October 23, 2025

The Conversation No One’s Having About AI: Business Acumen

Every conference. Every webinar. Every LinkedIn post. Someone is talking about AI. But what strikes me most isn’t what’s being said-it’s what’s not being said. We hear endless discussions about AI features, capabilities, and use cases. Yet, the conversation that truly matters is missing: business acumen.

Where are the conversations about how organizations will actually think, plan, and operate differently because of AI? 

If you’re a CEO, COO, or CFO in the healthcare or IDD provider world, this isn’t about chasing the next shiny piece of technology. This is about transforming the way your organization makes decisions, manages teams, and measures success.

AI Isn’t Just About Technology - It’s About Decision Intelligence:

The true value of AI lies not in automation, but in amplifying intelligence across your organization. In most boardrooms, AI discussions still revolve around efficiency, cost savings, and automation. Those are outcomes - not strategy.

True business acumen in the age of AI means asking deeper questions:

  • How can AI help us make faster, data-driven decisions across departments?
  • What does an AI-ready workforce look like - not just tech-savvy, but insight-savvy?
  • Are our leaders prepared to interpret and challenge AI recommendations, not just accept them blindly?

These questions will define which organizations thrive over the next five years - and which get left behind.

Conversations Every Organization Should Be Having:

At every provider conference, we talk about compliance, regulations, staffing, and billing challenges. But to truly future-proof our organizations, we need to start having conversations that combine AI, data, and business acumen.

Here’s what those conversations should sound like:

AI Readiness Isn’t a Department - It’s a Mindset:

Every leadership team must evaluate whether they have the operational literacy to adopt AI strategically - not just the tools, but the mindset to assess ROI, risk, and workflow impact.

Data Is Your Greatest Asset - If You Understand It:

Even the best AI model is useless without strong data governance. CFOs should treat data integrity like financial integrity - audited, standardized, and strategically managed.

Human & Machine Equals Intelligent Operations:

AI doesn’t replace leadership. It enhances it. Imagine dashboards predicting staffing risks or systems flagging clinical anomalies before they become incidents. That’s not automation - that’s intelligence amplification.

Every AI Tool Must Tie to Measurable Business Outcomes:

Don’t chase trends. Measure success through reduced turnover, improved compliance, or faster reimbursements - not how “smart” your system sounds.

Ethical and Responsible AI Governance Must Be Ongoing:

In healthcare, innovation without governance is a liability. Transparency, accountability, and auditability should define every AI initiative.

Where Business Acumen Meets Technology:

Smart leaders don’t just ask “What can AI do?” They ask “What’s the right ecosystem for us?”

Here are some practical tools and frameworks worth exploring:

  • Microsoft Azure AI & Fabric for secure data orchestration and governance
  • Google Vertex AI or Gemini for predictive modeling and natural language processing
  • Agentic frameworks like LangChain or Microsoft Copilot Studio for building internal AI agents
  • Data lakes and knowledge graphs for organization-wide intelligence
  • Ethical AI policies that align with HIPAA, SOC2, and organizational values

The key is alignment - making sure every AI investment supports your strategic goals, not the other way around.

Why It Matters Now - Especially in IDD and Long-Term Service:

In the IDD and long-term service sectors, margins are tight, staff burnout is real, and compliance is non-negotiable.

Here, AI isn’t just a technology shift. It’s a survival strategy.

  • Predictive analytics can forecast staffing shortages before they occur.
  • Intelligent EHRs can guide DSPs in real time, improving outcomes and compliance simultaneously.
  • AI-powered insights can uncover inefficiencies that no dashboard could ever reveal before.

But all this only works if leadership builds AI acumen alongside business acumen, as if executives don’t understand the language of AI, they’ll either underuse it - or misuse it.

The Call to Action: Lead the AI Conversation with Acumen:

If you’re leading a provider organization today, this is your moment. AI isn’t just the next wave of technology - it’s a leadership test. It will separate those who adopt tools from those who transform organizations. As we step into another season of conferences and industry discussions, it’s time to shift focus:

Let’s stop talking about what AI can do and start exploring what we must do to lead with intelligence, insight, and acumen. Because the future of healthcare - and business - won’t belong to those with the most advanced technology.

It will belong to those with the wisdom to use it right.

About the Author

Babar Nawaz is the Co-Founder and COO of iCareManager, a leading EHR and service management platform serving providers across the U.S. and Canada. With over two decades of experience in software, operations, and healthcare transformation, Babar is passionate about bridging the gap between innovation and intelligent leadership in the IDD and long-term service industry.

Blog Details Image

Ready to See iCareManager in Action?

Schedule a personalized demo to see how our EHR platform can streamline your operations and care and support management processes. Book a Demo today to get started!

Book a Personalized Demo