🦔The Blue Cross Blue Shield Association says insurers paid out nearly $1 billion more than usual from AI-assisted hospital documentation in 2024-2025. Hospitals use AI to scan records and find secondary diagnoses that human reviewers missed. More diagnoses means higher reimbursements. But treatment levels haven't gone up. BCBSA's SVP of data science said AI is "identifying more billable conditions, not sicker patients." Insurers now deploy their own AI to deny those same claims. Patients pay for both through higher premiums. My Take This might be the most American healthcare story I've ever read. Hospitals bought AI to find more things to bill for. Insurers bought AI to deny those bills. The technology cost money on each end and the tab went straight to patients through higher premiums. A billion dollars moved and no one got any healthier. The only thing that changed was the size of the invoices. Two sides of a trillion-dollar industry found a new tool to fight over the same pool of money and the person in the hospital bed pays for all of it. Premiums go up, denials go up, and the AI vendors collect from everyone. If you want to know who AI works for, stop reading the press releases and look at where the money goes. In healthcare it went straight into the billing department. Hedgie🤗

The reactor team at @terraformindies has demonstrated successful production of high purity methanol at scale at our Muroc desert test site. Let's review our progress in 2026. In January, we closed on our Muroc test site. By March, construction was underway. By May, we had 1.8 MW of solar installed. In July, we produced CO2 on site (nitter.net/CJHandmer/status/20801…), and in August, hydrogen (nitter.net/CJHandmer/status/20847…). Terraform Industries has built an incredible team to revolutionize not just one or two key technical pieces, but the entire stack required to convert sunlight and air into fuel. Like plants, only 100 times higher productivity per acre and requiring no irrigation, fertilizer, or pesticide. Two years ago, Terraform produced pipeline-grade natural gas for the first time. Since then, we've scaled up our methane reactor, increasing production by 250x and reducing contaminants by 10x, which allows us to increasing revenue per unit of product by 100x because it's now at chemically pure grade. But it was always clear to me that natural gas was only one piece of the puzzle. It is possible to convert natural gas into other hydrocarbon products like gasoline or jet fuel, but given our precursors are CO2 and hydrogen, we can do one better by directly synthesizing methanol as well. Methanol is far easier to convert into longer chain hydrocarbon products, either via the MeOH->DME->ethylene pathway, MTG, or via variations on Fischer-Tropsch. Methanol also has significantly higher revenue per molecule than pipeline natural gas, which forms an essential part of our cost-reduction-through-profitable-scale-up strategy, explained in more detail in our post: terraformindustries.wordpres… TL;DR: If our learning rate is above 11%, our margins will strictly increase as we scale up into a market worth about $10t/year. Not including induced demand. Amir joined the team earlier this year and speed ran the methanol reactor development program, successfully demonstrating recirculation and heat recycling before integrating these new technologies in a production scale reactor, built from the ground up at Terraform's facility in Burbank. As soon as the hydrogen team was done, we shipped our latest reactor up to the desert, plugged it in, and began activating the catalyst. An extended test campaign through the heat of summer followed, punctuated by bunnies nibbling on hoses! The hard work paid off, with Terraform's production of significant batches of high purity methanol, now packaged and ready to ship. A huge congratulation to the entire team, including Amir, Enric, Dominic, Hugo, and @lucie_nurdin. With the completion of this test, Terraform has now demonstrated TRL 9 operation of all of its subcomponents, each developed from scratch, in house, to deliver the highest possible value to the end customer. Terraform will never rest until we have broken the geological and geographical monopoly on oil, unlocking unconditional energy abundance for all of humanity. Join us!

NSF announces 3 additional topics as part of the NSF X-Labs initiative to pursue generational breakthrough science and technology efforts ift.tt/hKl1YtB

We Must Pace the Frontier: I’ve written a new essay on why the AI industry should slow down, with a three-part plan for doing so. Anthropic is unilaterally committing to the first of these steps. We’ll provide third-party evaluators with permanent, employee-level access to our systems, so that they can verify adherence to our safety measures, report on incidents, and assess models’ alignment during training. You can read the full post here: darioamodei.com/post/we-must…

This kind of ongoing accountability is going to be open up a lot of really valuable possibilities for safety, and I'd love to see similar things elsewhere:

if you haven't caught up to the fly story, read this: - a fly can experience the absence of love - a fly can be bisexual - a fly can drive a car - a fly can play a game - a fly can post tweets