The Engagement Gap
470+ Facilities Engaged Β· 0 Adoptions Β· Why?
Real-time analysis of healthcare executive engagement vs. adoption behavior β and the structural fear that is keeping the system frozen.
Updated: May 23, 2026 Β· The Taya Foundation National Compliance Monitoring Desk
467+
Executive Visits
470+
Formal Inquiries
0
Certifications Adopted
$70B+
Combined Liability
Weekly Engagement vs. Adoption Trend
Visits, Inquiries, and Certifications β Week over Week (AprβMay 2026)
Executive Behavior Signal Analysis
What 467+ healthcare executives did β and didn't do
The Defining Gap
100% engagement. 0% adoption. This is not indifference. This is a system frozen by fear of felony exposure β executives watching, waiting, and unified in silence.
Engagement vs. Adoption β Absolute Numbers
Why The Engagement Gap Exists β Industry Behavior Analysis
Silent Non-Adoption
100%
All 467+ executives unified on silence
Active Monitoring
467+
Executives tracking platform momentum
Collective Exposure
$70B+
Combined estimated FCA liability at risk
Fear of Felony
Primary Driver
Historical RCM inflation + rideshare gap
Root Cause Analysis β The Survival Workaround
Why Hospitals Engaged But Cannot Adopt
Across 467+ facilities, executives understand the certification. They reviewed it. They inquired about it. They returned multiple times. This is not ignorance.
The gridlock exists because every institution that engages with this platform already knows what happened: Revenue Cycle Management (RCM) software documented high-risk transports at ambulance-tier rates ($800β$1,500/trip) while discharge desks simultaneously used uncertified rideshare sedans at $35/trip to actually move patients.
Adopting the certification today means implicitly acknowledging this gap existed β and without a formal amnesty decree, that acknowledgment is a potential False Claims Act exposure. They are waiting for legal safety.
RCM Documented Rate
$800β$1,500
Per high-risk discharge trip
Actual Rideshare Cost
$35
Uncertified retail sedan
The Delta β Per Trip
$1,465
Fraudulent billing gap / trip
The Only Path to Break This Gridlock
Global Amnesty Amendment β $300,000/NPI
The Global Amnesty Amendment replaces fear with a clear, honorable exit. $150,000 resolves the historical record with CMS β permanent Look-Back Forgiveness. $150,000 activates the new LMT-EXPRESS infrastructure. The wall of silence breaks the moment legal safety is granted.
Respectfully Submitted Β· /S/ Taya Anderson Β· The Taya Foundation Β· May 22, 2026



