Sap Sinha is not your typical GI leader—and that’s exactly why I wanted him on The Scope Forward Show. With a background in economics, consulting, and digital health, Sap brings a fresh, systems-level lens to a specialty that often struggles with operational inertia. As COO of Allied Digestive Health, he’s overseen 4x growth, reengineered core infrastructure, and redefined what scalability looks like in GI. This conversation is one of the most practical and thought-provoking explorations we’ve had yet on building the future of gastroenterology.
Full disclosure: Allied Digestive Health is a client of my company, NextServices.
Watch the episode.
Top Insights from the Interview:
1.Middleware Matters: Build for Integration, Not Isolation
Instead of relying on legacy platforms, ADH redesigned its tech foundation with open, modular systems that allow interoperability across workflows—from scheduling to billing to care coordination.
2. Don’t Rehire—Rethink the Model
Post-COVID staffing challenges created the opportunity to fundamentally reimagine operations. Rather than rebuild the old structure, ADH merged human roles with automation to create a leaner, smarter model.
3. Cash First, Innovation Follows
ADH began its transformation with revenue cycle automation—an area that directly impacts cash flow. This strategy built internal confidence and funded broader innovation.
4. The EMR Interface Is Becoming Invisible
Documentation is shifting away from keyboards and templates toward real-time, intelligent capture. The clinician’s experience is being reimagined—less typing, more presence.
5. Incentive Structures Must Evolve for Innovation to Scale
ADH’s hybrid compensation model—balancing individual productivity with group success—enabled collective investment in future-ready initiatives.
6. AI Agents Are Already Enhancing Clinical Operations
ADH uses AI-driven systems that proactively identify gaps in care and initiate outreach—ensuring patients return for needed visits, without burdening staff.
7. Change Management Is the Real Tech Stack
Every operational upgrade included human considerations: trust-building, role evolution, and reskilling. Technology was introduced with empathy, not disruption.
8. The Org Chart of the Future Is Human-AI Hybrid
ADH is already moving toward a model where humans work side-by-side with digital assistants—handling everything from appointment scheduling to financial workflows. This shift enables smaller teams to do more, with higher precision.
9. GI Leaders Must See Beyond the Exam Room
Sap urges GIs to expand their lens: understand the business, engage with systems thinking, and experiment boldly. The world is changing faster than most realize—and GI must not be left behind.