Flashback, just over a century ago.
Henry Ford, Harvey Firestone, and John Rockefeller are doing a Ted Talk. Someone from the Horse and Buggy Industry asks what his company's biggest business problem is and how they can fix it.
The room explodes in laughter.
Sandeep is transported back to St Joseph, Missouri. It's early 1861. He's CEO of Pony Express Insight. Telegraph technology has been around for over twenty years and is quite successful in most other developed countries. Sandeep thinks, hey, we need to get these letters to Sacramento faster! He makes a pitch to build a railroad that's fueled by dynamite to carry letters faster. The company is gone before the end of the year.
You could literally ask GPT-5 "how do I design a healthcare payment and provision system using AI that's more effective, efficient, equitable, and cheaper than how the USA works." Simple stuff like eliminating private health insurance, for-profit providers, and nickel and diming over claims. You have one pool of people in the USA: humans that breathe. You count up all the cost over a year, divide by per person, and there's your cost. You use AI, etc, maybe tax credits to balance out, and you go.
The biggest problem is that the company shouldn't exist.