Healthcare Organizations Are Using AI to Solve Real Problems


Healthcare Organizations Are Using AI to Solve Real Problems

Healthcare Organizations Are Using AI to Solve Real Problems
Dr. Ryan Ries

By Dr. Ryan Ries, Chief AI and Data Scientist, Mission Cloud.

Every time I walk into a customer meeting or show up at a healthcare-focused event, someone asks the same question: “Ryan, what AI use cases are you actually seeing work in healthcare?”

Following are use cases I’ve personally worked on:

Virtual Patients That Actually Act Like Patients

BreakAway Games came to us with a genuinely interesting problem. They build training simulation games for medical students, nurses, and healthcare professionals. Their existing virtual patient system worked, but it was too clean. Too logical. Real patients don’t present their symptoms like a textbook. They forget details, they misuse medical terms, and sometimes they just don’t know what’s wrong with them.

We built a proof of concept on Amazon Bedrock with AWS Lambda that simulates exactly that kind of imperfection. The AI had to be deliberately constrained, which is the opposite of what you normally optimize for, to reflect realistic patient behavior including limited health literacy and varied language fluency.

We created a scalable platform supporting roughly 24 virtual patient profiles for initial validation, accessible 24/7, without the cost and scheduling nightmare of hiring standardized patient actors. For nursing programs specifically, where we learned that attrition in the first year is devastatingly high, this kind of accessible practice tool is invaluable.

Modernizing Clinical Reasoning Training

Another company we worked with has been building medical education software since 1992, with the same codebase since 2000. They knew it was time to modernize and innovate.

We helped them build a new platform that replaces the old multiple-choice question interface with natural language AI conversations. Students interview virtual patients the way they’d interview a real one. The system is specifically designed to catch “zebra” cases, the rare conditions that hide behind common symptoms.

These two use cases alone tell us that the healthcare education space is ripe for innovation.

Transforming Payment Adjudication

Now for one of my favorite intelligent document processing (IDP) use cases.

Paynela, a healthcare financing company based in Puerto Rico, was drowning in manual claims processing. Reviewing a single claim took up to two business days. Their adjudication process ran six to eight minutes per claim. Everything stopped after business hours.

We integrated Amazon Textract for OCR-based document extraction and connected it to an LLM pipeline through Amazon Bedrock. Claims now process in under three minutes. Adjudication takes one minute or less and accuracy jumped from 90% to 99%. The system runs around the clock with minimal human intervention.

GL Code Automation in Healthcare Procurement

Procurement Partners, an existing Mission MSP customer, was dealing with a tedious manual process: assigning and managing general ledger codes. Time-consuming for their team, frustrating for customers and vendors alike.

We built a solution using AWS Bedrock to streamline how those codes get managed, reducing the burden on both customers and vendors. It’s a narrow use case but it’s also exactly the kind of unglamorous, high-volume workflow where AI pays for itself fast.

Use Cases I’m Watching

Post-Visit Gap

A cardiologist just placed 3rd in Anthropic’s global hackathon by building postvisit.ai — an AI companion that helps patients figure out what to do after a doctor’s appointment.

Patients are confused after visits. Instructions get lost, follow-up questions go unanswered until the next appointment. You end up Googling your questions, only to find conflicting information.

A well-designed AI companion sitting between the visit and the follow-up care fills a real gap.

We actually pitched a nearly identical concept to a customer not long ago. Watching a cardiologist build it over a weekend and get 3.4 million people to pay attention is a reminder that the best AI solutions in healthcare aren’t always the most complex ones. They’re the ones that sit right at the friction point between patient and care.

Patient 360

One of the biggest structural failures in healthcare is that your doctor often doesn’t have the full picture. Your cardiologist doesn’t know what your neurologist prescribed. Your urgent care visit last month never made it into your primary care chart. HIPAA was a necessary step for patient privacy, but it also created walls that fragment care in ways that hurt patients every day.

How many times have you experienced challenges with the healthcare system because of this?

AI is starting to break those walls down. Not by bypassing privacy protections, but by intelligently synthesizing the data that is available into a coherent patient view. When a care team can see the full story (medications, history, test results, monitoring data, etc.) they make better decisions. This is the idea behind a Patient 360 view, and it’s one I think about constantly when we’re designing healthcare AI solutions.

AI in Imaging and Early Detection

This is one of the areas I find most compelling right now. Machine learning and deep learning models can process medical images, test results, and patient records at a scale and speed no human practitioner can match. More importantly, they can surface patterns and anomalies that are invisible to the naked eye, often before a patient shows any symptoms at all.

Early detection changes outcomes. In oncology, cardiology, and neurology, detecting a condition at stage one rather than stage three can mean the difference between a manageable illness and a devastating one. We’re just scratching the surface of what’s possible here.

Personalized Medicine

Right now, treatment is largely population-based. You get the drug that works for most people with your condition. But most people aren’t you.

AI can analyze patient records, genetics, and real-time health monitoring data to predict how a specific individual will respond to a specific treatment. That’s the idea behind personalized medicine and it’s an emerging field that’s starting to deliver real results. Genetic medicine is the frontier here. When we can tailor therapies at the genetic level, we stop treating the average patient and start treating the actual person in front of us. I think this shift will be one of the most significant things AI does for humanity.

What Ties All of This Together

The healthcare use cases that actually work share a few traits. They target specific, repetitive, high-cost pain points, they keep humans in the loop, and they use AI to extend access to training, remove barriers to financial assistance, improve patient outcomes, and provide post-visit guidance.

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