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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.
Mark Twain, the Medicare Shared Savings Program and The Wizard of Oz
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The Sudden Increase in Post-Discharge Mortality
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Social Determinants of Health and Rearview Mirrors
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A Serious – and Consumer-Driven – Policy to Promote Competition in the Health Economy
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How Congressional Tyranny Constrains Value for Money in the Health Economy
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Analyzing Steward Health Care Through the Lens of Kristofferson, First Principles and T. Roosevelt
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If Health Economy Stakeholders Really Care About Quality, It Sure Is Hard to Tell
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A Practical Approach to Health Equity, Part II
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A Practical Approach to Health Equity
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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.
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