The Heart of Healthcare | A Digital Health Podcast

Building a Health System for “Customers” | Baylor Scott & White Health CEO Pete McCanna

Apr 13, 2026
Pete McCanna, CEO of Baylor Scott & White Health, leads a customer-focused overhaul of a major not-for-profit system. He contrasts closed legacy systems with open, personalized care models. Topics include shifting from capacity-driven care to customer value, using AI for patient-facing products, new condition-based services, loyalty over short-term ROI, and reimagining primary care and navigation.
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INSIGHT

Design Care Around Conditions Not Departments

  • Design services around patient conditions, not departmental org charts; Baylor created a virtual headache care pathway for faster specialist access.
  • This reduces long waits for neurology and gives immediate 24-7 relief enrollment into condition-specific programs.
ADVICE

Offer Multiple Primary Care Flavors Not A Single Gatekeeper

  • Offer multiple primary care flavors and direct-to specialty access rather than routing everyone through a single PCP gatekeeper.
  • Baylor found supply shortages make a single gatekeeper model both non-customer-centric and infeasible at scale.
INSIGHT

Calling People Customers Expands The Care Relationship

  • Calling people 'customers' reframes care as continuous, personalized engagement: you're always a customer and sometimes a patient.
  • The term shifts organizations from paternalism toward partnership and personalization.
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