A health system's AI book

Context

A health system weighs twelve initiatives spanning clinical (scribe, sepsis warning, imaging) and administrative (prior auth, revenue cycle coding, denials). Clinical value is real but slower to prove; admin value is faster and fundable now.

The decision

Revenue cycle coding and denials management scale now, proven and high risk adjusted ROI; the imaging triage and bed management pilots are cut, high spend, unproven, and the clinical safety bar makes the ramp long.

What most miss

Clinical prestige biases the book toward glamorous pilots. The risk adjusted math usually says the unglamorous admin automation funds the clinical ambition.

Stakes

Mis allocating toward slow clinical pilots starves the admin automations that actually pay for the program.