How 20 Years in Medicine Convinced Him Healthcare Can't Be Fixed (Only Rebuilt)

Every health-tech company promises AI will make you healthier. Dr. Ankoor Shah says that's not what the technology is actually being built to do. A pediatrician who co-led Washington DC's COVID-19 response and now serves as VP of Clinical Excellence at Included Health, Shah delivers two on-record hot takes: that healthcare technology has historically widened disparities rather than closed them, and that today's AI is funded to optimize the revenue cycle, not patient outcomes.From there, Nick and Mitchell get into the part that actually decides your care: how you find a doctor who's safe, and why the system makes that so hard. Shah explains why the biggest quality gains come from moving people out of the bottom quartile, how doctors with sanctions slip across state lines undetected, and why he himself has no real incentive to keep his data accurate across a dozen health plans.It's a clear-eyed look at where provider data, quality, and AI actually intersect, from someone who has practiced, run public health, and now builds.In this episode:Why Shah says healthcare AI isn't built to make patients healthierThe "history of technology widening disparities" argument, from telehealth to wearablesHow Included Health quantifies provider quality at the individual NPI levelWhy moving patients out of the bottom quartile beats chasing top-tier docsHow sanctioned providers stay in-network across statesThe credentialing burden that leaves directory data permanently staleWhy aligning the member's "mind, body, and wallet" is the real unlockSubscribe to Provider Data Dorks on YouTube, Spotify, and Apple Podcasts.