The thinking, free to read and share.
The white paper, the sorting matrix and the newsletter.
Innovation Through Deletion
Why healthcare AI is automating the wrong work, and the methodology for investment that compounds.
For anyone who builds, buys, pays for, invests in or regulates healthcare technology. Includes the four kinds of work, the five steps, the authority test, a prior authorization worked example, the return arithmetic and what ITD asks of each player.
Cite as: Hast, C. E. (2026). Innovation Through Deletion: Why Healthcare AI Is Automating the Wrong Work, and the Methodology for Investment That Compounds. Healthcare 3.0 Resources, LLC. doi:10.5281/zenodo.24122071
The winners of Healthcare 3.0 will build for load-bearing work, and measure the value of their AI by what it deletes.
Free to share, with credit.
Use the ITD sorting matrix in talks, decks and posts. Please credit Claire E. Hast, H3R.Tech.
Load-bearing
Serves the outcome directly. This is the work that should exist.
Diagnosis, treatment decisions, paying a valid claim correctly
AUGMENT WITH AIUnassigned
Real work nobody was given. It lands on whoever is closest.
Care coordination across settings, follow-up nobody owns
ASSIGN IT ON PURPOSECompensation
Covers for a failure upstream. Faster is not fixed.
Prior auth paperwork, appeals, re-keying data between systems
FIX UPSTREAM; KEEP THE CORESediment
Exists because it exists. The reason is gone.
Reports no one reads, duplicate attestations
DELETE ITNew thinking, when there is some.
Analysis of healthcare AI through the ITD lens. No vendor content.