While this description seems complicated, it is greatly simplified (and excludes all discussion on episodes of care for simplicity, which is like a program on tip of other programs). Terminology Member The person covered by the insurance (i.e. the patient) Partner The insurance company. Provider The entity that contracts with the value based program. In some programs, this may be a doctor’s office, while in…
Payment in the US Healthcare has traditionally been a fee for service model. If I go to the doctor, the doctor receives a certain amount of money. The more that I go to the doctor and the more procedures are done to me,, the more money the doctor receives. If I’m healthy and never go to the doctor, the doctor makes no money. This model…
At the time that I joined Nuna, their core business was focused on supporting value based healthcare. My job at Nuna was tightly intertwined with the business logic needed to support value based healthcare. Rather than forcing you to understand all of this logic, I will put the details in links that you can read if you want to understand the space and the unique…
My experience joining Nuna was so bizarre and unexpected that I figured that it warranted its own chapter. In October 2021, I decided to leave Niantic after a phone call with Piaw. Piaw then sent two emails introducing me to the engineering manager at Nuna and to a recruiter at Aurora. Nuna’s response was instantaneous – I was on a call with them later that…
I always thought that companies fell into one of two categories: evil or insignificant. Most companies have very little impact in any meaningful way. These companies might do fun work, but in the grand scheme of things they are fairly insignificant. A few companies stand out and make a real difference in the world (for good and for bad), but these companies always have some…
One day I was scrolling through cracked.com (as I do almost daily) and while reading an article titled “5 Security Flaws In Games that Caused Catastrophes”, I found that I had made #1 on the list! This was NOT my life’s goal. This article requires a little explanation. In anticheat, we are always looking for good signals that help us understand that people are cheating….
I want to describe the anti-cheat system that we built without providing enough specifics that would allow people to bypass it. The new anti-cheat initiative had the following goals: We decided to built two separate anti-cheat systems: I named them both, so I’m not sure why one has a cool name and the other does not (although at one point somebody was calling the new…
I was made the technical lead for Niantic’s anti-cheat initiative. Before I describe the experience, it might be useful for me to describe Niantic’s anti-cheat problem. At the time that I joined Niantic, they only had two real games (Pokémon Go and Ingress), but they had additional games under development (including Harry Potter: Wizards Unite) and they really wanted Niantic to become a platform on…
After leaving Microsoft, I gave myself two months to find another job. I hit leetcode pretty hard and started learning about other areas (my entire career up to this point was kind of niche – not many people work on operating systems or programming devices drivers right now). I actually bought a book called Explain the Cloud like I’m 10 (it was a surprisingly informational…
I learned a lot while at Microsoft (I was there over 20 years – I better have!) There were a lot or REALLY smart and passionate people (which equated to a LOT of swearing 😊), but people were fair and apart from the initial brogrammer culture (which eventually improved), it was a great place to work. When I got promoted to a Senior Engineer, I…
