The real read.
Perspectives and guides on what healthcare AI is delivering.
ProductIs Your AI Knowledge Layer Built for Healthcare?
Every AI vendor is building a knowledge layer. In healthcare it must carry permissions, local vocabulary, and evidence. Five questions to test any vendor.
PerspectivesSeven AI Questions to Expect From Your Board
Healthcare boards have watched big data builds deliver little. Seven AI questions boards are asking now, and what management should bring to each.
PerspectivesTrust in AI Is Earned in Installments
Trust in AI builds in installments, and each one makes a bigger ask possible. How health plans and health systems earn it.
PerspectivesAI Leadership: The Buck Still Stops With the Leader
AI has changed how healthcare leaders spend their time and make decisions, but the leader still owns the outcome.
PerspectivesAI Pilot to Program: Telling a Win From an Anecdote
A win nobody defined in advance is an anecdote. How healthcare organizations turn AI pilots into programs.
PerspectivesAI Ownership: Who Should Own the Number
Every AI initiative has a builder, but few have an owner for its value. How healthcare leaders approach AI ownership.
PerspectivesHealthcare AI Adoption: Trust Beyond the C-Suite
Healthcare AI adoption follows trust. Notes from our Health Evolution Connect panel on earning it at every level, from the C-suite to the front desk.
PerspectivesFull Measure: What It Takes to Get Real Value From AI
Healthcare organizations getting real value from AI agreed on what “working” means first. Lessons for leaders from In the Round 2026.
PerspectivesIn the Round: AI’s Full Measure From Every Seat
Healthcare leaders meet at In the Round, Oct. 12–13 in Franklin, Tennessee, to take on what AI is worth from every seat.
PerspectivesScaling AI Initiatives Without Relearning Every Lesson
Scaling AI initiatives in healthcare only gets faster when you write down what the first one taught you.
PerspectivesIt Only Takes 10 Minutes to Decide If Healthcare AI Pays Off
Most healthcare AI initiatives fail because nobody asks the right questions upfront. Three questions that decide value in ten minutes.
PerspectivesHealthcare Adopted AI as Fast as Everyone Else. It Just Can’t Say What It Got In Return.
Healthcare AI value can't be measured with software's metrics. Usage numbers aren't returns, and tasks completed doesn't fit a claims workflow.
PerspectivesEnterprise AI Doesn’t Have a Speed Problem. It Has a Measurement Problem.
Boards have stopped asking how fast. The real question is what enterprise AI is returning, and why speed alone can't answer it.
PerspectivesIntelligence Just Got Cheaper. Proving What You Do With It Just Got Harder.
Kimi K3 makes frontier-level AI cheap and ownable. When intelligence is a commodity, the edge is proving what you do with it.
PerspectivesThe Real Reason Your AI Investment Isn’t Paying Off
A model that worked sat unused because no one treated the nurses’ trust as the project. Change management, not the tech stack, decides whether AI pays off.
PerspectivesWhat Healthcare AI Can Do When It Knows How You Work
Scaling healthcare AI takes more than better models. Organizational context is what makes AI compound faster and more precise with every initiative you run.
PerspectivesThe Bottleneck Moved: Today’s Enterprise AI Value Problem
Is your enterprise AI ready in a day but stuck in a queue for a month? Why software delivery is now an architectural problem, not a coding one.
PerspectivesWhen Fable 5’s Premium Pays Off – And When It Doesn’t
Optura's engineers tested Claude Fable 5 across three demanding workloads to show exactly when its premium cost is worth paying, and when it isn't.
PerspectivesThis Is What Happens When the Right Room Exists
What surfaced when women in healthcare AI leadership gathered in Nashville for an honest cross-sector conversation about AI, access, and what it takes to move up.
PerspectivesRethinking Tokens in the Enterprise
Token budgets don't explode because of AI. They explode because the system around AI hasn't changed.
VideoOptura: the Enterprise Healthcare Platform that Delivers ROAI™
The Optura film: how the enterprise healthcare platform that delivers ROAI™ helps health plans and health systems fund, govern, and prove AI.
PerspectivesHealthcare AI Trust Starts in the Room
What building AI together does to the conversation healthcare has been avoiding, and what $200 billion in discovered value looks like in practice.
PerspectivesAI in Healthcare Doesn’t Scale on Anecdotes. Here’s What Does.
Healthcare's top executives have stopped funding AI stories. Optura CEO Andy Fanning on three themes defining healthcare AI ROI in 2026.
PerspectivesFrom Strategy to Scale: How Healthcare Leaders Drive Real AI Adoption from the Top Down
ViVE 2026 in LA: leaders weren't asking what AI can do. They were asking why it isn't working yet. That's a better question.
EventsIn the Round: At the Rodeo
Different verses, same song.
EventsIn the Round: CEO Session
Where healthcare leaders drop the script.
PerspectivesAnthropic’s Healthcare Announcement Is Bigger Than Most People Realize
Anthropic’s move into healthcare raises the bar for good: AI will be judged on measurable outcomes and ROAI, not potential, and execution platforms will win.
EventsIn the Round 2026
Harmonizing perspectives around healthcare AI.
VideoScaling AI That Actually Delivers
The C-suite on the mindset, strategy and orchestration it takes to bring ROI to AI.
EventsIn the Round 2025
Building real-world momentum.
VideoWhy AI Might Be the First Thing That Actually Fixes Healthcare
From In the Round 2025: why AI might be the first thing that actually fixes healthcare, from the leaders working on it.
VideoThe Real Potential of AI in Healthcare
Optura on the real potential of AI in healthcare, and what it takes to turn pilots into measurable results.
VideoHow Healthcare Leaders Can Move Past AI Paralysis Into Production
From In the Round 2025: how healthcare leaders move past AI paralysis and get initiatives into production.
VideoWhat’s Keeping Healthcare Leaders From Seeing Real Value From AI
From In the Round 2025: what keeps healthcare leaders from seeing real value from AI, and how to change it.
VideoHow To Combat AI Resistance in Your Healthcare Org
From In the Round 2025: how to combat AI resistance inside a healthcare organization, from leaders who have done it.
VideoHow To Get Leaderships’ Buy in on AI and Automation
From In the Round 2025: how to get leadership's buy-in on AI and automation, and keep it.
VideoHow To See AI’s Value in Your P&L
From In the Round 2025: how to see AI's value in your P&L, not just in a dashboard.
VideoWhat If Healthcare Has Been Looking at the Wrong Problem?
From In the Round 2025: what if healthcare has been solving the wrong problem with AI? A C-suite conversation.
VideoHow Prime Therapeutics Built an AI Engine That Turns Ideas Into Action
Andy on the engine that takes an idea from a whiteboard to a measured result.
PerspectivesIs the AI Value Gap Really Widening?
BCG thinks the AI value gap is widening. Optura's CEO Andy Fanning weighs in on what this means for healthcare.
VideoAI Told Him to Go to the ER and It Saved His Life
From In the Round 2025: a leader's story of AI telling him to go to the ER, and what it says about trust in healthcare AI.
VideoCan AI Finally Fix Our Broken Healthcare System?
From In the Round 2025: can AI finally fix a broken healthcare system? The C-suite weighs in.
VideoWhen AI Meets Inequality in Healthcare
From In the Round 2025: what happens when AI meets inequality in healthcare, and who it has to work for.
VideoHow Small Wins Build Big AI Change
From In the Round 2025: how small, measured wins build big AI change across a healthcare organization.
VideoAI Can Change Care (If We Trust It)
From In the Round 2025: AI can change care if clinicians and leaders trust it. What earns that trust.
PerspectivesFrom Pilots to Progress: What Healthcare Really Needs from AI
A year ago, Optura was a conversation about something big coming to healthcare. It is here, and the gap between building AI and benefiting from it is where the work is.

The ROAI™ Mindset.
A short guide to reimagining the work, then proving what it’s worth.
The ROAI™ dictionary.
The words that come up when AI has to prove itself, defined plainly.
- ROAI™ (Return on AI Investment).
- Measures what every AI initiative is worth: what it was approved to deliver, what it produced, and what reached the P&L.
- Value driver.
- A measurable benefit the work is expected to produce, like cost avoidance, productivity, or compliance.
- Viability.
- How feasible an idea is to deliver, given its data, systems, security, and process changes.
- Projected vs. realized.
- What the work has delivered, next to what it was approved on.
- Agentic sprawl.
- AI agents multiplying across an organization faster than anyone can track or govern them.
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