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23Jan, 2025
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Healthcare, AI, Crypto & President Trump (47) Episode 1

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Noel J. Guillama-Alvarez It didn’t take long for President Trump to make his mark. He signed more than 20 executive orders in a single sitting, with multiple sessions to follow. If you visit the White House website (link below), you can find six pages of executive orders, many bundled with detailed instructions. 47 Takes Immediate Action on Artificial Intelligence (AI) On AI, things moved fast. President Trump rescinded President Biden’s executive order on AI, issued in October 2023. Let’s recall that, back in February 2019, Trump signed his own executive […]
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21Jan, 2025
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Healthcare, AI, Crypto, and President Trump (47)

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Noel J. Guillama-Alvarez We are likely to see a significant transformation under a President Trump 47. I believe this term will be notably different from his first. He’s undoubtedly more experienced, has broader support, and has surrounded himself with a new team. Furthermore, a plurality of Americans are calling for change. Having met President Trump briefly a few times while growing up in West Palm Beach, and even visiting Mar-a-Lago before the Trump era, I can tell you that his personal energy is quite different from what is portrayed on […]
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16Jan, 2025
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Artificial Intelligence Assisting Physicians: What is the Best Option? (Part I)

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We have about 1,000 people who receive our blogs, and a few have asked why I am both so optimistic about Generative Artificial Intelligence (AI) and, at the same time, critical of its direct role in medical care—except in a few areas, such as Radiology, Pathology, Genetics, and others we frequently mention. In our last blog of 2024 (linked below), I shared a perspective based on 30 years of actual healthcare experience, and I want to quote it directly for clarity: “AI will not make it deep in healthcare until […]
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14Jan, 2025
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The Consumer of Healthcare 2025: Why Consumers Are ANGRY and Things Are Getting Worse

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Consumer Cost Spike – Why AI is the Only Option for Consumers For years, I’ve been following the nearly monthly reports from Altarum, which provide timely insights into the state of U.S. healthcare. These reports are far more frequent and relevant than the annual reports released by the Office of the Actuaries at the Center for Medicare and Medicaid Services (CMS). For example, last month we discussed the 7.5% increase in National Health Expenditures (NHE) for 2023, a significant figure. As of October 2024, the most recent Altarum report revealed […]
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13Jan, 2025
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Special Report: LLM vs. SLM Power Consumption – Why SLMs Are Better for Consumer Health Applications of AI, and What Will Change in AI for the Consumer in 2025

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By Noel J. Guillama-Alvarez As we look ahead, the transformative potential of Artificial Intelligence (AI) in healthcare is undeniable. However, as AI tools like Large Language Models (LLMs) evolve, there are increasing concerns about their energy consumption and environmental impact. In this report, we explore why Small Language Models (SLMs) offer a more efficient and secure alternative for consumer-focused healthcare applications and consider the future of AI for consumers in 2025. The Role of AI in Healthcare AI, particularly LLMs like ChatGPT, Gemini, and others, has made a substantial impact […]
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9Jan, 2025
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The Consumer of Healthcare 2025: The Evolving Relationship Between Medical Practices and Insurance Companies, and the Role of AI Today

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By Noel J. Guillama-Alvarez LinkedIn Profile Recently, one of my favorite industry sources, which focuses on the business practices of medicine, conducted a survey of their physician subscribers. As you can imagine, while the results weren’t surprising to me, they are still quite staggering. The summary of the survey in one sentence: “The relationship between medical practices and the insurance companies they work with is one of the most fraught in the entirety of the healthcare industry.” Survey Details: The respondents were diverse, with 30% in primary care or family […]
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7Jan, 2025
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2024: The Year in AI – How Large Language Models Have Changed Everything

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2024: The Year in AI – How Large Language Models Have Changed Everything (Whether You Know It or Not, or Admit It or Not). Real Practical Applications of AI in Consumer Health By Noel J. Guillama-Alvarez LinkedIn Profile While AI felt omnipresent in 2023 following the public launch of ChatGPT on November 30, 2022, 2024 truly marked its explosion into our daily lives. This wasn’t just about flashy product launches or AI-powered gadgets. It was about how these technologies began to fundamentally alter the way we work, create, and interact […]
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6Jan, 2025
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Special Report: Bloomberg “Family Offices Betting on AI” – How AI is Ready to Transform the Consumer Experience in Healthcare. What Are AI Agents?

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I recently watched a Bloomberg event, which I’ll summarize here, focusing on its implications for Family Offices. The Artificial Intelligence (AI) space is complex and more sophisticated than anything we’ve seen before. As we’ve reported, $100 billion is invested annually in AI, primarily by the largest companies in the U.S. There’s no sign that this trend will slow down, and new investors are now entering the market. Having worked in the tech industry during the rise of the internet—especially in healthcare and public companies—it feels as though we’re in a […]
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3Jan, 2025
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Welcome to 2025!

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Let’s reflect on 2024 and the impact it has had on healthcare and Artificial Intelligence (AI). I am neither a sociologist nor a historian, but my focus has been on healthcare for decades. As we highlighted in one of our last blogs of 2024, healthcare costs in America have now surpassed $5 trillion annually. I’ve been in healthcare long before we crossed the $1 trillion threshold. The assassination of UnitedHealthcare CEO Brian Thomson was a historic moment in healthcare, one that may have a lasting impact. My thoughts are with […]
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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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