Healthcare AI governance for healthcare CFOs

The problem from this chair

Every AI business case that reaches you counts gross revenue against a vendor invoice, and you have no way to tell a real one from an optimistic one without doing the analysis yourself.

The metrics you are actually measured on

• Total cost of care per attributed life
• Cost per completed visit, fully loaded
• Contribution margin by service line
• Denial write-offs and cost to collect
• Return on the last three technology deployments

Every framework in the library is anchored to metrics like these rather than to model performance, because model performance is not what you are asked about in a board meeting.

Where to start

The ROI calculators. They are built to be argued with — every assumption is a cell you can change, and the sensitivity tab shows you the pessimistic case that most vendor models omit.

The honest limit

Nothing here removes the need for judgment about your own organisation. The instruments make the judgment faster and make it auditable. They do not make it for you.