Balancing regulation, AI, and operational pressure

In this episode, Rajkumar Thirunavukkarasu, SVP & Head of Healthcare Provider Business at Tech Mahindra , and LaDonna Sweeten, EHR Practice Lead at The HCI Group, a fully owned subsidiary of Tech Mahindra, discuss how health systems can transform their EHR from a static system of record into a dynamic performance engine.

The conversation also highlights a unique market differentiator: the combined strength of The HCI Group’s deep EHR and provider-focused expertise with Tech Mahindra’s global technology scale, engineering depth, automation capabilities, and innovation track record. Together, this partnership brings end-to-end capabilities—from EHR optimization and managed services to advanced data engineering, AI integration, and enterprise digital transformation—delivered at scale with measurable outcomes.

Listeners will gain insight into how leading organizations are moving beyond implementation toward sustained transformation—leveraging global innovation, cross-industry engineering excellence, and healthcare-specific expertise to drive lasting value.

In this episode, they talk about:

• HCI Group grew from staff augmentation to a full solutions provider after the Tech Mahindra acquisition
• Many providers aren't fully utilizing EHR systems despite heavy investment
• Providers face simultaneous pressure from workforce shortages, shrinking margins, and new regulations
• HCI and Tech Mahindra use each org's own data to tailor strategy rather than a one-size-fits-all approach
• AI is set to significantly disrupt revenue cycle management
• Ambient listening technology is reducing the clinician documentation burden
• End-to-end workflow reimagination is recommended over isolated AI pilots
• Patients now expect the same seamless experience from healthcare as they get from retailers
• Houston Methodist's new campus was cited as a model for automated, frictionless clinical workflows
• Value-based care is now mandatory, making urgent AI adoption a necessity not a choice

A Little About Rajkumar and LaDonna:

Raj T is a dynamic and accomplished business leader with over two decades of global experience in managing high-impact client relationships and driving growth in the healthcare technology space. Currently, Raj is serving as SVP & Head of Healthcare Provider Business at Tech Mahindra, where he leads strategy, delivery, and innovation for some of the world’s leading healthcare organizations. Raj's collaborative leadership style and results-driven mindset have consistently delivered value to clients, making him a trusted advisor in the healthcare technology ecosystem. Raj is passionate about harnessing technology to improve patient outcomes, streamline provider operations, and enable data-driven decision-making across the care continuum.

LoDonna leads enterprise healthcare technology strategy and delivery for health systems nationwide. She specializes in EHR transformation, workflow optimization, managed services, and digital enablement, partnering with executive leaders to ensure technology investments drive measurable clinical, operational, and financial impact. LaDonna uses data and best-practice benchmarks to identify performance gaps, prioritize high-value opportunities, and design targeted improvement roadmaps. She then applies structured governance and performance monitoring to mitigate risk and ensure intended benefits are realized. Her passion is helping provider organizations transform their EHR from a system of record into a data-informed performance engine that supports fiscal sustainability and provider resilience.  She understands that in today’s margin-compressed and highly regulated environment, optimization has to be measurable and sustainable, not just aspirational.