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Structured Care Pathways and Predictive Modeling

Opinion
Video

Panelists discuss how clinical decision support tools, care pathways, and artificial intelligence can address primary care workforce shortages by providing real-time guidance, predictive modeling for high-risk patients, and autonomous agents for patient outreach and care coordination.

Technology and Future Innovations

Artificial intelligence and predictive modeling represent potential solutions to primary care workforce shortages and the impossible demands of comprehensive chronic disease management. AI systems can support clinical decision-making by identifying patients who qualify for specific medications and prompting providers about evidence-based treatment options. These technologies may elevate the performance of all healthcare providers, particularly advanced practice providers, to near physician-level capabilities.

Predictive modeling can identify the 20% of patients who generate 80% of medical expenditures and complications, enabling resource allocation that matches patient complexity with appropriate care intensity. Future AI agents may autonomously interact with patients, conducting medication reconciliation, scheduling appointments, and managing routine follow-up care between visits.

The evolution toward right-sizing healthcare encounters based on patient complexity and needs represents a fundamental shift from current transaction-based models. An 18-year-old with a sore throat requires different resources than an 85-year-old with multiple chronic conditions, and technology can help match patients with appropriate care models. Genetic AI agents capable of autonomous patient interaction may soon revolutionize chronic disease management and patient engagement.

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