Episode #175 An AI-enabled Solution for Affordable & Accessible Primary Care – with Neal Khosla, Co-founder & CEO of Curai Health
Apr 30, 2024
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Neal Khosla, co-founder and CEO of Curai Health, has been recognized as one of Time's 100 most influential leaders in AI. He discusses the pressing shortage of primary care providers and how AI can enhance patient engagement and chronic disease management. Khosla describes Curai's innovative text-based, AI-empowered primary care model, emphasizing its accessibility through platforms like Amazon. He also highlights efforts to serve vulnerable populations and community health initiatives, proving that technology can revolutionize healthcare for all.
The podcast highlights the critical shortage of primary care providers in the U.S., emphasizing the unsustainable burden on existing doctors due to overwhelming patient loads.
AI is positioned as a transformative tool in healthcare, enhancing patient-provider relationships by enabling personalized care and ongoing support for chronic disease management.
Deep dives
Addressing the Shortage of Primary Care Physicians
The podcast emphasizes the critical shortage of primary care physicians in the United States, which is anticipated to worsen in the coming years. With a heavy reliance on primary care for improving overall health outcomes and reducing healthcare costs, the existing system is grappling with an insufficient number of providers to meet patient needs. A study highlighted indicates that a primary care physician managing a panel of 2,500 patients would require over 26 hours in a day to fulfill necessary healthcare tasks, illustrating the unsustainable burden on current doctors. The discussion posits that leveraging artificial intelligence (AI) and advanced software could help bridge this gap by enhancing the capabilities of existing clinicians, thus improving access to primary care services.
The Role of AI in Transforming Patient Care
AI's potential in healthcare is presented as an innovative solution aimed at reimagining how primary care is delivered. By integrating AI into the care workflow, clinicians can receive AI-generated patient summaries and insights, significantly streamlining the consultation process. This technology enables more effective follow-ups and check-ins for chronic diseases, where AI coaches patients in managing their conditions and ensuring adherence to care plans. The transformation results in a proactive approach, moving beyond traditional reactive care, as patients receive ongoing support tailored to their specific health needs.
Enhancing Patient-Provider Relationships
The podcast showcases how AI is primed to strengthen relationships between patients and healthcare providers rather than diminish them. With increased touchpoints facilitated by AI, clinicians can personalize care based on frequent patient interactions and feedback. This ongoing communication allows providers to deliver more tailored advice and interventions while fostering a sense of accountability among patients in managing their health. The result is a deeper, more engaging patient-provider relationship that prioritizes health management and promotes positive health behaviors over time.
Expanding Access to Underserved Populations
An important aspect discussed is the initiative to provide healthcare access to underserved populations, specifically through partnerships with community organizations. The use of technology, including an AI-driven app, offers virtual care options to homeless individuals who might otherwise face significant barriers in accessing traditional healthcare. By aligning services with local organizations, the goal is to bridge the gap in reach and support, allowing these populations to receive much-needed medical advice and support more easily. This effort highlights the potential of innovative healthcare solutions to address systemic inequities in care delivery and improve health outcomes for marginalized communities.
The very first question I asked our guest today, Neal Khosla, was, “If AI is the solution, what’s the problem?” His response was disarmingly true. We don’t have enough Primary Care providers and they don’t have enough time.
When I asked Neal to define AI, he didn’t go into the usual tech jargon. Instead, he described the specific needs patients have – needs that are not being met – like convenient access to affordable care, preventive care, assistance with medication adherence and lifestyle changes, chronic disease management, and timely, consistent follow-up. We then spent most of the interview with him illustrating how AI is assisting providers in actually meeting those needs.
Three quick takeaways from this interview:
Neal actually knows what he’s talking about. He’s been named one ofTime’s Magazine 100 most influential leaders in AI and featured in publications likeCNBC and Forbes.Prior to co-founding Curai Health in 2017, Khosla was a machine learning researcher at Google and Stanford. He received a Bachelor’s degree in Computer Science & Mathematics from Stanford University, and a Master’s degree in Computer Science with a concentration in Artificial Intelligence.
Neal isn’t talking about some potential future, He’s talking about current services offered by Curai Health – a text-based, AI-empowered, omni-channel primary care model – which is available direct-to-consumer through Amazon, to employees through their employer-sponsored health plans, and to health systems.
One of the things that surprised me was how inexpensive the monthly cost is for this primary care service. The payment is subscription-based, so customers can use the service as much as they like without repetitive co-payments or additional fees. Another surprise was learning that Curai is now being offered to homeless people in Los Angeles – which is incredibly humanistic and feasible through the AI-enabled primary care model.
In Beyond The Walls, I make the point that humanism has to be enabled by the digital revolution and business model transformation. Neal and his colleagues at Curai are one of the most profound exemplars of humanistic rebel leaders who are transforming healthcare – not by making things more efficient or effective, but by redefining what it means to be effective.
Throughout this interview, Neal refers to “in your world” and “in our world” when he distinguishes between legacy models of care delivery and the AI-enabled approach he’s created and is rapidly evolving. By the end of this interview I suspect you’re going to want to get your healthcare in his world – which you can check out at www.curaihealth.com.
Zeev Neuwirth, MD
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