Small Health System’s AI Advantage and the ROI Question Nobody's Ready For | Newsday

June 22, 2026: Bill Russell and Drex DeFord launch into Newsday fresh off city tour dinners across Atlanta, Philadelphia, Pittsburgh, and Rochester. The two dig into what's actually happening with AI on the ground: a smaller health system that vibe-coded a nurse scheduling app and made it work while bigger systems looked on skeptically, the build vs. buy debate coming back with new energy, and Anthropic's announcement that Claude now writes over 80% of its own production code. Plus: the ROI reckoning that's coming for every health system spending on AI, and a big Abridge announcement on the horizon.Key Points:02:30 Build Versus Buy AI10:55 Copilot Scale and ROI21:37 Mythos and Security25:25 Ambient AI Market MovesKeep up to date on the latest in health IT:https://thisweekhealth.com/news/X: This Week HealthLinkedIn: This Week HealthDonate: Alex’s Lemonade Stand: Foundation for Childhood Cancer