Eric Larsen on the emergence and potential of AI in healthcare

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McKinsey on Healthcare 25 min 2 speakers 8 chapters transcribed
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What is the significance of AI in the current healthcare landscape?

Jess Lam 0:05
You're listening to McKinsey on Healthcare, a podcast exploring the ideas and innovations shaping the future of the industry. I'm Jess Lam, a partner in McKinsey's Healthcare Practice and within McKinsey's AI consulting arm, Quantum Black. Today, I'm joined by Eric Larson, president of Towerbrook Advisors and a venture partner at Thrive Capital and SignalFire. He's also president emeritus at the Advisory Board Company and a leading healthcare strategist, author, and advisor. He recently launched his own podcast, Incumbents and Insurgents in Healthcare, which brings together AI pioneers and healthcare leaders. In today's episode, we'll be discussing the rise of generative AI, what makes this moment different from other waves of tech hype, and how leaders can prepare their organizations for the future.
Jess Lam 0:51
So, Eric, welcome. We've been talking a lot about how there's almost two different languages when it comes to the incumbents of the healthcare industry and then the new players, like the tech companies, the AI natives, or the insurgents, as I think you like to call them. So your new podcast takes an interesting view of bringing these incumbents and insurgents together.

How do incumbents and insurgents in healthcare differ?

Jess Lam 1:14
And I'm going to talk a little bit about that. outside of that podcast recording studio. How are you seeing these interactions going today? Like what's driving the gap between these two entities?
Eric Larson 1:24
Yeah, Jess, I love your framing and kind of that juxtaposition of incumbents and insurgents. And when I launched the podcast, I kind of diagrammed out the reasoning and I said the conjunction here between incumbents and insurgents is super important. It's not incumbents versus insurgents or incumbents or insurgents. It's incumbents and insurgents. And You know, the notion is that U.S.

What are the barriers to AI adoption in healthcare?

Eric Larson 1:45
healthcare has been super impenetrable to just about every tech phase shift of the past generation. I mean, internet, mobile, social, cloud, big data and analytics, enterprise SaaS, blockchain. And technology has transformed every other vertical in the U.S. economy. And what I'm trying to do, and I know what you're trying to do, is really bring the incumbents and insurgents into dialogue. And I think about incumbency as not some invariant law of nature. I think about it as a head start. And depending on your sector within the economy, you have either a little bit of time or a lot of time or no time to adapt. And, you know, one of the things I imagine Jess will talk about is this notion of functional verifiability.
Eric Larson 2:32
Is there something in healthcare that has a right, wrong answer?

How can healthcare leaders prepare for AI integration?

Eric Larson 2:36
Correct, incorrect, a ground truth. It could be revenue cycle management. And I imagine we'll talk about that. You get that claim right or it's wrong. Things with objective function, things with functional verifiability where you can prove the answer are going to go so fast. And, you know, there are areas in healthcare that have adjacency to that. And again, revenue cycle management is sort of preeminent. And, you know, we at Towerbrook, along with CD&R, have R1, our RCM company. We're seeing this sprint ahead there. So incumbents versus insurgents, I think, is the right mental model.

What role does data play in AI's impact on healthcare?

Eric Larson 3:09
And how much time do the incumbents have? And I think it's a depreciating asset.
Jess Lam 3:14
That makes sense. And by nature of me being a consultant in the healthcare industry, I naturally spend the bulk of my time with the incumbents. You're getting to spend an increasing amount of your time with some of the luminaries in the tech world. How do you see them approaching kind of these strategic decisions and actually just the healthcare industry broadly?
Eric Larson 3:33
Totally orthogonally. They're like two armed encampments that have no understanding of the other. I sort of charitably call it like a mutual incomprehension between what's happening in Silicon Valley and what's happening in the establishment U.S. healthcare.

How will AI change the dynamics of healthcare employment?

Eric Larson 3:47
And U.S. healthcare has been, you know, I kind of irreverently say super oligopolistic healthcare. super incumbent dominated, super personality guided. And on the other hand, you've got the insurgency.

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