Ep. 006 — The $165 Billion AI Payment Rail Nobody Noticed episode artwork

EPISODE · May 25, 2026

Ep. 006 — The $165 Billion AI Payment Rail Nobody Noticed

from Vitals & Signals

The government just built the first payment rail explicitly designed for AI agents managing chronic disease — and it goes live in six weeks, designed by former VCs now inside CMS, with 165 million commercial lives already pledged to follow, and almost nobody in tech is paying attention.

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Ep. 006 — The $165 Billion AI Payment Rail Nobody Noticed

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