From Endless Meetings to Action: Rebuilding Alignment Before AI Adoption

The challenge

Boston Health Solutions had an ambitious growth model. After years of continuous growth, the CEO wanted to modernize operations and integrate AI to improve claims accuracy and provider experience. But the internal team experienced consistent fatigue. Their systems depended on consistent manual interventions. Their leaders described the problem as “speed.” The real issue was misalignment.

Departments were operating in silos. Meetings were frequent but inconclusive. Initiatives began with enthusiasm and ended with frustration.

When you don’t have alignment at the top, clarity collapses at the bottom.

 

The COO hosted lunch-and-learns, roundtable discussions, and brainstorming sessions with experts, yet productivity continued to stall.

That were eager to leap into AI transformation as they strengthen their structure.

 

The hidden cost of misalignment

Leadership misalignment is not an internal frustration—it’s a measurable financial loss. Global data shows:

For our client, those figures translated into real-world symptoms: missed opportunities, duplicated work, and leaders spending more time talking about the problem and less time solving it. The push for faster results outweighed the need to pause and refocus.

Our approach

Our team came in to assess readiness for AI integration. What we found was clear: technology is not the problem—leadership alignment is.

The shift

Over six months, the tone of leadership conversations changed.

  • Meetings became decision-oriented, not discussion-focused.

  • One meeting a month was designated for open forum discussions.

  • Department heads began collaborating on shared KPIs that were accessible, transparent and clear to different levels of the organization.

  • Workflow design training and implementation started with dedicated time to microlearning and insights.

  • Cross-functional conflicts were addressed directly and resolved quickly.

By the end of the engagement:

The lesson

Technology amplifies what already exists—if your processes are brokeb, AI will simply scale the dysfunction. AI will not fix what alignment neglects.

For transformation can succeed, leaders need to learn to pause, align, and decide together.

Our impact in a sentence

We helped Provider Network Solutions move from roundtable discussions to accountable decisions restoring alignment, rebuilding trust, and setting the stage for sustainable AI transformation.

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Coaching the COO Through Culture Change During a High Stake Merger

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Leadership That Mirrors the Mission: MDC’s Path to Alignment and Agility