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31Dec, 2024
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The Consumer of Healthcare 2025: Current Spending, AI in Medicine, and the Need for Consumer Control (Part VII)

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That Time of the Year It’s that time of year again—around this time, the U.S. government actuaries, part of the Department of Health and Human Services (HHS), particularly the Centers for Medicare and Medicaid Services (CMS), release two key documents. One reflects healthcare costs from the previous year (in this case, 2023), and the other offers a 10-year cost projection. As a policy wonk and numbers enthusiast, this is always a highly anticipated read for me. The 2023 report, in a nutshell, shows that we’re spiraling out of control. As […]
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30Dec, 2024
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Special Report: Fundrise – AI’s Projected Market Value: The $20 Trillion Opportunity

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On Christmas Eve, I came across a fascinating report on Artificial Intelligence (AI) from Fundrise. Based in Washington D.C., Fundrise LLC is a financial services company with approximately $3 billion in assets under management (AUM). While their largest allocation is in real estate, I expected the report to focus on AI’s infrastructure. However, what I found was a far broader analysis. The report begins by revisiting the major technological trends since 1980—mainframes, personal computers (PCs), the internet, mobile technologies, and the cloud. Fundrise analyzed over 250 tech companies over the […]
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22Oct, 2024
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Healthcare AI: US Healthcare Model is Broken and Getting Worse

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The U.S. healthcare system is plagued by inefficiencies, soaring costs, and deteriorating outcomes per dollar invested. With healthcare expenditures surpassing $4.7 trillion and projected to exceed $7 trillion in the next decade, one pressing question remains: why are we spending more yet receiving less? Despite advancements in diagnostics, the widespread adoption of electronic health records (EHRs), and ongoing technological breakthroughs, our system remains fragmented, costly, and ineffective for many Americans. The Broken Model: More Spending, Worse Outcomes Over my 30 years in healthcare, I’ve witnessed annual costs balloon from under […]
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26Apr, 2023
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How Will Artificial Intelligence AI Impact Healthcare? Part 5

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In Part 4, we stated our belief that the future of healthcare belongs to the consumer. How AI is used in healthcare should also align with the consumer’s needs. Between our blogs, there was a big announcement that headlined, “Microsoft® and Epic® expand strategic collaboration with integration of Azure OpenAI Service.”[1] The news was fascinating, but I wonder what it can ultimately achieve besides the marketing hyperbole for Epic over AI?  We recognize that both Microsoft (MSFT) and Epic command recognition in their respective technology specialty space; however, this does […]
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12Apr, 2023
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How Will Artificial Intelligence AI Impact Healthcare? Part 4

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Those of us that have been around a while can likely recall special events that captured the imagination of everyone. Those of us that visited Walt Disney World (WDW) in Orlando, Florida and were fortunate to see the Carousel of Progress,™[1] originally part of the Worlds’ Fair in 1964, and was also in WDW from 1975 to the present. For those that never saw it, it was originally sponsored by General Electric however, it is now all Disney owned and is tucked away at Tomorrowland.  Essentially a darkened theater where […]
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31Mar, 2023
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How will Artificial Intelligence AI Impact Healthcare? Part 3

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The momentum on AI continues to accelerate and everyone from Elon Musk with Steve Wozniak (Apple Co-Founder), to Bill Gates (see last blog) has an opinion. Some predictions are for a catastrophic future as predicted by many science fiction movies from The Matrix (1999) to Transcendence (2014). Many others forecast a time when AI will do many routine things that we humans find boring or repetitive. The last I heard is that AI will eliminate the need for Auditors, Bookkeepers, financial advisors, underwriters, economist, legal assistants, librarians, online teaches, real estate agents, […]
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24Mar, 2023
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How will Artificial Intelligence AI Impact Healthcare? Part 2

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Since our last blog on this new subject on AI, I must admit to being stunned by the accelerating number of discussions on AI just in a few days. I am receiving many emails daily from organizations, institutions, law firms, as well as healthcare specific media, and financial consultants on new ‘applications’ of AI in every industry, including healthcare. Unfortunately, most are not altogether well thought out, and are clearly ‘one shot wonders’ aimed at garnering attention; however, they’re not contributing substantially to the subject. Many are ‘piggy-backing’ on ChatGPT […]
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16Mar, 2023
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How Will Artificial Intelligence AI Impact Healthcare? (Part 1)

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It is nearly impossible to read any business news without running across the new ways that the OpenAI® ChatGPT® 2023, that is being used by both professional and non-professionals, in many fields. This is making people from schools to boardrooms think of its potential applications. We see this as an inflection point in both the development of the technology and its use by nearly all Americans. We even used it in our last blog and asked it, “What are the financial and operational challenges faced by US physicians in 2023?” […]
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8Mar, 2023
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U.S. Healthcare Challenges and Opportunities in 2023 (Part 3)

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2023 U.S. Healthcare Projections (with help of ChatGPT® Part 3) Healthcare Providers (primarily doctors , nurses, and clinicians) in the U.S. are in the middle of a crisis that is unprecedented in the last 50 years. This crisis has resulted from a veritable “perfect storm,’ events that have never manifested themselves simultaneously. The author, Nassim Nicholas Taleb would call it, a “Black Swan” – the result of rare events impossible to predict that can have a deep and lasting impact on individuals, businesses, and societies. I’d say that pretty well […]
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2Mar, 2023
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2023 U.S. Healthcare Projections (Part 2)

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U.S. Healthcare Challenges and Opportunities in 2023 In Part 1, we mentioned that a future blog would address the challenges facing hospitals, providers, and consumers. We will add payors, or insurance companies to that mix, because some are doing amazingly well, and some are not. In Part 2, we will focus our remarks on hospitals. Of all the segments of healthcare in the USA, the challenges faced by acute care hospitals in America is overall the most severe. Hospitals are important because they are on the front-line for saving lives […]
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