He Found $500B Hidden in Healthcare Waste — And Built the AI to Fix It | Ep 283 with Raheel Retiwalla Co-Founder and Chief Product Officer at Boost Health AI
In this episode, Daniel sits down with Raheel Retiwalla, Co-Founder & Chief Product Officer of Boost Health AI, the company unlocking the $500B in administrative waste trapped inside healthcare’s rules, guidelines, and policies. Raheel explains how Boost Health AI structures the complex medical rules buried in PDFs so payers and providers can finally access them consistently, accurately, and in real time. He shares the pivotal moment that convinced him this was the problem worth dedicating his life to—why timing with post-COVID financial strain and generative AI made this mission possible—and how Boost Health AI is rewiring healthcare operations rather than simply speeding them up.
Key Discussion Points
Raheel opens with the moment that shifted his career: a JAMA–McKinsey study revealing $500B in pure administrative waste—not from delivering care but from managing care. He breaks down how the root cause is shockingly simple: healthcare rules trapped inside PDFs, guidelines, and regulations, forcing humans to manually interpret them every time a decision is made.
He explains how generative AI allowed Boost Health AI to extract, structure, and validate these rules at scale, giving payers and providers instant, consistent access to the policies that govern every decision. Raheel walks through why timing mattered: post-COVID financial pressure pushed the industry to seek efficiency, and gen AI arrived at exactly the right moment.
Daniel dives into the deeper challenge: healthcare cannot use black-box AI. Raheel explains why Boost Health AI is built around transparency, citations, auditability, and an open model where payers own their intelligence instead of renting it from vendors. They discuss how unlocking medical policies speeds up authorizations, reduces friction, and creates room for automation across care delivery.
The conversation expands into future impact—rewiring broken processes instead of just accelerating them, shifting from reactive to proactive care, and preparing the system for AI-powered disease detection, drug discovery, and long-term population health.
Takeaways
Listeners learn that the most transformative AI in healthcare won’t diagnose disease—it will fix the invisible machinery beneath it. Raheel shows how Boost Health AI turns chaotic rule interpretation into structured intelligence, unlocking billions in value and reducing the delays that harm patients. This episode reinforces the importance of explainable AI, operational domain mastery, and building technology that rewires industries rather than automating old problems.
Closing Thoughts
Raheel’s story shows that the biggest opportunities in innovation often come from problems no one sees. Boost Health AI is proving that healthcare’s future depends on clear rules, transparent infrastructure, and AI systems that empower—not replace—human decision-makers. His journey reminds founders to look beyond the obvious, solve inefficiencies at their root, and build with transparency, courage, and long-term vision. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
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