https://gript.io/blog Field notes on healthcare data science, from payer claims and clinical informatics to healthcare AI. en-us Wed, 12 Aug 2026 12:00:00 GMT https://gript.io/blog/boring-way-to-read-the-drug-pipeline https://gript.io/blog/boring-way-to-read-the-drug-pipeline Wed, 12 Aug 2026 12:00:00 GMT Aurel Iuga, MD, MBA, MPH, CMQ Two percent of the drug pipeline carries roughly 40% of its cost-weighted exposure. I went looking for that risk with three signals, one pointed the wrong way, one could not rank what mattered, and the one that worked barely needed a model. Payer Analytics Health-Data Methods Research Notes https://gript.io/blog/diabetes-value-set-disagreement https://gript.io/blog/diabetes-value-set-disagreement Tue, 11 Aug 2026 12:00:00 GMT Aurel Iuga, MD, MBA, MPH, CMQ Only 86 codes appear in all eight definitions, 120 appear in exactly one, and the broad diabetes sets are up to 82% non-type-2. Silent substitution of one value set for another moves cohort size and prevalence by multiples. Health-Data Methods Research Notes https://gript.io/blog/zero-premium-ceiling-medicare-advantage https://gript.io/blog/zero-premium-ceiling-medicare-advantage Sun, 09 Aug 2026 12:00:00 GMT Aurel Iuga, MD, MBA, MPH, CMQ The $0 premium is a lever the market has largely spent. The free share plateaued near 67%, the average premium fell on mix rather than price, and competition has moved into supplemental benefits and the Part B giveback. Medicare Advantage Payer Analytics https://gript.io/blog/four-star-cliff-medicare-advantage https://gript.io/blog/four-star-cliff-medicare-advantage Sun, 09 Aug 2026 12:00:00 GMT Aurel Iuga, MD, MBA, MPH, CMQ The share of contracts at or above 4.0 swung from 68% to 42% in two years, and roughly two in five were downgraded in a single cycle. Stars are not a moat, they are a repricing event, and they arrive on a two-year delay. Medicare Advantage Payer Analytics https://gript.io/blog/llms-clinical-documentation-coding https://gript.io/blog/llms-clinical-documentation-coding Mon, 03 Aug 2026 12:00:00 GMT Aurel Iuga, MD, MBA, MPH, CMQ Autonomous ICD-10-CM assignment lands near 34% exact match, while LLM validation of already-assigned codes hits roughly 94% against a human baseline of 85%. The gap is not a bigger model, it is a smaller problem, and it tells buyers exactly which products are deployable today. Healthcare AI Health-Data Methods https://gript.io/blog/healthcare-ai-outlasts-agi https://gript.io/blog/healthcare-ai-outlasts-agi Tue, 23 Jun 2026 12:00:00 GMT Aurel Iuga, MD, MBA, MPH, CMQ If general-purpose intelligence keeps getting cheaper, the cognition at the center of most healthcare AI pitches becomes the commodity, not the moat. The durable opening is the regulated result, proprietary physical and biological data, in-person presence, payment and compliance rails, and the trusted patient relationship. Healthcare AI Market Thesis https://gript.io/blog/healthcare-ai-white-space https://gript.io/blog/healthcare-ai-white-space Thu, 28 May 2026 12:00:00 GMT Aurel Iuga, MD, MBA, MPH, CMQ The pitches everyone is funding, ambient scribes and imaging triage, sit in the most crowded squares on the board. The durable opening is upper-right on a need-versus-market map: denials and revenue integrity, nursing workflow, trial operations, perioperative ops, and LLM-ready data infrastructure. Healthcare AI Market Thesis https://gript.io/blog/workforce-footprint-shift https://gript.io/blog/workforce-footprint-shift Wed, 20 May 2026 12:00:00 GMT Aurel Iuga, MD, MBA, MPH, CMQ A mid-market firm acquires a 1,100-person Sunbelt company and closes its Hartford office. Expected chronic-disease cost rises $3.43M, but $4.12M of that is headcount and -$0.68M is a geography credit. On a per-head basis, the blended cost falls 4.5%. EPHP Payer Analytics https://gript.io/blog/two-atlanta-offices https://gript.io/blog/two-atlanta-offices Wed, 13 May 2026 12:00:00 GMT Aurel Iuga, MD, MBA, MPH, CMQ State and national averages hide the variance entirely. Two 5,000-EE Atlanta workforces eight miles apart sit on opposite sides of the US chronic-disease cost benchmark, a $7.3M annual gap on chronic conditions alone. EPHP Payer Analytics