Tech

Why clinicians must lead health care tech innovation

Tech

August 30, 2025

Over the past couple of years, advanced technological development, adoption, and implementation have grown exponentially across industries, including health care. What started with the adoption of advanced electronic health records (EHRs) — 96 percent of hospitals and 88 percent of physicians have adopted EHRs within the last decade — is now developing into the rapid growth of AI to support administrative tasks and data analytics. A 2024 survey found …

Why medical notes have become billing scripts instead of patient stories

Sriman Swarup, MD, MBA

Tech

August 28, 2025

We tell ourselves documentation is for patient safety. For continuity. For protection. But let’s be honest. It’s for billing. And once you see that clearly, it is hard to unsee.

In training, I was taught that the note reflects the thinking of the physician. That it should tell the story of the patient and the rationale for each decision. But in practice, it does not. It is a tool for revenue …

AI in health care is moving too fast for the human heart

Tiffiny Black, DM, MPA, MBA

Tech

August 27, 2025

Health care is in the middle of a technological reckoning. AI and IT innovations promise efficiency, predictive analytics, and system-wide transformation. Yet inside hospitals, clinics, and virtual care platforms, the psychological fallout tells a different story, one that leadership must reckon with before the cost becomes irreversible.

The silent resistance: Psychological transition vs. technical adoption

Most health care executives measure success by how fast they implement new systems. But psychological readiness is …

Why AI in health care needs the same scrutiny as chemotherapy

Rafael Rolon Rivera, MD

Tech

August 25, 2025

We’ve all seen the hype.

AI will revolutionize health care. It will cut documentation time. Improve diagnoses. Save lives. Maybe even replace doctors.

But here’s what I know after 11 years as a hospitalist: Hype without evidence is dangerous. And AI—especially in medicine—isn’t just software. It’s treatment.

If we’re going to let AI influence life-or-death decisions, it needs to meet the same standard as any clinical intervention. That means rigorous trials, transparent design, …

The silent cost of choosing personalization over privacy in health care

Dr. Giriraj Tosh Purohit

Tech

August 19, 2025

I still remember the first time a physician told me they felt they had become a “data clerk with a stethoscope.”

And to my surprise, it wasn’t about too many clicks; it was about trust.

As a product manager building EHRs, RCM systems, practice management tools, remote monitoring, and AI scribes for over 12,000 health care professionals across the U.S., I’ve spent countless hours listening to clinicians, shadowing workflows, and observing quiet …

Why trust and simplicity matter more than buzzwords in hospital AI

Rafael Rolon Rivera, MD

Tech

August 17, 2025

Everyone wants the best model. The flashiest algorithm. The one with the highest AUC and the sexiest machine learning buzzword attached.

But here’s the problem: In hospital care, especially at midsize institutions, the “best” model on paper might be the worst fit for your people, your patients, and your workflow.

As a hospitalist and data-minded clinician, I’ve been exploring how we can use AI to reduce 30-day readmissions—an outcome tied not just …

ChatGPT in health care: risks, benefits, and safer options

Erica Dorn, FNP

Tech

August 15, 2025

As technology becomes increasingly embedded in clinical workflows, many health care clinicians are turning to artificial intelligence (AI) tools to help lighten the charting load. One of the most buzzed-about tools is ChatGPT, an artificial intelligence chatbot that seems like it can do everything from planning your next vacation to California, analyzing the best applications for a job, to writing your History of Present Illness (HPI) for a diabetic patient.

Before …

Why AI must support, not replace, human intuition in health care

Rafael Rolon Rivera, MD

Tech

August 9, 2025

When I was a new hospitalist in a tertiary center, I once told a colleague, “Looks like I got an easy admit.” He just stared at me.

It didn’t take long to understand why.

Vitals can be stable. Labs can look clean. But patients—especially those we assume are “simple”—rarely are. There’s a language beyond numbers: the way a patient breathes, a hesitation in their tone, the look in a spouse’s eye. Over …

Why health care reform must start with ending monopolies

Lee Ann McWhorter

Tech

August 7, 2025

Monopolies thrive on control. In U.S. health care, that control is quietly breaking the system from within. Today, a small group of supplier-funded entities, including GPOs, PBMs, EHRs, MMIS vendors, and EDI platforms, dictate costs, suppress innovation, and hoard the data that hospitals need to operate effectively.

If we want real health care reform, we must start with monopoly reform.

1. Skyrocketing costs driven by opaque contracts. When a handful of players …

AI can help heal the fragmented U.S. health care system

Phillip Polakoff, MD and June Sargent

Tech

August 6, 2025

The U.S. health care system is a paradox. It’s the most expensive in the world—costing over $4.5 trillion annually—yet produces some of the worst health outcomes among developed nations. Fragmentation is at the core of this crisis. Patients bounce between primary care doctors, specialists, emergency rooms, and insurers, often with no single point of coordination. The result? Redundant tests, misdiagnoses, delayed care, and frustrated clinicians.

Enter artificial intelligence—not as a silver …

Why GenAI pilots fail in health care—and how to fix it

Kedar Mate, MD

Tech

August 4, 2025

Building health care AI pilots is easy; getting them to succeed at scale is a challenge.

According to a recent report from Bessemer Venture Partners, AWS, and Bain & Company, only 30 percent of GenAI health care pilots reach production, where an even smaller number will go on to be successful.

This is partly because many health care organizations are in “throw it at the wall and see what sticks” mode …

Choosing the best EHR for your new behavioral health business

Ram Krishnan, MBA

Tech

July 28, 2025

Clinicians who dream of starting a private practice in the field of behavioral health rarely daydream about the logistics involved. But preparing for common challenges is fundamental to success. Before taking on the roles of both behavioral health provider and entrepreneur, it is important to consider all of the behind-the-scenes work required.

Defining a practice’s niche, navigating regulatory and legal considerations, creating a business plan and a budget, and developing a …

How AI, animals, and ecosystems reveal a new kind of intelligence

Fateh Entabi, MD

Tech

July 26, 2025

As a surgeon, I’m trained to make decisions quickly—based on anatomy, evidence, and pattern recognition. But outside the OR, I’ve been thinking more deeply about something abstract yet everywhere: intelligence. What is it, really? And who or what gets to be called “intelligent”?

We often associate intelligence with humans—or more specifically, with traits like memory, logic, and verbal reasoning. The smarter someone is, we assume, the more they think like us. …

Rethinking medical gatekeeping in the age of AI

Justin Schrager, MD, MPH

Tech

July 23, 2025

The other day, I was deep in conversation with my co-founder, Aaron Patzer, reflecting on how we each approach health concerns in our personal lives. Despite my background in emergency medicine and his in tech, we had surprisingly similar medical information seeking habits: We both turn to large language models (LLMs), tap into our networks, and—when possible—avoid visiting a doctor.

What struck me wasn’t just our shared behavior, but how universal …

The future of clinical care: AI’s role in easing physician workload

Michael Wakeman

Tech

July 17, 2025

Walk into any emergency room across the country and you’ll see familiar scenes: crowded waiting rooms, overstretched resources, and overworked physicians balancing patient care with substantial administrative burdens. Against this backdrop, physician burnout remains unacceptably high (48.2 percent of physicians), with clerical duties cited as the most common cause. Many physicians also spend significant time after working hours catching up on …

Why Grok 4 could be the next leap for HIPAA-compliant clinical AI

Harvey Castro, MD, MBA

Tech

July 12, 2025

When ChatGPT burst onto the scene in late 2022, many clinicians glimpsed the future then ran smack into a wall of red tape labeled “HIPAA.” Since then, large-language models (LLMs) have matured from clever chatbots into workhorse tools that summarize admission notes, draft prior-authorization letters, and even suggest antibiotic dosing. Yet most models still sit outside the guarded perimeter of protected health information.

Grok 4, the next-generation model from xAI, could …

AI is already replacing doctors—just not how you think

Bhargav Raman, MD, MBA

Tech

July 10, 2025

When I was a young bonnie lad of just 16, I was lucky enough to score a meeting with Sandy Napel, PhD at Stanford University’s Radiological Sciences Laboratory (RSL). I demonstrated a prototype algorithm that automatically identified the position and course of arteries on CT scans. It was the first shot in a nearly decade-long academic research career that included early publications on using neural networks (the precursor to today’s …

A mind to guide the machine: Why physicians must help shape artificial intelligence in medicine

Shanice Spence-Miller, MD

Tech

July 6, 2025

I do not fear artificial intelligence—nor do I revere it. What I feel toward the rise of intelligent systems in medicine is something quieter: a tempered trust, a measured hope. I recognize their immense potential, but I also hold firm to the belief that the deepest work of medicine happens not through automation, but through human connection. There is a quiet power that lives between symptom and story, between numbers …

How digital tools are reshaping the doctor-patient relationship

Vineet Vishwanath

Tech

July 4, 2025

In this era of digital revolution in health care, the traditional physician-patient relationship is undergoing a significant transformation. Digital tools, including telemedicine, electronic health records (EHRs), artificial intelligence-based diagnostics, and various fitness applications, are reshaping how patients and clinicians interact and manage health together. While these innovations surely provide efficiency and accessibility, they also present significant challenges to the fundamental aspects of medical practice: trust, empathy, and human connection. As …

The promise and perils of AI in health care: Why we need better testing standards

Max Rollwage, PhD

Tech

July 3, 2025

There is substantial enthusiasm around the advancements of AI in health care, as exemplified by the media attention for the new HealthBench release from OpenAI and similar recent studies from Google (MedPalm2, AIME). Market enthusiasm often leads us to believe that we’re on the brink of AI doctors treating patients worldwide. However, while these developments represent interesting technical progress, they fall short of demonstrating readiness for clinical application.

The stakes …

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