget">For the latest interviews with thought leaders and innovators in accountable care join your host Gregg Masters via: http://blogtalkradio.com/acowatch</div>
682		</section><section id="text-3" class="widget widget_text"><h2 class="widget-title">A &#8216;pulse check&#8217; on the race!</h2>			<div class="textwidget"><p>With the March 2010 passage of the ‘Patient Protection and Affordable Care Act (PPACA), the ‘follow the money’ floodgates are once again opening for hospitals, physicians, integrated delivery systems, health plans, and consultants. This time, instead of migrating ‘HMO lite’ (ne
682ither staff nor group model) platforms into mainstream medicine via IPAs, or MeSH model JV’s, we’re now talking about their ‘new and improved’ successors broadly cast as ‘Accountable Care Organizations aka ‘ACOs’.</p>
683<p>Some call it ‘managed care 2.0′, while the more cynical among us envision it as the full employment act for consultants, and health care lawyers, shopping a not ready for prime time, if not fundamentally flawed ‘business model’.</p>
684<p>Given the high level of interest in these ostensible quality promoting, while cost restraining entities, the staggered implementation timeline in general, the ACO January 1, 2012 fuse in particular, and the broad brush framework intentionally reflected in PPACA, we thought it a good idea to keep a pulse on the ramp up to the highly anticipated ‘go live’ date.</p>
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707		</nav></section><section id="authors-2" class="widget widget_authors"><h2 class="widget-title"></h2><ul><li><a href="https://acowatch.me/author/acowatch/"> <img referrerpolicy="no-referrer" alt='Admin&#039;s avatar' src='https://2.gravatar.com/avatar/5cdf3aacb934d20e6b2931f928d9171fc81be05342cea0036890fc44a41b0ec3?s=48&#038;d=identicon&#038;r=G' srcset='https://2.gravatar.com/avatar/5cdf3aacb934d20e6b2931f928d9171fc81be05342cea0036890fc44a41b0ec3?s=48&#038;d=identicon&#038;r=G 1x, https://2.gravatar.com/avatar/5cdf3aacb934d20e6b2931f928d9171fc81be05342cea0036890fc44a41b0ec3?s=72&#038;d=identicon&#038;r=G 1.5x, https://2.gravatar.com/avatar/5cdf3aacb934d20e6b2931f928d9171fc81be05342cea0036890fc44a41b0ec3?s=96&#038;d=identicon&#038;r=G 2x, https://2.gravatar.com/avatar/5cdf3aacb934d20e6b2931f928d9171fc81be05342cea0036890fc44a41b0ec3?s=144&#038;d=identicon&#038;r=G 3x, https://2.gravatar.com/avatar/5cdf3aacb934d20e6b2931f928d9171fc81be05342cea0036890fc44a41b0ec3?s=192&#038;d=identicon&#038;r=G 4x' class='avatar avatar-48' height='48' width='48' loading='lazy' decoding='async' /> <strong>Admin</strong></a></li></ul></section><section id="linkcat-1356" class="widget widget_links"><h2 class="widget-title">Blogroll</h2>
708	<ul class='xoxo blogroll'>
709<li><a href="http://accountablehealthllc.com/" rel="noopener" title="ationally recognized for his innovative approach to healthcare challenges, Fred Goldstein develops programs and systems that work. Let him help you create a better plan for your organization that is focused on improving the health of individuals, populati" target="_blank">Accountable Health</a></li>
710<li><a href="http://acoalliance.com" title="ACO Alliance">ACO Alliance</a></li>
711<li><a href="http://ACOregistry.com/" rel="noopener" title="A crowd sourced database on ACOs from Medicare certified to commercially negotiated." target="_blank">ACOregistry</a></li>
712<li><a href="http://diseasemanagementcareblog.blogspot.com/" rel="noopener" title="A brainy resource for information, insights, peer-review literature and musings from the world of disease management, the medical home, the chronic care model, accountable care organizations, the patient centered medical home, informatics, pay for perform" target="_blank">Disease Management Care Blog</a></li>
713<li><a href="http://e-caremanagement.com/" rel="noopener" title="Technology and health care delivery are shifting:  From: Acute and episodic care delivered in hospitals and doctors’ offices To: Chronic disease and condition management delivered in homes, workplaces, and communities  BHT provides consulting, business" target="_blank">e-Care Management Blog</a></li>
714<li><a href="http://healthcareblog.pyapc.com/" rel="noopener" title="Pershing Yoakley &amp; Associates is a Top 20 ranked healthcare management consulting firm with clients in 47 states and the Virgin Islands. Modern Healthcare lists PYA as the nation’s 10th largest privately held healthcare consultants and 19th overall." target="_blank">PYA: Healthcare Blog</a></li>
715<li><a href="http://healthblawg.typepad.com/" rel="noopener" title="David Harlow is a leading authority on health care social media and the legal issues surrounding use of social media tactics by health care organizations." target="_blank">The Healthblawg</a></li>
716<li><a href="http://thehealthcareblog.com" rel="noopener" title="Healthcare Blog \ The Industry Standard" target="_blank">The Healthcare Blog</a></li>
717
718	</ul>
719</section>
720<section id="categories-3" class="widget widget_categories"><h2 class="widget-title">Categories</h2><nav aria-label="Categories">
721			<ul>
722					<li class="cat-item cat-item-27659872"><a href="https://acowatch.me/category/accountable-care/">Accountable Care</a>
723</li>
724	<li class="cat-item cat-item-53402657"><a href="https://acowatch.me/category/aco-2/">ACO</a>
725</li>
726	<li class="cat-item cat-item-29185930"><a href="https://acowatch.me/category/affordable-care-act/">Affordable Care Act</a>
727</li>
728	<li class="cat-item cat-item-582229338"><a href="https://acowatch.me/category/bcra-2017/">BCRA 2017</a>
729</li>
730	<li class="cat-item cat-item-694479852"><a href="https://acowatch.me/category/covid-19/">COVID-19</a>
731</li>
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733</li>
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737</li>
738	<li class="cat-item cat-item-78278683"><a href="https://acowatch.me/category/health-innovation-challenges/">health innovation challenges</a>
739</li>
740	<li class="cat-item cat-item-7835323"><a href="https://acowatch.me/category/health-insurance-reform/">health insurance reform</a>
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743</li>
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749</li>
750	<li class="cat-item cat-item-318079398"><a href="https://acowatch.me/category/jp-morgan-healthcare-conference-2/">JP Morgan Healthcare Conference</a>
751</li>
752	<li class="cat-item cat-item-90190883"><a href="https://acowatch.me/category/ltpac/">LTPAC</a>
753</li>
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755</li>
756	<li class="cat-item cat-item-195036587"><a href="https://acowatch.me/category/medicaid-aco/">Medicaid ACO</a>
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760	<li class="cat-item cat-item-164120984"><a href="https://acowatch.me/category/mssp-2/">MSSP</a>
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762	<li class="cat-item cat-item-20129560"><a href="https://acowatch.me/category/patient-engagement/">patient engagement</a>
763</li>
764	<li class="cat-item cat-item-1457464"><a href="https://acowatch.me/category/population-health/">population health</a>
765</li>
766	<li class="cat-item cat-item-63754532"><a href="https://acowatch.me/category/precision-medicine/">Precision Medicine</a>
767</li>
768	<li class="cat-item cat-item-28006"><a href="https://acowatch.me/category/public-health/">public health</a>
769</li>
770	<li class="cat-item cat-item-349159"><a href="https://acowatch.me/category/telemedicine/">telemedicine</a>
771</li>
772	<li class="cat-item cat-item-149419529"><a href="https://acowatch.me/category/triple-aim-2/">Triple Aim</a>
773</li>
774	<li class="cat-item cat-item-373824805"><a href="https://acowatch.me/category/trumpcare/">TrumpCare</a>
775</li>
776	<li class="cat-item cat-item-1"><a href="https://acowatch.me/category/uncategorized/">Uncategorized</a>
777</li>
778			</ul>
779
780			</nav></section>					</div>
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782
783			<div class="site-info">
784									<a href="https://wordpress.com/?ref=footer_custom_powered" rel="nofollow">Website Powered by WordPress.com</a>.
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797<script id="grofiles-cards-js" src="//0.gravatar.com/js/hovercards/hovercards.min.js?ver=202641d1133547e8a1f2801609f51cef12522abe7f6647d869e9fbc974fe356a37e613"></script>
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802<script crossorigin='anonymous' type='text/javascript'  src='/wp-content/mu-plugins/gravatar-hovercards/wpgroho.js?m=1610363240i'></script>
802
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827							'View profile →': 'View profile →',
828							'Contact': 'Contact',
829							'Send money': 'Send money',
830							'Sorry, we are unable to load this Gravatar profile.': 'Sorry, we are unable to load this Gravatar profile.',
831							'Gravatar not found.': 'Gravatar not found.',
832							'Too Many Requests.': 'Too Many Requests.',
833							'Internal Server Error.': 'Internal Server Error.',
834							'Is this you?': 'Is this you?',
835							'Claim your free profile.': 'Claim your free profile.',
836							'Email': 'Email',
837							'Home Phone': 'Home Phone',
838							'Work Phone': 'Work Phone',
839							'Cell Phone': 'Cell Phone',
840							'Contact Form': 'Contact Form',
841							'Calendar': 'Calendar',
842						},
843					}
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846
847			if ( document.readyState !== 'loading' ) {
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850				document.addEventListener( 'DOMContentLoaded', init );
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852		} )();
853	</script>
853
854
855		<div style="display:none">
856	</div>
857		<!-- CCPA [start] -->
858		
858<script type="text/javascript">
859			( function () {
860
861				var setupPrivacy = function() {
862
863					// Minimal Mozilla Cookie library
864					// https://developer.mozilla.org/en-US/docs/Web/API/Document/cookie/Simple_document.cookie_framework
865					var cookieLib = window.cookieLib = {getItem:function(e){return e&&decodeURIComponent(document.cookie.replace(new RegExp("(?:(?:^|.*;)\\s*"+encodeURIComponent(e).replace(/[\-\.\+\*]/g,"\\$&")+"\\s*\\=\\s*([^;]*).*$)|^.*$"),"$1"))||null},setItem:function(e,o,n,t,r,i){if(!e||/^(?:expires|max\-age|path|domain|secure)$/i.test(e))return!1;var c="";if(n)switch(n.constructor){case Number:c=n===1/0?"; expires=Fri, 31 Dec 9999 23:59:59 GMT":"; max-age="+n;break;case String:c="; expires="+n;break;case Date:c="; expires="+n.toUTCString()}return"rootDomain"!==r&&".rootDomain"!==r||(r=(".rootDomain"===r?".":"")+document.location.hostname.split(".").slice(-2).join(".")),document.cookie=encodeURIComponent(e)+"="+encodeURIComponent(o)+c+(r?"; domain="+r:"")+(t?"; path="+t:"")+(i?"; secure":""),!0}};
866
867					// Implement IAB USP API.
868					window.__uspapi = function( command, version, callback ) {
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870						// Validate callback.
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875						// Validate the given command.
876						if ( command !== 'getUSPData' || version !== 1 ) {
877							callback( null, false );
878							return;
879						}
880
881						// Check for GPC. If set, override any stored cookie.
882						if ( navigator.globalPrivacyControl ) {
883							callback( { version: 1, uspString: '1YYN' }, true );
884							return;
885						}
886
887						// Check for cookie.
888						var consent = cookieLib.getItem( 'usprivacy' );
889
890						// Invalid cookie.
891						if ( null === consent ) {
892							callback( null, false );
893							return;
894						}
895
896						// Everything checks out. Fire the provided callback with the consent data.
897						callback( { version: 1, uspString: consent }, true );
898					};
899
900					// Initialization.
901					document.addEventListener( 'DOMContentLoaded', function() {
902
903						// Internal functions.
904						var setDefaultOptInCookie = function() {
905							var value = '1YNN';
906							var domain = '.wordpress.com' === location.hostname.slice( -14 ) ? '.rootDomain' : location.hostname;
907							cookieLib.setItem( 'usprivacy', value, 365 * 24 * 60 * 60, '/', domain );
908						};
909
910						var setDefaultOptOutCookie = function() {
911							var value = '1YYN';
912							var domain = '.wordpress.com' === location.hostname.slice( -14 ) ? '.rootDomain' : location.hostname;
913							cookieLib.setItem( 'usprivacy', value, 24 * 60 * 60, '/', domain );
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915
916						var setDefaultNotApplicableCookie = function() {
917							var value = '1---';
918							var domain = '.wordpress.com' === location.hostname.slice( -14 ) ? '.rootDomain' : location.hostname;
919							cookieLib.setItem( 'usprivacy', value, 24 * 60 * 60, '/', domain );
920						};
921
922						var setCcpaAppliesCookie = function( applies ) {
923							var domain = '.wordpress.com' === location.hostname.slice( -14 ) ? '.rootDomain' : location.hostname;
924							cookieLib.setItem( 'ccpa_applies', applies, 24 * 60 * 60, '/', domain );
925						}
926
927						var maybeCallDoNotSellCallback = function() {
928							if ( 'function' === typeof window.doNotSellCallback ) {
929								return window.doNotSellCallback();
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932							return false;
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938						// Found a usprivacy cookie.
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941							// If the cookie indicates that CCPA does not apply, then bail.
942							if ( '1---' === usprivacyCookie ) {
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945
946							// CCPA applies, so call our callback to add Do Not Sell link to the page.
947							maybeCallDoNotSellCallback();
948
949							// We're all done, no more processing needed.
950							return;
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953						// We don't have a usprivacy cookie, so check to see if we have a CCPA applies cookie.
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956						// No CCPA applies cookie found, so we'll need to geolocate if this visitor is from California.
957						// This needs to happen client side because we do not have region geo data in our $SERVER headers,
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959						if ( null === ccpaCookie ) {
960
961							var request = new XMLHttpRequest();
962							request.open( 'GET', 'https://public-api.wordpress.com/geo/', true );
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964							request.onreadystatechange = function () {
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968										// Got a geo response. Parse out the region data.
969										var data = JSON.parse( this.response );
970										var region      = data.region ? data.region.toLowerCase() : '';
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975										// Check if CCPA applies to set the proper usprivacy cookie.
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990										setCcpaAppliesCookie( true );
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993											setDefaultOptInCookie();
994										} else {
995											// Failed showing Do Not Sell link as required, so default to opt-OUT just to be safe.
996											setDefaultOptOutCookie();
997										}
998									}
999								}
1000							};
1001
1002							// Send the geo request.
1003							request.send();
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1006							if ( ccpaCookie === 'true' ) {
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1008									// Do Not Sell link added, so set default opt-in.
1009									setDefaultOptInCookie();
1010								} else {
1011									// Failed showing Do Not Sell link as required, so default to opt-OUT just to be safe.
1012									setDefaultOptOutCookie();
1013								}
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1015								// CCPA does not apply.
1016								setDefaultNotApplicableCookie();
1017							}
1018						}
1019					} );
1020				};
1021
1022				// Kickoff initialization.
1023				if ( window.defQueue && defQueue.isLOHP && defQueue.isLOHP === 2020 ) {
1024					defQueue.items.push( setupPrivacy );
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1026					setupPrivacy();
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1028
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1031
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1033		<div class="widget widget_eu_cookie_law_widget">
1034<div
1035	class="hide-on-button ads-active"
1036	data-hide-timeout="30"
1037	data-consent-expiration="180"
1038	id="eu-cookie-law"
1039	style="display: none"
1040>
1041	<form method="post">
1042		<input type="submit" value="Close and accept" class="accept" />
1043
1044		Privacy &amp; Cookies: This site uses cookies. By continuing to use this website, you agree to their use. <br />
1045To find out more, including how to control cookies, see here:
1046				<a href="https://automattic.com/cookies/" rel="nofollow">
1047			Cookie Policy		</a>
1048 </form>
1049</div>
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1063								<div class="actnbr-panel__group"><a class="actnbr-menu__item actnbr-sitename" href="https://acowatch.me"><img loading='lazy' alt='' src='https://s-ssl.wordpress.com/i/logo/wpcom-gray-white.png?m=1479929237i' srcset='https://s-ssl.wordpress.com/i/logo/wpcom-gray-white.png 1x' class='avatar avatar-50' height='50' width='50' /><span class="actnbr-menu__label">acowatch.me</span></a></div>																	<div class="actnbr-panel__group">
1064										<div class="actnbr-message no-display" aria-live="polite"></div>
1065										<form method="post" action="https://subscribe.wordpress.com" accept-charset="utf-8" class="no-display">
1066																							<div class="actnbr-follow-count">Join 631 other subscribers</div>
1067																							<input type="email" name="email" placeholder="Want updates? Enter your email" class="actnbr-email-field" aria-label="Email address" />
1068											<input type="hidden" name="action" value="subscribe" />
1069											<input type="hidden" name="blog_id" value="15370283" />
1070											<input type="hidden" name="source" value="https://acowatch.me/author/acowatch/" />
1071											<input type="hidden" name="sub-type" value="actionbar-follow" />
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1073										</form>
1074										<p class="actnbr-login-nudge">
1075											Have a WordPress.com account? <a href="https://wordpress.com/log-in?redirect_to=https%3A%2F%2Fr-login.wordpress.com%2Fremote-login.php%3Faction%3Dlink%26back%3Dhttps%253A%252F%252Facowatch.me%252F2026%252F07%252F28%252Fhow-for-profit-models-altered-american-healthcare%252F">Log in now.</a>										</p>
1076									</div>
1077																	</div>
1078							</div>
1079						</li>
1080									<li class="actnbr-ellipsis actnbr-hidden">
1081					<button type="button" class="actnbr-more-toggle" aria-haspopup="true" aria-expanded="false" aria-label="More options">
1082						<svg class="actnbr-icon actnbr-icon-more-horizontal" width="24" height="24" viewBox="0 0 24 24" xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" fill="currentColor"><path d="M11 13h2v-2h-2v2zm-6 0h2v-2H5v2zm12-2v2h2v-2h-2z"/></svg>					</button>
1083					<div class="actnbr-popover actnbr-menu" role="menu" aria-label="Site options">
1084						<div class="actnbr-menu__group" role="group"><a role="menuitem" class="actnbr-menu__item actnbr-sitename" href="https://acowatch.me"><img loading='lazy' alt='' src='https://s-ssl.wordpress.com/i/logo/wpcom-gray-white.png?m=1479929237i' srcset='https://s-ssl.wordpress.com/i/logo/wpcom-gray-white.png 1x' class='avatar avatar-50' height='50' width='50' /><span class="actnbr-menu__label">acowatch.me</span></a></div><div class="actnbr-menu__group" role="group"><a role="menuitem" class="actnbr-menu__item actnbr-reader" href="https://wordpress.com/reader/feeds/16216982"><span class="actnbr-menu__label">View site in Reader</span></a></div><div class="actnbr-menu__group" role="group"><a role="menuitem" class="actnbr-menu__item actnbr-subs" href="https://subscribe.wordpress.com/"><span class="actnbr-menu__label">Manage subscriptions</span></a><a role="menuitem" class="actnbr-menu__item actnbr-signup" href="https://wordpress.com/start/"><span class="actnbr-menu__label">Sign up</span></a><a role="menuitem" class="actnbr-menu__item actnbr-login" href="https://wordpress.com/log-in?redirect_to=https%3A%2F%2Fr-login.wordpress.com%2Fremote-login.php%3Faction%3Dlink%26back%3Dhttps%253A%252F%252Facowatch.me%252F2026%252F07%252F28%252Fhow-for-profit-models-altered-american-healthcare%252F"><span class="actnbr-menu__label">Log in</span></a></div><div class="actnbr-menu__group" role="group"><a role="menuitem" class="actnbr-menu__item flb-report" href="https://wordpress.com/abuse/?report_url=https://acowatch.me" target="_blank" rel="noopener noreferrer"><span class="actnbr-menu__label">Report this content</span><span class="actnbr-menu__icon"><svg class="actnbr-icon actnbr-icon-external" width="18" height="18" viewBox="0 0 24 24" xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false" fill="currentColor"><path d="M19.5 4.5h-7V6h4.44l-5.97 5.97 1.06 1.06L18 7.06v4.44h1.5v-7Zm-13 1a2 2 0 0 0-2 2v10a2 2 0 0 0 2 2h10a2 2 0 0 0 2-2v-3H17v3a.5.5 0 0 1-.5.5h-10a.5.5 0 0 1-.5-.5v-10a.5.5 0 0 1 .5-.5h3V5.5h-3Z"/></svg></span></a></div><div class="actnbr-menu__group" role="group"><a role="menuitem" class="actnbr-menu__item actnbr-fold" href=""><span class="actnbr-menu__label">Collapse this bar</span></a></div>					</div>
1085				</li>
1086			</ul>
1087		</div>
1088		
1088<script>
1089window.addEventListener( "DOMContentLoaded", function () {
1090				var link = document.createElement( "link" );
1091				link.href = "\/wp-content\/mu-plugins\/jetpack-plugin\/moon\/jetpack_vendor\/automattic\/jetpack-newsletter\/src\/..\/build\/action-bar.css?ver=35dd33285eb46dc308dd";
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1099
1100<link rel="prefetch" href="/wp-content/mu-plugins/jetpack-plugin/moon/_inc/blocks/swiper.js" as="script" />
1101		<div id="jp-carousel-loading-overlay" style="display: none;">
1102			<div id="jp-carousel-loading-wrapper">
1103				<span id="jp-carousel-library-loading"><svg class="jetpack-spinner" width="40" height="40" viewBox="0 0 100 100" xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false"><circle cx="50" cy="50" r="46" fill="none" stroke="#ddd" stroke-width="8"/><path d="M 50 4 A 46 46 0 0 1 96 50" fill="none" stroke="currentColor" stroke-width="8" stroke-linecap="round"><animateTransform attributeName="transform" type="rotate" dur="1.4s" from="0 50 50" to="360 50 50" repeatCount="indefinite"/></path></svg></span>
1104			</div>
1105		</div>
1106		<div class="jp-carousel-overlay" style="display: none;">
1107
1108		<div class="jp-carousel-container">
1109			<!-- The Carousel Swiper -->
1110			<div
1111				class="jp-carousel-wrap swiper jp-carousel-swiper-container jp-carousel-transitions"
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1114				<div class="jp-carousel swiper-wrapper"></div>
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1124				</div>
1125				<div class="jp-swiper-button-next swiper-button-next">
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1134				</div>
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1136			<!-- The main close buton -->
1137			<div class="jp-carousel-close-hint">
1138				<svg width="25" height="24" viewBox="0 0 25 24" fill="none" xmlns="http://www.w3.org/2000/svg">
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1143						<rect x="0.409668" width="23.8823" height="24" fill="#FFFFFF"/>
1144					</g>
1145				</svg>
1146			</div>
1147			<!-- Image info, comments and meta -->
1148			<div class="jp-carousel-info">
1149				<div class="jp-carousel-info-footer">
1150					<div class="jp-carousel-pagination-container">
1151						<div class="jp-swiper-pagination swiper-pagination"></div>
1152						<div class="jp-carousel-pagination"></div>
1153					</div>
1154					<div class="jp-carousel-photo-title-container">
1155						<div class="jp-carousel-photo-caption"></div>
1156					</div>
1157					<div class="jp-carousel-photo-icons-container">
1158						<a href="#" class="jp-carousel-icon-btn jp-carousel-icon-info" aria-label="Toggle photo metadata visibility">
1159							<span class="jp-carousel-icon">
1160								<svg width="25" height="24" viewBox="0 0 25 24" fill="none" xmlns="http://www.w3.org/2000/svg">
1161									<mask id="maskInfo" mask-type="alpha" maskUnits="userSpaceOnUse" x="2" y="2" width="21" height="20">
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1167								</svg>
1168							</span>
1169						</a>
1170												<a href="#" class="jp-carousel-icon-btn jp-carousel-icon-comments" aria-label="Toggle photo comments visibility">
1171							<span class="jp-carousel-icon">
1172								<svg width="25" height="24" viewBox="0 0 25 24" fill="none" xmlns="http://www.w3.org/2000/svg">
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1178									</g>
1179								</svg>
1180
1181								<span class="jp-carousel-has-comments-indicator" aria-label="This image has comments."></span>
1182							</span>
1183						</a>
1184											</div>
1185				</div>
1186				<div class="jp-carousel-info-extra">
1187					<div class="jp-carousel-info-content-wrapper">
1188						<div class="jp-carousel-photo-title-container">
1189							<div class="jp-carousel-photo-title"></div>
1190						</div>
1191						<div class="jp-carousel-comments-wrapper">
1192															<div id="jp-carousel-comments-loading">
1193									<span>Loading Comments...</span>
1194								</div>
1195								<div class="jp-carousel-comments"></div>
1196								<div id="jp-carousel-comment-form-container">
1197									<span id="jp-carousel-comment-form-spinner"><svg class="jetpack-spinner" width="20" height="20" viewBox="0 0 100 100" xmlns="http://www.w3.org/2000/svg" aria-hidden="true" focusable="false"><circle cx="50" cy="50" r="46" fill="none" stroke="#ddd" stroke-width="8"/><path d="M 50 4 A 46 46 0 0 1 96 50" fill="none" stroke="currentColor" stroke-width="8" stroke-linecap="round"><animateTransform attributeName="transform" type="rotate" dur="1.4s" from="0 50 50" to="360 50 50" repeatCount="indefinite"/></path></svg></span>
1198									<div id="jp-carousel-comment-post-results"></div>
1199																														<form id="jp-carousel-comment-form">
1200												<label for="jp-carousel-comment-form-comment-field" class="screen-reader-text">Write a Comment...</label>
1201												<textarea
1202													name="comment"
1203													class="jp-carousel-comment-form-field jp-carousel-comment-form-textarea"
1204													id="jp-carousel-comment-form-comment-field"
1205													placeholder="Write a Comment..."
1206												></textarea>
1207												<div id="jp-carousel-comment-form-submit-and-info-wrapper">
1208													<div id="jp-carousel-comment-form-commenting-as">
1209																													<fieldset>
1210																<label for="jp-carousel-comment-form-email-field">Email (Required)</label>
1211																<input type="text" name="email" class="jp-carousel-comment-form-field jp-carousel-comment-form-text-field" id="jp-carousel-comment-form-email-field" />
1212															</fieldset>
1213															<fieldset>
1214																<label for="jp-carousel-comment-form-author-field">Name (Required)</label>
1215																<input type="text" name="author" class="jp-carousel-comment-form-field jp-carousel-comment-form-text-field" id="jp-carousel-comment-form-author-field" />
1216															</fieldset>
1217															<fieldset>
1218																<label for="jp-carousel-comment-form-url-field">Website</label>
1219																<input type="text" name="url" class="jp-carousel-comment-form-field jp-carousel-comment-form-text-field" id="jp-carousel-comment-form-url-field" />
1220															</fieldset>
1221																											</div>
1222													<input
1223														type="submit"
1224														name="submit"
1225														class="jp-carousel-comment-form-button"
1226														id="jp-carousel-comment-form-button-submit"
1227														value="Post Comment" />
1228												</div>
1229											</form>
1230																											</div>
1231													</div>
1232						<div class="jp-carousel-image-meta">
1233							<div class="jp-carousel-title-and-caption">
1234								<div class="jp-carousel-photo-info">
1235									<div class="jp-carousel-caption" itemprop="caption description"></div>
1236								</div>
1237
1238								<div class="jp-carousel-photo-description"></div>
1239							</div>
1240							<a class="jp-carousel-image-download" href="#" aria-label="Download image" target="_blank" style="display: none;">
1241								<svg width="25" height="24" viewBox="0 0 25 24" fill="none" xmlns="http://www.w3.org/2000/svg">
1242									<mask id="mask0" mask-type="alpha" maskUnits="userSpaceOnUse" x="3" y="3" width="19" height="18">
1243										<path fill-rule="evenodd" clip-rule="evenodd" d="M5.84615 5V19H19.7775V12H21.7677V19C21.7677 20.1 20.8721 21 19.7775 21H5.84615C4.74159 21 3.85596 20.1 3.85596 19V5C3.85596 3.9 4.74159 3 5.84615 3H12.8118V5H5.84615ZM14.802 5V3H21.7677V10H19.7775V6.41L9.99569 16.24L8.59261 14.83L18.3744 5H14.802Z" fill="white"/>
1244									</mask>
1245									<g mask="url(#mask0)">
1246										<rect x="0.870605" width="23.8823" height="24" fill="#FFFFFF"/>
1247									</g>
1248								</svg>
1249								<span class="jp-carousel-download-text"></span>
1250							</a>
1251							<div class="jp-carousel-image-map" style="display: none;"></div>
1252						</div>
1253					</div>
1254				</div>
1255			</div>
1256		</div>
1257
1258		</div>
1259		
1260	
1260<script type="text/javascript">
1261		(function () {
1262			var wpcom_reblog = {
1263				source: 'toolbar',
1264
1265				toggle_reblog_box_flair: function (obj_id, post_id) {
1266
1267					// Go to site selector. This will redirect to their blog if they only have one.
1268					const postEndpoint = `https://wordpress.com/post`;
1269
1270					// Ideally we would use the permalink here, but fortunately this will be replaced with the 
1271					// post permalink in the editor.
1272					const originalURL = `${ document.location.href }?page_id=${ post_id }`; 
1273					
1274					const url =
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1280
1281					const redirect = function () {
1282						if (
1283							! window.open( url, '_blank' )
1284						) {
1285							location.href = url;
1286						}
1287					};
1288
1289					if ( /Firefox/.test( navigator.userAgent ) ) {
1290						setTimeout( redirect, 0 );
1291					} else {
1292						redirect();
1293					}
1294				},
1295			};
1296
1297			window.wpcom_reblog = wpcom_reblog;
1298		})();
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1300<script id="coblocks-loader-js-extra">
1301var wpcom_coblocks_js = {"coblocks_masonry_js":"https://s2.wp.com/wp-content/plugins/coblocks/2.18.1-simple-rev.4/dist/js/coblocks-masonry.min.js?m=1681832297i","coblocks_lightbox_js":"https://s2.wp.com/wp-content/plugins/coblocks/2.18.1-simple-rev.4/dist/js/coblocks-lightbox.min.js?m=1681832297i","jquery_core_js":"/wp-includes/js/jquery/jquery.min.js","jquery_migrate_js":"/wp-includes/js/jquery/jquery-migrate.min.js","masonry_js":"/wp-includes/js/masonry.min.js","imagesloaded_js":"/wp-includes/js/imagesloaded.min.js"};
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1305<script id="jetpack-carousel-js-extra">
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1311<script id="twitter-widgets-js" src="https://platform.twitter.com/widgets.js?ver=20111117"></script>
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1320//# sourceURL=/wp-includes/js/wp-emoji-loader.min.js
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1322		
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1336
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1341			})();
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1342
1343				<span id="infinite-aria" aria-live="assertive"></span>
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1344<script src="//stats.wp.com/w.js?69" defer></script>
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