Counterpoint
Counterpoint is a monthly publication by Hal Andrews, Trilliant Health's CEO, inviting readers to think differently about the challenges facing America's health economy.

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Value-Base Care, Part 1:A Lucrative Business Strategy Disguised as Health Policy
On August 28, 2025, the Centers for Medicare and Medicaid Services (CMS) announced that the Medicare Shared Savings Program (MSSP) “achieved the highest rates of shared savings since the inception of the program” for Performance Year 2024.

The Fallacy of Using Herfindahl-Hirschman Index to Understand Markets -Part III – The Fallacy of Using Inpatient Care as a Proxy for Market Competition
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The Fallacy of Using Herfindahl-Hirschman Index to Understand Markets Part II – A Primer on the Importance of Markets in a Market Economy
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The Fallacy of Using Herfindahl-Hirschman Index to Understand Markets Part I – A Reflection on Recent Events
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The most lucrative patients in healthcare are moving
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The “Directionally Correct” Fallacy, Part V: The Risk of Being Left Behind
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The "Directionally Correct" Fallacy, Part IV: Random Guesses or the Confidence in Probability
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The “Directionally Correct” Fallacy, Part III: Its Origins in the 100% Data Sample Fallacy
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The “Directionally Correct” Fallacy, Part II: What is “Directionally Correct”?
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The “Directionally Correct” Fallacy, Part I: An Introduction
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About the Author
Hal Andrews is a healthcare business leader with more than 30 years of experience as an entrepreneur, executive and investor. Hal has served as the President and CEO of Trilliant Health since its founding in June 2017.
In Counterpoint, Hal challenges the status quo and encourages stakeholders to think critically and act differently to survive healthcare’s negative-sum game.