The Business of Healthcare, Episode 132: A Year in Healthcare: Hard Truths, New Hope
Description

This episode flips the script as producer Jimmie Markham interviews host Dan Karnuta about the year's biggest healthcare themes. They revisit discussions form previous episodes on AI governance, operational adoption, workforce resistance, healthcare education pipelines, insurance pitfalls, nursing workflow redesign and physician well-being. Karnuta emphasizes that rapid technological change demands strong communication, thoughtful change management and a workforce prepared to partner with AI.
They also explore deeper systemic issues, including healthcare's "klugeocracy" — a system built on decades of quick fixes. Despite the complexity and inefficiency this creates, Karnuta ends on a hopeful note: the industry is talking openly about its challenges, experimenting with new solutions and developing leaders committed to improving the system.
Karnuta is an associate professor in the Naveen Jindal School of Management's Organizations, Strategy and International Management Area as well as director of its Professional Program in Healthcare Management.














