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Despite advancements, systemic barriers persist, but AI offers potential to improve outcomes and efficiency.</p> </div> <div class="post-single__meta"> <div class="post-single__byline"> <span class="post-single__byline-author">By <a href="https://medcitynews.com/author/pbonisjweinstein/">Peter Bonis and Jim Weinstein</a> <span> on January 15, 2025</span> </span> </div> <div class="post-social-share"> <button class="post-social-share__trigger"> <div class="post-social-share__icon"> <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512"><path d="m503.7 189.8-176-151.9C312.3 24.5 288 35.3 288 56v80.1c-160.6 1.8-288 34-288 186.2 0 61.4 39.6 122.3 83.3 154.1 13.7 9.9 33.1-2.5 28.1-18.6-45.3-145 21.5-183.5 176.6-185.7V360c0 20.7 24.3 31.5 39.7 18.2l176-152c11.1-9.6 11.1-26.8 0-36.3z"/></svg> </div> <span class="post-social-share__label"><strong>Share</strong></span> </button> <div class="post-social-share__container"> <p class="post-social-share__container__heading"><strong>Share 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src="https://medcitynews.com/wp-content/uploads/sites/7/2020/12/GettyImages-1185128095-600x337.jpg" class="attachment-large size-large wp-post-image" alt="AI tech" decoding="async" fetchpriority="high" srcset="https://medcitynews.com/wp-content/uploads/sites/7/2020/12/GettyImages-1185128095-600x337.jpg 600w, https://medcitynews.com/wp-content/uploads/sites/7/2020/12/GettyImages-1185128095-300x169.jpg 300w, https://medcitynews.com/wp-content/uploads/sites/7/2020/12/GettyImages-1185128095-768x432.jpg 768w, https://medcitynews.com/wp-content/uploads/sites/7/2020/12/GettyImages-1185128095.jpg 788w" sizes="(max-width: 600px) 100vw, 600px" /> </figure> <div class="post-single__content"> <p>Earlier this summer, the <a href="https://www.supremecourt.gov/opinions/23pdf/22-451_7m58.pdf">landmark decision</a> by The Supreme Court overruling the Chevron deference generated ripple effects across industries. The decision significantly impacts the latitude and autonomy federal agencies have had to define, interpret, and enforce regulations. In healthcare, the milestone serves as an opportunity to take stock of what has been accomplished so far with big data and what prospects look like ahead in this new regulatory landscape. </p> <p>From the outset, the new ruling ushers in added complexity to a healthcare AI regulatory framework that was already murky, particularly around how advanced technologies like AI can improve healthcare by analyzing enormously large sets of healthcare data (or so-called “big data”). The ensuing debate on AI regulation has largely missed the point of its potential to aid in transforming American healthcare for the better. </p> <p>Spoiler alert: Big data won’t solve healthcare’s challenges. Here’s why: For decades, we have been collecting and analyzing massive amounts of healthcare data, hoping to improve health outcomes, reduce costs, and achieve health equity. In fact, this year marks the 15<sup>th</sup> anniversary of the <a href="https://www.hhs.gov/hipaa/for-professionals/special-topics/hitech-act-enforcement-interim-final-rule/index.html">HITECH Act</a>, a $27 billion program of federal incentives to spur the adoption of electronic medical records, creating vast pools of health data with the potential to improve care. Alongside that, pharmaceutical companies, insurance claims, wearable devices, and other sources have also been contributing rich troves of big data.</p> <div><div class="ad ad--inline_top ad--format-square ad--mobile-only" id="ad--inline_top inline_top"> <div class="ad__wrapper"> <div id="ad-inline_top"></div> </div> </div> <div class="post-card__wrapper post-card--is-sponsored "> <article id="post-134319" class="post-card post-card--has-thumbnail " data-title="Tips for Greater Healthcare Practice Success in 2025" data-url="https://info.medcitynews.com/tips-for-greater-healthcare-practice-success-in-2025"> <div class="post-card__categories"> <span class="post-single__category post-single__category--text"> <a href="https://medcitynews.com/category/sponsored-post/" rel="category tag"> Sponsored Post </a> </span> </div> <figure class="post-card__thumbnail"> <a href="https://info.medcitynews.com/tips-for-greater-healthcare-practice-success-in-2025" class="post-card__thumbnail-link"> <img width="360" height="200" src="https://medcitynews.com/wp-content/uploads/sites/7/2025/02/elation-health-webinar-thumb-1-360x200.jpg" class="attachment-post-card-sm size-post-card-sm wp-post-image" alt="" decoding="async" srcset="https://medcitynews.com/wp-content/uploads/sites/7/2025/02/elation-health-webinar-thumb-1-360x200.jpg 360w, https://medcitynews.com/wp-content/uploads/sites/7/2025/02/elation-health-webinar-thumb-1-576x320.jpg 576w" sizes="(max-width: 360px) 100vw, 360px"> </a> </figure> <div class="post-card__content"> <h3 class="post-card__title"> <a href="https://info.medcitynews.com/tips-for-greater-healthcare-practice-success-in-2025" class="post-single__title-link"> Tips for Greater Healthcare Practice Success in 2025 </a> </h3> <p class="post-card__excerpt content"> Join us on February 26 at 3 pm ET, and we’ll dive into the key areas where practices are losing time and money and provide solutions to overcome them. </p> <div class="post-card__byline"> <a href="https://medcitynews.com/2025/01/is-big-data-the-cure-all-for-u-s-healthcare/"> By Elation Health and MedCity News </a> </div> </div> </article> </div> <div class="ad ad--youtube1x1 ad--format-1x1" id="ad--youtube1x1 youtube1x1"> <div class="ad__wrapper"> <div id="ad-youtube1x1"></div> </div> </div> </div><p>Years later, what do we have to show for it? Not much in improved health outcomes. The United States remains the <a href="https://www.hsph.harvard.edu/news/hsph-in-the-news/the-most-expensive-health-care-system-in-the-world/">most expensive health system in the world</a>. Despite the high spending, Americans experience some of the <a href="https://www.commonwealthfund.org/publications/issue-briefs/2023/jan/us-health-care-global-perspective-2022#:~:text=The%20U.S.%20has%20the%20lowest%20life%20expectancy%20at%20birth%2C%20the%20highest%20death%20rates%20for%20avoidable%20or%20treatable%20conditions%2C%20the%20highest%20maternal%20and%20infant%20mortality">worst health outcomes overall</a> among high-income nations. We have the <a href="https://www.commonwealthfund.org/publications/issue-briefs/2023/jan/us-health-care-global-perspective-2022#:~:text=The%20U.S.%20has%20the%20lowest,among%20the%20highest%20suicide%20rates">lowest life expectancy at birth, the highest death rates for avoidable or treatable conditions, and the highest maternal and infant mortality</a>. The U.S. also has the highest rate of people with <a href="https://www.commonwealthfund.org/publications/issue-briefs/2023/jan/us-health-care-global-perspective-2022#:~:text=The%20U.S.%20has%20the%20highest%20rate%20of%20people%20with%20multiple%20chronic%20conditions%20and%20an%20obesity%20rate%20nearly%20twice%20the%20OECD%20average.">multiple chronic conditions and an obesity rate nearly twice the average</a> for other wealthy nations.  </p> <p>Where do we go from there? Real transformation and change are continually hamstrung by massive structural and systemic barriers such as our convoluted system for how care is paid for and reimbursed, hit-and-miss access to care, and more broadly, obstacles and friction in the interplay among providers, payers, and consumers. So far, technological advancements alone have failed to address the sought after “ecosystem transformation” that it will take to shift the bell-shaped curve of health outcomes to the right – to benefit all people.</p> <p>What can big data offer to boost such efforts? Let’s apply AI to empower patients so they can make more evidence-based, informed choices while proactively aligning incentives. Medical decisions that are guided by reasoned data can lead to patient care that is more individualized, costs that are better optimized, and equitable outcomes that exceed global standards. </p> <div class="ad ad--inline_middle ad--format-square ad--mobile-only" id="ad--inline_middle inline_middle"> <div class="ad__wrapper"> <div id="ad-inline_middle"></div> </div> </div><p>Emerging AI technologies offer an unprecedented opportunity to improve efficiency, reduce waste, and address inequalities. Having more diversity in data sources also represents untapped opportunity. Patients themselves can shed valuable insight on factors such as the long-term benefits and harms of surgery or the choices for medical therapies. Patient-reported outcomes matter and, with the aid of big data harnessing them, they can become a central component of decision-making. Plus, they can also tie directly to utilization and pricing.</p> <div class="post-card__wrapper has-sponsor-banner post-card--is-sponsored has-gray-background"> <div class="presented-by-sponsor-banner presented-by-parlance" style="border-bottom: 5px solid"> <div class="presented-by-text"> presented by </div> <div class="presented-by-sponsor-logo"> <img src="https://medcitynews.com/wp-content/uploads/sites/7/2024/07/Parlance_Logo-1-1024x300.jpg" style="width: 115px;height: auto" loading="lazy"> </div> </div> <article id="post-133380" class="post-card post-card--has-thumbnail " data-title="What Keeps Healthcare CIOs Up at Night: Balancing Technology Investments with Consumer Expectations " data-url="https://medcitynews.com/2025/01/what-keeps-healthcare-cios-up-at-night-balancing-technology-investments-with-consumer-expectations/"> <div class="post-card__categories"> <span class="post-single__category post-single__category--text"> <a href="https://medcitynews.com/category/channel/artificial-intelligence/" rel="category tag"> Artificial Intelligence </a> </span> </div> <figure class="post-card__thumbnail"> <a href="https://medcitynews.com/2025/01/what-keeps-healthcare-cios-up-at-night-balancing-technology-investments-with-consumer-expectations/" class="post-card__thumbnail-link"> <img width="360" height="200" src="https://medcitynews.com/wp-content/uploads/sites/7/2025/01/GettyImages-153405991-360x200.jpg" class="attachment-post-card-sm size-post-card-sm wp-post-image" alt="" decoding="async" srcset="https://medcitynews.com/wp-content/uploads/sites/7/2025/01/GettyImages-153405991-360x200.jpg 360w, https://medcitynews.com/wp-content/uploads/sites/7/2025/01/GettyImages-153405991-576x320.jpg 576w" sizes="(max-width: 360px) 100vw, 360px"> </a> </figure> <div class="post-card__content"> <h3 class="post-card__title"> <a href="https://medcitynews.com/2025/01/what-keeps-healthcare-cios-up-at-night-balancing-technology-investments-with-consumer-expectations/" class="post-single__title-link"> What Keeps Healthcare CIOs Up at Night: Balancing Technology Investments with Consumer Expectations  </a> </h3> <p class="post-card__excerpt content"> When it comes to managing inbound phone calls, underperformance has devastating cost implications. </p> <div class="post-card__byline"> <a href="https://medcitynews.com/2025/01/is-big-data-the-cure-all-for-u-s-healthcare/"> By Stephanie Baum </a> </div> </div> </article> </div><p>Similarly, an informed choice approach with patients, rather than traditional informed consent, offers a way to integrate patients’ values and preferences into care. With generative AI tools, we can do a better job of providing clarity to patients on a given treatment’s benefits and harms.</p> <p>These changes must come with tangible benefits for patients if we want to encourage greater participation — and trust — in data sharing. Imagine giving patients personalized insights about their health. This helps us shift from standardized care to care optimized to each patient. This opens avenues to reduce spending by avoiding persistently used procedures and treatments that might actually be unwarranted, ineffective, or simply unwanted by a patient who is better informed. Today, let’s celebrate the promise of emerging technology like generative AI to leverage big data for better healthcare. More importantly however, technologists and clinicians must continue to work as changemakers, pushing for a real re-envisioning of the healthcare ecosystem where big data’s potential can flourish</p> <div class="ad ad--inline_bottom ad--format-square ad--mobile-only" id="ad--inline_bottom inline_bottom"> <div class="ad__wrapper"> <div id="ad-inline_bottom"></div> </div> </div><p><em>Photo: metamorworks, Getty Images</em></p>   <div class="molongui-clearfix"></div><div id="mab-2725838293" class="m-a-box " data-box-layout="slim" data-box-position="below" data-multiauthor="false" data-author-id="34975" data-author-type="user" data-author-archived=""><div class="m-a-box-container"><div class="m-a-box-tab m-a-box-content m-a-box-profile" data-profile-layout="layout-1" data-author-ref="user-34975"><div class="m-a-box-content-top"></div><div class="m-a-box-content-middle"><div class="m-a-box-item m-a-box-avatar" data-source="local"><a class="m-a-box-avatar-url" href=""><img decoding="async" width="150" height="150" src="https://medcitynews.com/wp-content/uploads/sites/7/2025/01/Bonis-Weinstein-Headshot-Combined-150x150.jpg" class="attachment-150x150 size-150x150" alt="" srcset="https://medcitynews.com/wp-content/uploads/sites/7/2025/01/Bonis-Weinstein-Headshot-Combined-150x150.jpg 150w, https://medcitynews.com/wp-content/uploads/sites/7/2025/01/Bonis-Weinstein-Headshot-Combined-70x70.jpg 70w" sizes="(max-width: 150px) 100vw, 150px"></a></div><div class="m-a-box-item m-a-box-data"><div class="m-a-box-name m-a-box-title"><h5><a class="m-a-box-name-url " href="https://medcitynews.com/author/pbonisjweinstein/"> Peter Bonis and Jim Weinstein</a></h5></div><div class="m-a-box-item m-a-box-meta"></div><div class="m-a-box-bio"><p><a href="https://www.linkedin.com/in/peter-bonis-64945a6">Dr. Peter Bonis</a> is Chief Medical Officer of <a href="https://www.wolterskluwer.com/en/health">Wolters Kluwer Health</a> and Adjunct Professor of Medicine at Tufts University School of Medicine.</p><p><a href="https://www.linkedin.com/in/james-weinstein-410a76177/">Dr. Jim Weinstein</a> is Head of Global Access and Equity at <a href="https://www.microsoft.com/en-us/">Microsoft</a>. He was formerly CEO of Dartmouth Health, the Inaugural Director and Peggy Thompson Chair of the Dartmouth Institute, and Professor at Dartmouth and Clinical Professor Northwestern University (Kellogg School of Management)</p></div></div></div><div class="m-a-box-content-bottom"></div></div></div></div><p>This post appears through the <strong>MedCity Influencers</strong> program. 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