Paul Kusserow

As I said, the clinical care is 20% of the whole care.

Other people who are unlicensed can do some of this care.

I'm the chairman of a board of Careforth, which is a company that does home health with unskilled caregivers who live in the home.

and we help them become caregivers and attend to a specific person who's generally quite ill on medicaid and we've seen phenomenal results on that caregiving unskilled caregiving particularly in the home is growing at an enormous pace it's hundreds of billions of dollars and we're going to have to figure out a way to coordinate all that the other piece is the productivity of caregivers

making sure that the licensed clinicians do the right thing at the right time and don't have to get involved in some of the things that other people can do for them.

You can drive productivity and extend that expertise much better.

And often that's through technology, electronic health records, through individualized, customized care plans, that sort of thing.

And that's where I think AI can be very, very helpful.

And not only diagnosing what needs to be done in what areas, but then parsing that out and putting that together in a schedule so somebody can get the care when they need it with the right type of expertise.

We use a case study of Portugal, for example, which has much better results.

By the way, we're the worst in the OECD.

So all the other advanced countries that are out there, we're two to three times more expensive with much worse outcomes.

And there are other countries out there that we study.

Again, we studied Portugal.

At about a fifth of the cost, they produce much better outcomes because they have community-based care.

They use primary care.

That's the other thing we really need to do.

is have more primary care physicians who can, and nurses who can direct healthcare within the community.

I think as we migrate out to the community, I think we'll start to see much better results.

And I think that's what people want.