Allied Digestive Health didn’t just grow—it transformed. COO Sap Sinha takes us behind the scenes of one of GI’s most effective private equity-backed MSOs. Learn how a digital-first mindset, thoughtful change management, and practical AI adoption are setting the new standard for gastroenterology.

Top Insights from interview: *06:05 - Middleware Matters: Build for Integration, Not IsolationInstead of relying on legacy platforms, ADH redesigned its tech foundation with open, modular systems that allow interoperability across workflows—from scheduling to billing to care coordination.07:30 - Don't Rehire—Rethink the ModelPost-COVID staffing challenges created the opportunity to fundamentally reimagine operations. Rather than rebuild the old structure, ADH merged human roles with automation to create a leaner, smarter model.14:37 - Cash First, Innovation FollowsADH began its transformation with revenue cycle automation—an area that directly impacts cash flow. This strategy built internal confidence and funded broader innovation.19:12 - The EMR Interface Is Becoming InvisibleDocumentation is shifting away from keyboards and templates toward real-time, intelligent capture. The clinician's experience is being reimagined—less typing, more presence.26:09 - Incentive Structures Must Evolve for Innovation to ScaleADH’s hybrid compensation model—balancing individual productivity with group success—enabled collective investment in future-ready initiatives.29:02 - AI Agents Are Already Enhancing Clinical OperationsADH uses AI-driven systems that proactively identify gaps in care and initiate outreach—ensuring patients return for needed visits, without burdening staff.33:22 - Change Management Is the Real Tech StackEvery operational upgrade included human considerations: trust-building, role evolution, and reskilling. Technology was introduced with empathy, not disruption.36:50 - The Org Chart of the Future Is Human-AI HybridADH is already moving toward a model where humans work side-by-side with digital assistants—handling everything from appointment scheduling to financial workflows. This shift enables smaller teams to do more, with higher precision.44:34 - GI Leaders Must See Beyond the Exam RoomSap urges GIs to expand their lens: understand the business, engage with systems thinking, and experiment boldly. The world is changing faster than most realize—and GI must not be left behind.

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