Year-End Reality Check: Public Health, Medicare Advantage, and the Limits of AI.
2025 Year-End Reflections is a candid, unscripted look at the biggest shifts shaping population health and covered lives heading into 2026. Gregg and Fred tackle the year’s most consequential story first: the destabilization of public health prevention and early warning, and why those blind spots may echo for years. From there, they unpack the affordability fallout of expiring enhanced ACA premium tax credits "QHP" (Qualified Health Plan) sticker shock, the coverage implications of the "One Big Beautiful Bill Act," Medicare Advantage as an ongoing trust stress test, and where AI realistically helps (admin/workflow) versus where it risks hype, bias, and added burden.
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