6) Beyond the Headlines: Adoption vs. Governance in Healthcare AI
Signal: synthesis & equityImpact: readiness & trust
This week’s announcements illustrate a central tension in digital health: adoption of AI is accelerating, but frameworks for training, governance and equity are lagging. Physician assistants are embracing AI for documentation and scribing, yet nine in ten say they need more education and only a third have clear guidelines【820764529616947†L804-L823】. Startups like Included Health and Kontakt.io are using AI to personalize care and optimize clinic operations【264826159447782†L123-L145】【407245894474450†L137-L147】, while eClinical Solutions is building agentic tools to manage millions of data points in clinical trials【208115662409836†L57-L83】. These innovations promise efficiency and better outcomes, but they also highlight the risk of “shadow AI” and safety lapses if guardrails are absent.
EY’s 2026 health‑sector outlook underscores this governance gap, urging leaders to develop responsible AI strategies, invest in cybersecurity and prepare for new regulatory and workforce realities【808608743248524†L934-L989】. Meanwhile, only 20 % of health‑system executives believe value‑based care models are progressing, even though 77 % plan to increase participation【602142829452304†L207-L210】. These figures suggest that without robust oversight and reimbursement reforms, AI and digital health tools may widen inequities rather than close them. As we look ahead, the challenge for innovators and policymakers is to pair technological breakthroughs with training, transparency and equitable access so that the benefits of AI are shared across all patient populations.