Intelligent Healthcare Ecosystems: Optimizing the Iron Triangle of Healthcare (Access, Cost, Quality)
The United States spends nearly 17% of GDP on healthcare yet continues to face uneven access and outcomes. This well-known trade-off among cost, quality, and access - the "iron triangle" - motivates a system-level redesign. This paper proposes an Intelligent Healthcare Ecosystem (iHE): an integrated, data-driven framework that uses generative AI and large language models, federated learning, interoperability standards (FHIR, TEFCA), and digital twins to improve access and quality while lowering…
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