In our latest Top of the Ladder feature, we sat down with Ian Koons to discuss his path into healthcare, why cardiology has resisted value-based care for so long, what it means to build infrastructure rather than another app, how Karoo wraps care around patients between appointments, and where he sees the future of cardiovascular care.
Historically, healthcare has not been known for adopting technology quickly. Electronic health records (EHRs) took more than a decade to move from early adopters to near-universal use across U.S. hospitals and office-based physicians. Meanwhile, ambient AI scribes now run in roughly two-thirds of U.S. health systems, the most widely adopted AI application in the sector, with adoption in that category growing 62% in a single year. The contrast signals that when value is obvious and integration is simple, this industry can move at the pace of any other.