Delete before you automate.
H3R.Tech helps health systems, investors and healthcare leaders find the work to delete before they automate it. Independent, clinically grounded, and unaffiliated with any vendor.
Healthcare AI is automating work that should not exist.
EHR time saved per 8 scheduled hours by ambient scribes across five health systems, before anyone counts the review work.
Share of appealed Medicare Advantage prior authorization denials that were overturned in 2024. Most of the review never changed the answer.
Reported AI returns in revenue cycle versus clinical workflows. AI pays where money moves, not where care happens.
Sources: Rotenstein et al., JAMA 2026; KFF 2026; Bain & Company and Bessemer Venture Partners 2026.
Two questions sort every step.
Innovation Through Deletion (ITD)™ sorts every process step by two questions: does it need the judgment of the person doing it, and does it serve the outcome?
The answers put the work in one of four places: load-bearing, compensation, sediment or unassigned. Only load-bearing work should be automated. The rest gets fixed, assigned or deleted first.
Load-bearing
Serves the outcome directly. This is the work that should exist.
Diagnosis, treatment decisions, paying a valid claim correctly
AUGMENT WITH AIUnassigned
Real work nobody was given. It lands on whoever is closest.
Care coordination across settings, follow-up nobody owns
ASSIGN IT ON PURPOSECompensation
Covers for a failure upstream. Faster is not fixed.
Prior auth paperwork, appeals, re-keying data between systems
FIX UPSTREAM; KEEP THE CORESediment
Exists because it exists. The reason is gone.
Reports no one reads, duplicate attestations
DELETE ITOne lens, four ways to use it.
Find the cost you can remove, safely, before you buy another tool.
ITD Assessment AI governance teamsVet and govern AI with one rule: no accountability without authority.
AI Governance Advisory InvestorsKnow whether a company rests on work that will exist in ten years.
Investor Diligence Conferences and associationsA talk that changes how your audience hears every pitch after it.
Speaking and WorkshopsNothing to sell you but the answer.
H3R.Tech has no vendor partnerships, referral fees or product to sell you. The only thing we recommend is what the outcome requires.
Founder
Built from the bedside.
H3R.Tech was founded by Claire E. Hast, a clinician who spent more than 20 years in ICU, emergency, trauma and perioperative care, including leading clinical operations at a Level II trauma center. ITD came from a question she kept running into: why do so few improvement efforts in healthcare last?
Innovation Through Deletion: the paper
Why healthcare AI is automating the wrong work, what to do instead, and what the return looks like for health systems, payers, builders and investors.