Systemic shift to value-based care

In this Diving Deep episode, Dr. Robert Pearl and Jeremy Cor return to a question listeners have been asking for months: What role will generative AI realistically play in American healthcare?

Dr. Pearl opens the discussion around three urgent threats that, if ignored, may soon become too large and too expensive to solve:

1. The affordability cliff
2. The chronic disease crisis
3. The risk of training doctors for the wrong future

This examination offers a stark warning about healthcare’s lack of flexibility. Unlike most industries, medicine cannot quickly reconfigure its workforce, adopt new care models or cut costs without years of delay. That rigidity, Pearl argues, is what makes the current moment so dangerous. By the time healthcare leaders respond to major problems, those problems often have already deepened into crises.

The episode’s second half explores whether generative AI could help avert that future. Pearl argues that the technology is already capable of improving chronic disease management, reducing medical errors and extending care into patients’ homes. The larger barrier is no longer technical but cultural.

To illustrate that divide, Pearl uses HBO’s hit show The Pitt to examine how medicine still frames AI as either a helpful tool or an existential threat rather than what it could be: a valuable clinical partner. He credits the show for capturing physicians’ skepticism and enthusiasm but argues that it misses the more important question: not whether AI is perfect, but whether it performs better than clinicians working alone in a system already riddled with error.

Looking further ahead, Pearl argues that when it comes to GenAI taking on clinical tasks once exclusive to humans, the Rubicon has already been crossed. Major health systems are beginning to use generative AI for clinical intake and treatment planning. Large technology companies are building patient-facing health tools tied to personal medical data. And states such as Utah are already testing whether AI can safely handle parts of chronic disease care without direct physician oversight.

Taken together, these developments point toward a new future for medicine. Primary care physicians may spend less time on routine algorithmic tasks and more time on complex patients. Specialists may become more procedural as outpatient evaluation shifts. And health systems that want to benefit from these changes will need to move away from fee-for-service and toward value-based care.

For more on these developments, tune into this month’s episode and check out the links below.

Helpful links

• Three Healthcare Threats That Will Soon Become Too Big To Solve (Forbes)
• What The Pitt Gets Right And Wrong About Generative AI In Medicine (Forbes)
• GenAI Will Replace Much Of What Clinicians Do — It’s Already Happening (Forbes)
• Monthly Musings on American Healthcare (RobertPearlMD.com)

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Dr. Robert Pearl is the author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine.” Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn.

The post FHC #207: Three major healthcare threats GenAI can help solve appeared first on Fixing Healthcare.