A primary care physician has roughly 2,000 patients. On a given day, about 20 walk in, and almost all health technology is built for those 20.

Aneesh Chopra, Chair of the Arcadia Institute and the first Chief Technology Officer of the United States under President Obama, explains why that gap is an incentive problem. In a fee-for-service system, he argues that technology maximizes inflation. In an accountable one, it finds the patients who are quietly getting worse before they end up in the emergency room.

In this episode of the Strategy& Insider podcast, Dr. Thomas Solbach and Aneesh Chopra discuss what interoperability still gets wrong at the last mile, where AI creates near-term clinical value, why healthcare needs a "health information fiduciary" as big tech starts advising patients, and the one metric he would watch over the next five years.

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