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HHS just asked the most important question in healthcare:
How do we fix payment and regulations to actually enable AI adoption?
On December 4, the Department released its AI strategy alongside a Request for Information that cuts straight to the core problem. They’re not asking IF we should use AI in healthcare anymore.
They’re asking HOW to restructure the entire system to make it work.
Think about the implications here.
We have over 1,300 FDA-approved AI medical devices. Yet most collect dust because Medicare won’t pay for them. Only 2 CPT codes exist for newer AI applications despite hundreds of cleared devices.
HHS is essentially saying: Tell us how to blow up these barriers.
The RFI seeks input on three game-changing areas:
📋 Regulatory reforms to speed AI deployment
💰 Payment restructuring to incentivize AI adoption
🔬 R&D investments to prove clinical value
This isn’t another government report that will gather dust. Acting Chief AI Officer Clark Minor is leading this with real authority. The FDA already deployed agentic AI systems agency-wide on December 1st. ChatGPT is available to all HHS employees today.
They’re practicing what they’re preaching.
But here’s what makes this moment different: They’re admitting the current system is broken.
No more pretending that 510(k) clearance equals reimbursement. No more hoping MACs will magically start covering AI. No more waiting for CPT codes that never come.
The 60-day comment period is your chance to reshape healthcare delivery.
Every FQHC struggling with staffing shortages. Every imaging center drowning in volume. Every hospital trying to reduce readmissions. This is your moment to tell HHS exactly what payment and regulatory changes would unleash AI in your organization.
Because if we get this right, we’re not just adding tools to healthcare.
We’re fundamentally changing how care gets delivered.
The question isn’t whether AI will transform healthcare anymore. It’s whether our payment and regulatory systems will let it happen fast enough to save lives.
What regulatory barrier would you eliminate first?
♻️ Repost if healthcare payment systems need to catch up with technology
👉 Follow me, Jonathan Govette, for real-time updates on healthcare technology and business news. LinkedIn Profile: https://www.linkedin.com/in/jonathangovette/
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Author:
CEO/Co-Founder @ Oatmeal Health | AI Lung Cancer Screening | Almost Became a Doctor | Engineer | Follow to Share What I’ve Learned Along the Way
I help patients get the care they need earlier, preventing late-stage cancer.
That’s been the throughline across three companies and almost 20 years in healthcare. At ReferralMD, we fixed broken referral networks so patients didn’t fall through the cracks. At Oatmeal Health, it’s lung cancer: building the diagnostic and screening infrastructure so the 85% of cases caught too late get caught early instead.
Today as CEO of Oatmeal Health, I lead a team embedding AI into radiology workflows to turn routine lung CT scans into reimbursable cancer risk assessments. We partner with FQHCs to reach underserved communities, and with health systems and payers to make early detection economically sustainable. Think HeartFlow or Cleerly, but for lungs.
Between companies, I advised at Techstars and Plug and Play, mentoring founders building in digital health. That experience shaped how I think about what separates companies that ship from companies that stall: distribution, reimbursement, and clinical trust, not just technology.
I’m a CancerX alumnus, a 3x healthcare founder, and someone who believes the biggest problems in cancer aren’t scientific. They’re operational.
We’re hiring mission-driven builders at Oatmeal Health. If you want to work on something that matters, reach out.
When I’m not working, I’m traveling, mentoring, and keeping up with one very energetic husky. 🐾
Substack – The Oatmeal Bite:
Millions of patients get less care because of who they are, where they live, or how they look. I’m fighting to change that. CEO @OatmealHealth, a startup built for the underserved. The Oatmeal Bite: intel for clinicians, investors, and advocates.
Jonathan Govette
CEO of Oatmeal Health
Substack:
https://oatmealhealthjonathangovette.substack.com/
