THE FUTURIST TV
INTERVIEW · HEALTH · HLTH 2025 · 10:33 · Released November 6, 2025

Combine Physician and AI Diagnosis and Sometimes It Gets Worse | Dr Lee Fleisher

A former CMS chief medical officer on the uncomfortable finding, and the funding gap for rural and diverse populations. Book Ian for your event → iankhan.com | booking@iankhan.com SUMMARY Dr Lee Fleisher founded Rubrum Advising after serving in federal health policy. He raises the question being debated in Washington: whether physicians, AI, or the combination produces the best diagnosis and treatment plan, and notes that combining them currently sometimes produces a worse result. He also covers the funding shortfall for rural America. KEY FINDINGS • Whether physicians or AI produce the better diagnosis and treatment plan • Combining them sometimes producing a worse outcome than either alone • Active discussions in Washington on exactly this question • Insufficient funding for rural America and more diverse populations • CMS and Congress focused on delivering rural care • Telemedicine and connectivity as part of that delivery • Ensuring Medicare Advantage delivers for disadvantaged populations NOTABLE QUOTES "If you combine them, right now, sometimes it's worse." — Dr Lee Fleisher GUEST Dr. Lee Fleisher, Founder, Rubrum Advising FULL TRANSCRIPT iankhan.com/futurist/lee-fleisher-rubrum-ai-diagnosis-policy Recorded at HLTH 2025 for The Futurist. ──────────────────── ABOUT IAN KHAN — HEALTHCARE AI KEYNOTE SPEAKER Most AI keynotes end with a better understanding. Mine end with a measured readiness score and a ninety-day plan. Your leadership team is assessed before the event, the

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