From the mind of Sashidhar Kokku
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The Trust a Channel Cannot Create
Voice AI is arriving in healthcare as a capability milestone. It is actually a test of something the technology cannot supply.
Jul 9
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Sashidhar Kokku
1
The Endgame, Part IV: The Primary Care Bet
I’ve described the what. Now I want to tell you why I believe it’s possible, what I think has to be true, and what this belief costs me to say out loud.
Jul 7
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Sashidhar Kokku
1
June 2026
The Endgame, Part III: The Care Layer
What would actually need to exist for one patient to stop falling through the cracks?
Jun 30
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Sashidhar Kokku
The Endgame, Part II: Why Entities Hit a Ceiling
Every organizational model in this series was designed to solve a coordination problem. Every one of them created a new boundary instead.
Jun 23
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Sashidhar Kokku
1
1
The Endgame, Part I: Three Futures
After mapping 30 organizational models, I see three possible destinations. Only one of them works.
Jun 16
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Sashidhar Kokku
The Map: How All 30 Models Layer Together
One Framework to Understand U.S. Healthcare Organization
Jun 14
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Sashidhar Kokku
1
Concierge Medicine
Premium Access for Those Who Can Afford It
Jun 13
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Sashidhar Kokku
Direct Primary Care (DPC)
What Happens When a Doctor Fires the Insurance Companies
Jun 13
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Sashidhar Kokku
The Indian Health Service (IHS) / Tribal Health
Treaty Obligations, Chronic Underfunding, and the Nuka Model
Jun 12
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Sashidhar Kokku
Payer-Provider Convergence
When the Insurance Company Becomes the Doctor
Jun 12
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Sashidhar Kokku
The Veterans Health Administration (VA)
The Largest Integrated System Nobody Talks About in Boardrooms
Jun 11
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Sashidhar Kokku
Bundled Payment Participants (BPCI-A)
One Price for the Whole Episode
Jun 10
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Sashidhar Kokku
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