Posts in Rajeev Ronanki
The Adaptive Enterprise: Why AI at Scale Requires a New Organizational Metabolism

Over the past eighteen months, corporate language shifted from curiosity about AI to impatience with results. Adoption is widespread. Enterprise impact is not.

McKinsey’s State of AI 2025 found that about 88% of companies now use AI in at least one function and 62% are experimenting with AI agents. Only around 23% report scaling an agentic system somewhere, with single-function scaling rarely breaking into double digits. Only 39% report enterprise-level EBIT lift.

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The Infrastructure Decade: Why Healthcare's AI Future Is Being Built in Layers, Not Launched Overnight

Healthcare’s inefficiencies are not moral failures; they’re architectural ones.

  • Nearly $400 billion in annual administrative waste³.

  • 43 percent of patients waiting more than two weeks for claims settlement³.

  • 55 percent growth in Medicare Advantage denials in a single year³.

These numbers don’t reflect bad intentions—they reflect systems designed for file exchange, not reasoning.

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From Automation to Autonomy: Preparing for Health Plan 2042

In every era of transformative progress, a tipping point emerges—an inflection where yesterday’s impossibilities become the infrastructure of today. In healthcare, we are nearing such a moment. For decades, the health insurance industry has been hindered by administrative complexity, rising costs, and structural inertia. Despite numerous attempts at policy reform, meaningful simplification has remained elusive. But a convergence of emerging technologies—artificial intelligence, decentralized systems, and real-time data networks—is poised to change that.

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