Virtual care is scaling. AI is everywhere. But when lab completion falls from ~70% in-clinic to ~30% in virtual care, the whole model breaks. Virtual Care Without Labs Is Just Zoom - Even with AI. In this Boombostic Health in the Wild episode from HLTH 2025, Bradley Bostic sits down with Maitham Dib, founder of Junction, to unpack the "real" bottleneck: turning lab orders into lab results. They dig into how Junction: * White-labels lab infrastructure so any virtual or hybrid care model can deploy labs across all 50 states * Uses data from ~3.4 million lab tests annually to model what actually drives lab completion * Dynamically routes patients across PSC visits, at-home kits, and at-home phlebotomy - based on real-world behavior * Plugs into telehealth and AI agents that still need working diagnostic rails to be useful Chapters 00:00 – Lab in the basement, but core to care 02:00 – 70% in-clinic vs. ~30% virtual: the lab completion cliff 03:30 – Junction's white-label "Amazon-style" lab experience 06:30 – Three modalities: PSC, at-home kits, at-home phlebotomy 08:20 – "Where is the software actually?" Models on 3.4M lab tests 09:40 – Doctors, AI agents, and the diagnostic infrastructure layer 11:00 – Telehealth, pharma, and diagnostics as a new access door 12:40 – Business model: a new cost in a system that hates new costs Key Takeaways * Virtual care without completed labs is just Zoom. When fulfillment drops from ~70% in-clinic to ~30% in virtual, diagnosis and revenue leak out. * The real AI bottleneck is diagnostics.Agents and navigation tools only work if they can talk to lab infrastructure that actually gets tests done. * Infrastructure beats slogans.White-labeled, data-driven lab rails that convert orders to results are where virtual care and AI either succeed—or quietly fail. #boombostichealth #virtualcare #telehealth #digitalhealth #digitalhealthcare #healthcareinnovation #aiinhealthcare #patientcare #valuebasedcare #healthcare