Digital disruptors are coming for ambulatory care—but 2024 revealed the fight is far from over. Walmart shuttered all 51 health clinics. Walgreens wrote down $12.7 billion. Teladoc's stock fell 98%. Meanwhile, Optum now employs 10% of U.S. physicians and Bain projects nontraditional providers will capture 30% of primary care by 2030.So what's actually happening—and can traditional health systems survive?In this conversation, Dr. Roger Kerzner, Medical Director at Heartbeat Health, joins Cole Lyons to unpack why the old episodic care model is failing, what health systems can learn from disruptor failures, and the leadership courage required to navigate a decade-long transformation.00:00 Introduction and Guest Welcome00:23 Discussion on Healthcare Disruption01:56 Ambulatory Care and Business Models04:18 Challenges and Solutions for Incumbents06:48 Value-Based Care and Future Vision11:49 Conclusion and Final Thoughts

Welcome to Strategy of Health by the American Journal of Healthcare Strategy! In this episode, host Cole Lyons sits down with Dr. Matthew Montoya—professor of Systems Engineering at Johns Hopkins and veteran systems thinker—to discuss:-What “systems engineering” really means in healthcare-Dr. Montoya’s career path: from math and engineering to health systems and executive leadership at Johns Hopkins-How systems thinking brings clarity to organizational chaos—and why that matters for patient outcomes-Real-world examples: orchestrating complex projects at scale (like defense, national security, and multi-stakeholder healthcare efforts)-Where AI fits (and doesn’t fit) in system-based problem solving-How healthcare professionals and executives can “get started” with systems engineering or infuse systems thinking into their organizations-Plus: book recommendations like The Fifth Discipline by Peter Senge, and practical tips on education and training for healthcare leaders seeking to implement systems approaches.About Dr. Matthew Montoya:Dr. Montoya serves as professor and mentor at Johns Hopkins University’s Systems Engineering and Healthcare Systems Engineering programs, with over 35 years at Johns Hopkins and national recognition as an outstanding instructor and principal chief engineer. His work applies engineering, systems science, and business acumen to tackle complex problems across industries—from healthcare delivery to national security.​0:00 – Introduction1:24 – Dr. Montoya’s career, background, and role at Johns Hopkins5:32 – Why systems engineering?9:50 – Clarifying chaos: applying systems thinking in practice15:10 – Case study: large-scale defense health project19:00 – Project management vs. systems engineering in healthcare22:45 – Building “pilot” efforts and measuring outcomes28:00 – The impact of AI tools in systems engineering35:40 – Practical advice for healthcare organizations40:55 – Getting started: mindset, books, and educational resources44:00 – Closing thoughts

Angela Adams, RN, CEO of Inflo Health, joins the Strategy of Health podcast to share her journey from critical care nursing at Duke University Medical Center to founding a groundbreaking healthcare technology company. Angela discusses her experience in intensive care, her shift into medical-legal consulting and medical device startups, and how personal tragedy inspired her mission: solving the epidemic of missed radiology follow-ups in health systems.She explains how Inflo Health leverages AI and automation to ensure no actionable patient result is lost in the chaos of healthcare workflows, closing care gaps and relieving staff burden. Angela details her team's innovative platform, the impact on patient outcomes, and advice for clinicians and executives seeking to implement systems thinking and technology in their organizations.Learn about the real-world challenges Angela faced, the broken processes she witnessed, and how Inflo Health is reshaping clinical follow-up—empowering providers, supporting staff, and delivering better patient care.00:00 Introduction to the Strategy of Health Podcast00:42 Angela Adams' Journey from Nurse to CEO01:34 Transitioning to Medical-Legal Consulting and Medical Devices02:19 Entering the Startup World and Embracing Technology03:36 The Birth of Inflow Health04:59 The Personal Story Behind Inflow Health07:37 Challenges in Healthcare Follow-Up Systems09:22 Inflow Health's Innovative Solutions18:42 Building a Radiology-Specific Language Model23:12 Partnerships and Implementation Strategies28:32 Future Directions for Inflow Health31:46 Conclusion and Final Thoughts