Running Through Walls Bringing Trust Back to Healthcare
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Nov 5, 2025 In this engaging discussion, Matt Holt, a healthcare private equity executive and President at New Mountain Capital, dives into the pressing need to rebuild trust in the healthcare system. He highlights the role of AI in streamlining operations and reducing administrative waste, potentially saving $500 billion. Matt addresses the challenges of paper records and advocates for a patient-centered IT system. He also emphasizes the importance of accurate data before altering incentives, proposing collaborative solutions between providers and payers to enhance real-time transactions.
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Foundations In Transcription And NLP
- Matt traced the value in unstructured clinical notes and studied transcription markets to capture payment-relevant data.
- He pursued audio/NLP tech early, losing a Carnegie Mellon-based asset to Nuance which later became Microsoft's stack.
Patient-Centric Records Enable Outcomes
- U.S. healthcare IT today centers on claims and transactions rather than the patient record, blocking outcome measurement.
- Building a patient-centric system of record is required to enable outcome-based incentives and better care.
Paper Still Dominates Medical Records
- Roughly 40% of medical records are still managed with paper, so digitization remains crucial and ongoing.
- The barrier is not pure tech but incentives, complexity and massive compliance layers slowing transformation.