Latest / Becker’s Healthcare Podcast / AI, Revenue Pressures, and New Growth Paths in Healthcare with Laura Dyrda
Transcript
- 0:00This is Scott Becker with the Becker's health
- 0:02care podcast. I'm thrilled today to be joined
- 0:05by chief content officer, at least the the
- 0:08the co chief content officer,
- 0:10Laura Dirda of Becker's health care. Just remarkable
- 0:13leader and editor in chief.
- 0:15Laura, we talked regularly about what stories you're
- 0:18following closely.
- 0:19I I saw a couple of stories that
- 0:21you posted this morning around artificial intelligence, some
- 0:23other things. But let me give the stage
- 0:25to you. What are a couple of stories
- 0:27that you're watching closely currently?
- 0:29Yeah. Absolutely. Well, thank you so much, Scott.
- 0:31And, you know, definitely a lot going on
- 0:33in health care right now. And in terms
- 0:35of artificial intelligence and and AI, you know,
- 0:38changing the landscape so quickly, I think we
- 0:41just wrapped up our Becker's sixteenth annual meeting
- 0:44last week. So four days, hundreds of sessions,
- 0:46and some of the most candid and forward
- 0:48looking conversations that I've heard in health care
- 0:50today happening all in one room. So we
- 0:53had
- 0:54around 900 speakers there and and really truly
- 0:57learned a ton about the industry and how
- 0:59they're thinking about,
- 1:00the next couple of years, what they're planning
- 1:02for, the urgency around getting AI right, but
- 1:05then also figuring out additional revenue streams and
- 1:08ways that they're going to fortify their organizations
- 1:11for the future. So it was really fascinating
- 1:13conversations, and I just had a couple of
- 1:15themes that I wanted to
- 1:17share out, that kept coming up over and
- 1:19over again. But the first one that you
- 1:21mentioned,
- 1:22it was AI. It's really
- 1:24you know, now so many hospitals and health
- 1:26systems have incorporated artificial intelligence in one way,
- 1:29shape, or form. So they're testing it. They're
- 1:31piloting it. It's running at scale in some
- 1:34ways. Hundreds of use cases across health care
- 1:37from generative tools that are reshaping
- 1:39the patient experience to some of the more
- 1:41predictive analytics, ways that clinicians can use it
- 1:44within clinical care as well as operations and
- 1:46community resources. So the real wins, it sounds
- 1:49like, are coming primarily on the revenue cycle
- 1:51side, still looking at denial management, coding, and
- 1:54automation, but AI was genuinely starting to reorient
- 1:58some of the EHR around clinical experience rather
- 2:00than a billing one.
- 2:02And leaders are also sounding the alarm as
- 2:05well because they're thinking through,
- 2:07you know, how do we make sure that
- 2:09the AI that we're incorporating into, our organizations
- 2:12is gonna be useful, it's gonna be adopted
- 2:14by our teams, it's gonna be something that,
- 2:17you know, can provide real value versus ending
- 2:19up shutoff or or in a graveyard in
- 2:21a couple of years. And so that's something
- 2:23they're really thinking heavily through and and trying
- 2:25to understand and figure out what the strategy
- 2:27is gonna be. And the other thing that
- 2:28came up, that was really fascinating was AI
- 2:31agents. I know several of the leaders talked
- 2:34about trying to incorporate more agents and actually
- 2:36creating builders
- 2:38across their organizations and systems, not only in
- 2:41IT, but in the clinical care and operations
- 2:43in,
- 2:45really any of the departments. They want folks
- 2:47who are willing to understand and and take
- 2:49the time to build agents that are gonna
- 2:51be helpful for them. But by the same
- 2:53token, you don't want a a bunch of
- 2:55agents running around the organization and and,
- 2:57not being monitored or governed in the right
- 2:59way. So it's kind of this push pull
- 3:01of, you know, how do we move fast
- 3:03and really optimize the technology we have, but
- 3:05also make sure that, you know, everything's aligned
- 3:08and and people are using them the right
- 3:09way so you're not putting yourself too much
- 3:11at risk. So,
- 3:12it was just fascinating. I know Jeff Gotney,
- 3:14the CIO of, Rush, said they're really looking
- 3:17at becoming an agent, forward organization. And so
- 3:20what it takes to do that and the
- 3:22governance and,
- 3:23the innovation and the education of their teams
- 3:26is is,
- 3:27you know, a huge undertaking, but at the
- 3:29same time, could be a make a big
- 3:30difference for them going forward.
- 3:34Fantastic. Fantastic.
- 3:35And and talk about where do you see
- 3:38people talking about
- 3:40where AI will make a difference? Are there
- 3:42areas you hear people talking about that they're
- 3:44most confident will work out or or will
- 3:46add value?
- 3:48Absolutely. So I think, you know, the Ambient
- 3:51technology notwithstanding, of course, you know, most health
- 3:54systems and many hospitals now are piloting or
- 3:56or have scaled out the Ambient technology for
- 3:59their clinicians, which, you know, by and large,
- 4:02it has been such a success,
- 4:04to give clinicians time back in their day
- 4:06to elevate their happiness and those kinds of
- 4:08things. And so I think, you know, once
- 4:10you find the right partner for your organization,
- 4:12it it makes a ton of sense. But
- 4:14beyond that, I'm really looking into the next
- 4:16generation of what it could do,
- 4:19to not only, you know, take information,
- 4:22how AI could process on the clinical side,
- 4:25you know, whether it's imaging and and help
- 4:27make recommendations. Obviously, the clinician's still making the
- 4:30final,
- 4:31conversations and diagnoses and treatments, but the amount
- 4:34of data that hospitals and health systems have,
- 4:36you know, there's so much potential for
- 4:39how AI can help them organize the data
- 4:42and,
- 4:43alerts them be more predictive. I think that's
- 4:45a lot another thing we heard from a
- 4:47ton of,
- 4:48the c suite leaders, not only CIOs, but
- 4:50across the board,
- 4:52talking about how, you know, they're trying to
- 4:54put get their data shop in the right
- 4:56place and so that their data is
- 4:58reliable enough to start creating some of these
- 5:00larger models where they can,
- 5:03become more predictive in the operational side. I
- 5:05think, you know, the the department that's next
- 5:08after revenue cycle and finance to really be
- 5:11revolutionized by AI, it sounds like it is
- 5:13gonna be HR and talent and and, the
- 5:16people side of things because there's just a
- 5:18lot of opportunities to automate more, to,
- 5:22really become
- 5:23smarter about how, you know, you're looking at
- 5:25the HR operations. And so that was one
- 5:28area that came up from a number of
- 5:30folks that they're trying to do more with,
- 5:33AI there. I think even have heard some
- 5:35of the leaders talk about how, you know,
- 5:38they're they're teaching their teams to develop with,
- 5:41AI practice tough conversations,
- 5:44you know, do coaching with some of the
- 5:46the AI technologies so that they can build
- 5:49up the right skills, and experience they need
- 5:51in order to, become managers across the organization,
- 5:55and then to to develop the job descriptions
- 5:58to actually
- 5:59put together the recruiting plans and and those
- 6:02kinds of things. And so I think there's
- 6:03a lot that's happening in the HR side.
- 6:05And then, you know, from there,
- 6:07a lot of possibilities on the clinical side
- 6:10too. And you think about predictive analytics and
- 6:12how you can become,
- 6:14just a bit more smarter about how you're
- 6:16looking at clinical care, alerts, and everything else
- 6:19that are happening at the hospital, trying to
- 6:21make sure clinical or chronic care patients are
- 6:23doing what they need to do in order
- 6:25to stay well. So a lot of excitement
- 6:27around, you know, the possibilities with the technology.
- 6:30It's just getting the the data in place
- 6:32and then the systems in place to do
- 6:34it, is gonna be the hard part.
- 6:36No. Fantastic. And are other stories that you're
- 6:39talking about,
- 6:40that that you're thinking about?
- 6:42Other stories that you're watching closely?
- 6:44Yeah. Yeah. For sure. So I think the
- 6:46other thing that, you know, I wanted to
- 6:49point out is that, you know, there are
- 6:51a lot of challenges that the leaders are
- 6:54working through here still. So,
- 6:56what's keeping them up at night and what
- 6:58we heard from C suite executives is looking
- 7:00at, of course, the reimbursement pressures, especially thinking
- 7:03about Medicaid,
- 7:05which isn't lighting up. And then to the
- 7:07ACA enhanced premium tax credits are set to
- 7:10expire. And so health systems are really still
- 7:13planning on absorbing a lot of that hit
- 7:16a lot more,
- 7:17uninsured patients next year and the potential to
- 7:21need to
- 7:22absorb more of that. And so,
- 7:24across the board, hospitals are thinking through, how
- 7:27do I change my strategy? How am I
- 7:29thinking about more outpatient,
- 7:31more,
- 7:32virtual technologies and and ways to bring patients
- 7:35into the system? That was a a big
- 7:37thing,
- 7:38that we're hearing from leaders as well as,
- 7:40you know I don't know if this is
- 7:42surprising or not. Some folks might think it'll
- 7:44be surprising. Some may not. But,
- 7:46several folks, when asked how they're, you know,
- 7:48looking at different services or revenue generators,
- 7:51actually talked about wellness being something that they
- 7:53wanted to dig deeper into, feeling like they
- 7:55could,
- 7:56bring additional revenue streams in from some of
- 7:58the different testing or or wellness initiatives, and
- 8:01and that was across the board from AMCs
- 8:04to rural health care settings to community hospitals
- 8:07and and systems. It's just
- 8:08how they can become more part of that
- 8:10continuum of care in the ways that,
- 8:13they really felt like there's consumer demand for
- 8:15more of the, wellness services. So it's not
- 8:18just saying, you know, hey. We're offering this
- 8:20free service to the community, but really saying,
- 8:22you know, these are ways that in in
- 8:25in different types of programs or initiatives or
- 8:28things that that people actually wanna do and
- 8:30are wanting to pay more for, that they
- 8:33can bring into the hospital and, you know,
- 8:36bring be more part of their programming going
- 8:38forward. So, those are things that we heard
- 8:40about,
- 8:41in addition to figuring out ways that they
- 8:43can look at their expertise and become more
- 8:46consultative or,
- 8:48you know, just anything that they can do
- 8:50in order to,
- 8:51bring in additional revenue, you know, nontraditional partnerships
- 8:55and more is a huge focus for the
- 8:57strategic leaders right now. So we're keeping an
- 8:59eye on that, and we'll, you know,
- 9:01definitely wanna make sure we're continuing to report
- 9:03on it and how different people and and
- 9:05systems are thinking about, you know, leadership, especially
- 9:08amongst the uncertainty that's happening today because, you
- 9:11know, a lot of different things happening. But
- 9:14at the end of the day, being able
- 9:15to provide great care and sustaining organizations for
- 9:17the future is its top goal. So,
- 9:19it's been interesting to hear about and just
- 9:21exciting to see some of the innovations happening
- 9:23in the field.
- 9:25Thank you. Let me ask you. What are
- 9:27you what are you most excited about when
- 9:28you hear all this? What do you see
- 9:30that you're most excited about?
- 9:32Yeah. Yeah. Well, personally, I'm most excited about,
- 9:35you know, the ways that
- 9:38the current challenges,
- 9:39both on the financial side as well as
- 9:41the workforce
- 9:43side are creating
- 9:44additional
- 9:45more
- 9:46consumer focused access points for the health system,
- 9:49but that's not only just for,
- 9:51you know, the the patients that traditionally have
- 9:53access. I mean, you know, those that wanna
- 9:56use more virtual care through the apps or
- 9:58through,
- 9:59being able to more closely manage, you know,
- 10:02the financials as well as, you know, their
- 10:04care journey. But folks that traditionally haven't had
- 10:07access to to care are getting,
- 10:09new programs in in in the hospitals and
- 10:11systems are thinking differently about how they wanna
- 10:13go more upstream,
- 10:15to really connect with them and, bring them
- 10:18into the health care space as, you know,
- 10:20patients, but as also as,
- 10:23you know, team members and employees. I think
- 10:25the number of hospitals and systems that have
- 10:28done just some incredible work and made huge
- 10:31investments in their pipeline programs for communities to
- 10:34actually become more part of the,
- 10:37hospital
- 10:38and and really solve some of the challenges
- 10:41there, not only from the economic side, but
- 10:43also just the workforce side has been really
- 10:44cool to see. So that's what I'm most
- 10:46excited about. I was just looking at the
- 10:48innovation there and how it becomes easier for,
- 10:50you know, even myself as a a patient
- 10:52and and a parent to,
- 10:55access health care and do it more efficiently
- 10:57and effectively,
- 10:58see my records and,
- 10:59you know, really get the right notifications and
- 11:02experience. So it's a streamlined
- 11:05streamlined thing, and and that's been just, like,
- 11:07so incredibly helpful in validating, like, to see
- 11:10the health care industry actually making some real
- 11:11changes and headway there.
- 11:13No. Fantastic. Laura, I wanna thank you as
- 11:16always for joining us. You're a remarkable leader
- 11:18in person.
- 11:19Thank you so much for joining us on
- 11:21the Becker's healthcare podcast. Thank you very much.
- 11:23Appreciate it. Thank you, Scott. It's always a
- 11:25pleasure.