Healthcare faces numerous challenges, including workforce shortages, high costs, and ineffective outcomes, which executives are looking to address through technology such as AI and virtual care. Opinions differ on whether incremental gains or a full system transformation is needed. Arthur Gianelli of Mount Sinai Health System advocates for experimentation and learning through practice. Sachin Jain, president and CEO of SCAN Group and Health Plan, criticizes the lack of substantial change, urging healthcare leaders to shut down ineffective programs and make difficult decisions to define value-based care. Both agree on the transformative potential of AI, with Gianelli emphasizing its role in improving health outcomes and altering workforce needs.