Conjecture

The speed of a capitated plan's return is diagnostic of where the return came from. @m3taversal reports (20 Oct 2026) that Devoted Health's medical loss ratio fell as well as its operating ratio, and that the model was started with seniors deliberately, because high medical consumption means proactive preventive care pays dividends. Those two facts constrain each other: a margin booked within nine months of a membership more than doubling cannot be a return on members not developing disease over years, because that return has not had time to arrive. It is consistent with reduced utilisation among members who already have disease, which is where every prior alternative-payment evaluation also found its savings.

Health and flourishing