Bridging the Gap Between Technology Leadership and Healthcare Economics

Sushrut Naik

sushrut.s.naik@gmail.com

Independent Researcher

8280 164th Avenue NE Unit 407 Redmond WA 98052

Abstract
The spending on Healthcare technology in the United States will exceed $400 billion by 2027. Even when the spending is nearly 25% of the GDP, the investment fails to produce appreciable financial returns. This is not because the technology is flawed, but because of the disconnect between the people who build/buy technology and the reimbursement models that determine revenue. Drawing on research from Health Affairs, HFMA, the CHIME Digital Health Survey, and case studies from CommonSpirit Health, Intermountain, and Geisinger, we examine how aligning technology architecture with reimbursement strategy can multiply ROI by 3–5x, and how economics-ignorant technology decisions routinely destroy value at scale [3][4][5]. We also confront the industry gap: fewer than one in four CIOs or CTOs in U.S. health systems report functional literacy in value-based reimbursement, risk adjustment, or payer contract economics [6].

Keywords: healthcare economics, technology leadership, reimbursement models, value-based care, CIO strategy, revenue cycle, risk adjustment, health IT investment, payer-provider economics, digital health ROI