Person
1 episodes · 19 quoted claims
Josh Weiner says CVS Health is one of the largest integrated health care companies in the US, with subsidiaries including the insurer Aetna and the pharmacy benefits manager Caremark.
“CVS is one of the largest integrated healthcare companies in the US, with subsidiaries that include Aetna, a health insurer, Caremark, pharmacy benefits manager, the largest retail pharmacy”
Josh Weiner says CVS Health is increasingly expanding into care delivery businesses such as Oak Street Health and Signify.
“as well as increasingly some care delivery businesses. You may have seen in the news Oak Street Health, Signify.”
Josh Weiner says he was born with a rare genetic condition and has dealt with health care challenges firsthand since an early age.
“I was born with a rare genetic condition, and from an early age up until now, I've dealt firsthand with challenges.”
Josh Weiner says that before AI, patients were assigned care plans based on their condition and sometimes gender, age and behavioral preferences.
“for a given person, based on a condition, and if you're lucky, your gender, your age and some understanding of behavioral preferences, you're assigned a care plan.”
Josh Weiner says AI lets CVS Health use long-term unstructured health data, including claims, electronic medical records, labs and wearable data, to personalize care.
“we can now make the most of our longitudinal set of unstructured health data, medical claims, electronic medical records, labs, as well as wearable data.”
Josh Weiner says CVS care management is typically provided by pharmacists or health plan nurses, who do not prescribe medication or perform surgeries.
“it's something that either a pharmacist from the pharmacy business or a nurse from one of the health plans typically provides. And they are not prescribing medication or performing surgeries.”
Josh Weiner says AI agents can share data across different systems without a multi-year, costly integration of legacy systems.
“we can work around different systems and different data models and have agents talk to each other to facilitate data sharing without spending three years and a lot of money trying to integrate legacy systems”
Josh Weiner says CVS Health's subsidiaries use different clinical platforms and data structures, which made building an internal customer 360 view difficult.
“We have all these subsidiaries with different clinical platforms, different data structures. So for us, developing even an internal customer 360 has had the issues you've just described.”
Josh Weiner says CVS Health holds a NoSQL vector database of electronic medical records that was previously impossible to interpret and share.
“We have a whole NoSQL vector database of electronic medical records. It was previously impossible to interpret, impossible to track the data, structure it and share it.”
Josh Weiner says large language models and prompt engineering now let CVS Health convert and share its electronic medical record data.
“Now you can just throw LLMs on top of it and it works. And we can use prompt engineering to figure out how to convert it and share it with all different types of recipients.”
Josh Weiner says he recently saw the third study showing a text-based AI therapist performing at clinical parity with humans.
“Just last week, I saw, I think, now the third study in mental health where they've demonstrated that an AI therapist through text can perform at a level of clinical parity to that of humans.”
Josh Weiner says behavioral health demand far exceeds supply, with appointments taking about four months and often not covered by insurance.
“If you're lucky, you can get an appointment in four months, and even then you may be told, Hey, we don't really take your insurance.”
Josh Weiner predicts that within two or three years everyone could have an affordable AI therapist available at all times.
“I expect in the next two or three years, everyone can have their own AI therapist in their pocket, available to them at all times and incredibly affordable.”
Josh Weiner says CVS Health is putting governance in place to test, co-design and measure the accuracy and effectiveness of its AI experiences.
“We're putting in quite a bit of process and governance to make sure that we're extremely rigorous in how we test, how we co-design these experiences, how we measure accuracy and effectiveness.”
Josh Weiner says CVS Health's AI work starts with back-office and enablement uses and will expand to broader uses as success is shown.
“The starting point is back office and enablement, and it's only over time as we demonstrate success.”
Josh Weiner expects people to use a few agents from major consumer platforms and operating systems, with CVS agents integrating into them.
“I expect that Sam, you'll have a couple agents, predominantly, maybe from some of the major consumer platforms and operating systems you work with today.”
Josh Weiner says he has been building an AI chess coach using tools such as Cursor and GitHub Copilot.
“I've been in the process of building out an AI chess coach using some of these tools like Cursor or GitHub Copilot and so forth.”
Josh Weiner says the Stockfish chess engine gives the best move but doesn't help people learn to become better players.
“And certainly, there's stock fish in your incredible chess algorithm that always tells you the scientifically perfect answer.”
Josh Weiner says he built an app of roughly 40,000 lines of code across five languages using AI, in about 30 hours.
“And I've been able to now roll out an app that's 40, zero lines of code across five languages, just using AI with one person”