Healthcare AI System Architecture

 

"𝗧𝗵𝗶𝘀 𝗢𝗻𝗲 𝗗𝗶𝗮𝗴𝗿𝗮𝗺 𝗥𝗲𝗱𝘂𝗰𝗲𝗱 𝗔𝗜 𝗖𝗼𝘀𝘁 𝗯𝘆 𝟳𝟭%"

We didn’t change models. We changed where intelligence lives.

𝗧𝗵𝗲 𝗖𝗼𝗺𝗺𝗼𝗻 𝗠𝗶𝘀𝘁𝗮𝗸𝗲
Most engineering teams try to reduce AI cost by:
• Switching LLM providers
• Tuning prompts endlessly
• Debating benchmarks

That’s not where the leverage is.
The real shift happened when we stopped treating the model as the brain
and started treating the system as the brain.

𝗪𝗵𝗮𝘁 𝗔𝗰𝘁𝘂𝗮𝗹𝗹𝘆 𝗖𝗵𝗮𝗻𝗴𝗲𝗱
We introduced a 𝗠𝗮𝘀𝘁𝗲𝗿 𝗖𝗼𝗻𝘁𝗿𝗼𝗹 𝗣𝗹𝗮𝗻𝗲 (𝗠𝗖𝗣) instead of routing everything to a single LLM.

1️⃣ 𝗖𝗮𝗰𝗵𝗲
Repetitive and near-duplicate requests never hit a model again.
2️⃣ 𝗥𝗼𝘂𝘁𝗲𝗿
SLMs handle execution-heavy tasks.
LLMs handle judgment and ambiguity.
3️⃣ 𝗖𝗼𝗻𝗳𝗶𝗱𝗲𝗻𝗰𝗲 𝗚𝗮𝘁𝗲𝘀
High confidence → instant response
Low confidence → controlled escalation
4️⃣ 𝗙𝗮𝗹𝗹𝗯𝗮𝗰𝗸𝘀
RAG, memory, or a stronger model — only when required.
No blind retries. No runaway costs.

𝗧𝗵𝗲 𝗢𝘂𝘁𝗰𝗼𝗺𝗲
• 71% reduction in AI cost
• Lower latency across workflows
• Predictable production behavior
• Fewer on-call surprises
Same models.
Very different results.

𝗧𝗵𝗲 𝗧𝗮𝗸𝗲𝗮𝘄𝗮𝘆
Architecture beats optimization. Always.