Scaling integrated digital health

Around the world, countries are facing the challenges of aging populations, growing rates of chronic disease, and workforce shortages, leading to a growing burden on health care systems. From diagnosis to treatment, AI and other digital solutions can enhance the efficiency and effectiveness of health care, easing the burden on straining systems. According to the World Health Organization (WHO), spending an additional $0.24 per patient per year on digital health interventions could save more than two million lives from non-communicable diseases over the next decade.

To work most effectively, digital solutions need to be scaled and embedded in an ecosystem that ensures a high degree of interoperability, data security, and governance. If not, the proliferation of point solutions— where specialized software or tools focus on just one specific area or function—could lead to silos and digital canyons, complicating rather than easing the workloads of health care professionals, and potentially impacting patient treatment. Importantly, technologies that enhance workforce productivity should keep humans in the loop, aiming to augment their capabilities, rather than replace them. 

Through a survey of 300 health care executives and a program of interviews with industry experts, startup leaders, and academic researchers, this report explores the best practices for success when implementing integrated digital solutions into health care, and how these can support decision-makers in a range of settings, including laboratories and hospitals. 

Key findings include: 

Health care is primed for digital adoption. The global pandemic underscored the benefits of value-based care and accelerated the adoption of digital and AI-powered technologies in health care. Overwhelmingly, 96% of the survey respondents say they are “ready and resourced” to use digital health, while one in four say they are “very ready.” However, 91% of executives agree interoperability is a challenge, with a majority (59%) saying it will be “tough” to solve. Two in five leaders say balancing security with usability is the biggest challenge for digital health. With the adoption of cloud solutions, organizations can enjoy the benefits of modernized IT infrastructure: 36% of the survey respondents believe scalability is the main benefit, followed by improved security (28%). 

Digital health care can help health care institutions transform patient outcomes—if built on the right foundations. Solutions like AI-powered diagnostics, telemedicine, and remote monitoring can offer measurable impact across the patient journey, from improving early disease detection to reducing hospital readmission rates. However, these technologies can only support fully connected health care when scaled up and embedded in ecosystems with robust data governance, interoperability, and security. 

Health care data has immense potential—but fragmentation and poor interoperability hinder impact. Health care systems generate vast quantities of data, yet much of it remains siloed or unusable due to inconsistent formats and incompatible IT systems, limiting scalability. 

Digital tools must augment, not overload, the workforce. With global health care workforce shortages worsening, digital solutions like clinical decision support tools, patient prediction, and remote monitoring can be seen as essential aids rather than threats to the workforce. Successful deployment depends on usability, clinician engagement, and training. 

Regulatory evolution, open data policies, and economic sustainability are key to scaling digital health. Even the best digital tools struggle to scale without reimbursement frameworks, regulatory support, and viable business models. Open data ecosystems are needed to unleash the clinical and economic value of innovation. Regulatory and reimbursement innovation is also critical to transitioning from pilot projects to high-impact, system-wide adoption.

Download the full report.

This content was produced by Insights, the custom content arm of MIT Technology Review. It was not written by MIT Technology Review’s editorial staff.

This content was researched, designed, and written entirely by human writers, editors, analysts, and illustrators. This includes the writing of surveys and collection of data for surveys. AI tools that may have been used were limited to secondary production processes that passed thorough human review.

Shoring up global supply chains with generative AI

The outbreak of covid-19 laid bare the vulnerabilities of global, interconnected supply chains. National lockdowns triggered months-long manufacturing shutdowns. Mass disruption across international trade routes sparked widespread supply shortages. Costs spiralled. And wild fluctuations in demand rendered tried-and-tested inventory planning and forecasting tools useless.

“It was the black swan event that nobody had accounted for, and it threw traditional measures for risk and resilience out the window,” says Matthias Winkenbach, director of research at the MIT Center for Transportation and Logistics. “Covid-19 showed that there were vulnerabilities in the way the supply chain industry had been running for years. Just-in-time inventory, a globally interconnected supply chain, a lean supply chain—all of this broke down.”

It is not the only catastrophic event to strike supply chains in the last five years either. For example, in 2021 a six-day blockage of the Suez Canal—a narrow waterway through which 30% of global container traffic passes—added further upheaval, impacting an estimated $9.6 billion in goods each day that it remained impassable.

These shocks have been a sobering wake-up call. Now, 86% of CEOs cite resilience as a priority issue in their own supply chains. Amid ongoing efforts to better prepare for future disruptions, generative AI has emerged as a powerful tool, capable of surfacing risk and solutions to circumnavigate threats.

Download the full article.

This content was produced by Insights, the custom content arm of MIT Technology Review. It was not written by MIT Technology Review’s editorial staff.

This content was researched, designed, and written entirely by human writers, editors, analysts, and illustrators. This includes the writing of surveys and collection of data for surveys. AI tools that may have been used were limited to secondary production processes that passed thorough human review.

Building customer-centric convenience

In the U.S., two-thirds of the country’s 150,000 convenience stores are run by independent operators. Mom-and-pop shops, powered by personal relationships and local knowledge, are the backbone of the convenience sector. These neighborhood operators have long lacked the resources needed to compete with larger chains when it comes to technology, operations, and customer loyalty programs. 

As consumer expectations evolve, many small business owners find themselves grappling with outdated systems, rising costs, and limited digital tools to keep up.

“What would happen if these small operations could combine their knowledge of their market, of their neighborhood, with the state-of-the-art technology?” asks GM of digital products, mobility, and convenience for the Americas at bp, Tarang Sethia. That question is shaping a years-long, multi-pronged initiative to bring modern retail tools, like cloud-connected point-of-sale systems and personalized AI, into the hands of local convenience store operators, without stripping their independence. 

Sethia’s mission is to close the digital gap. bp’s newly launched Earnify app centralizes loyalty rewards for convenience stores across the country, helping independent stores build repeat business with data-informed promotions. Behind the scenes, a cloud-based operating system can proactively monitor store operations and infrastructure to automate fixes to routine issues and reduce costly downtime. This is especially critical for businesses that double as their own IT departments. 

“We’ve aggregated all of that into one offering for our customers. We proactively monitor it. We fix it. We take ownership of making sure that these systems are up. We make sure that the systems are personalizing offers for the customers,” says Sethia. 

But the goal isn’t to corporatize corner stores. “We want them to stay local,” says Sethia. “We want them to stay the mom-and-pop store operator that their customers trust, but we are providing them the tools to run their stores more efficiently and to delight their guests.”

From personalizing promotions to proactively resolving technical issues to optimizing in-store inventory, the success of AI should be measured, says Sethia, by its ability to make frontline workers more effective and customers more loyal.

The future, Sethia believes, lies in thoughtful integration of technology that centers humans rather than replacing them. 

“AI and other technologies should help us create an ecosystem that does not replace humans, but actually augments their ability to serve consumers and to serve the consumers so well that the consumers don’t go back to their old ways.”

This episode of Business Lab is produced in association with Infosys Cobalt.

Full Transcript 

Megan Tatum: From MIT Technology Review, I’m Megan Tatum, and this is Business Lab, the show that helps business leaders make sense of new technologies coming out of the lab and into the marketplace. 

This episode is produced in partnership with Infosys Cobalt. 

Our topic today is innovating with AI. As companies move along in their journey to digitalization and AI adoption, we’re starting to see real-world business models that demonstrate the innovation these emerging technologies enable. 

Two words for you: ecosystem innovation. 

My guest today is Tarang Sethia, the GM of digital products, mobility and convenience for the Americas at BP. 

Welcome, Tarang.

Tarang Sethia: Thank you.

Megan: Lovely to have you. Now, for a bit of context just to start with, could you give us some background about the current convenience store and gas station landscape in the United States and what the challenges are for owners and customers right now?

Tarang: Absolutely. What is important to understand is, what is the state of the market? If you look at the convenience and mobility market, it is a very fragmented market. The growth and profitability are driven by consumer loyalty, store experience, and also buying power of the products that they sell to the customers that come into their stores.

And from an operations perspective, there is a vast difference. If you put the bucket of these single-store smaller operators, these guys are very well run, they are in the community, they know their customers. Sometimes they even know the frequent buyers that are coming in, and they address them by name and keep the product ready. They know their communities and customers, and they have a personal affinity with them. They also know their likes and dislikes. But they also need to rapidly change to the changing needs of the customers. These mom-and-pop stores represent the core of the convenience market. And these constitute about 60% of the entire market.

Now, where the fragmentation lies is, there are also larger operations that are equally motivated to develop strong relationships with customers and they have the scale. They may not match the personal affinity of these mom-and-pop store operators, but they do have the capital to actually leverage data, technology, AI, to personalize and customize their stores for the consumers or the customers that come to their stores. 

And this is like the 25% or 30% of the market. Just to put that number in perspective, out of the 150,000 convenience stores in the US market, 60% constitute almost 100,000 stores, which are mom-and-pop operated. The rest are through organized retail. Okay.

Now let me talk about the problems that they face. In today’s day and age, these mom-and-pop stores don’t have the capital to create a loyalty program and to create those offers that make customers choose to come to the store instead of going to somebody else. They also don’t have a simpler operations technology and the operations ecosystem. What I mean is that they don’t have the systems that stay up, these are still legacy POS systems that run their stores. So they spend a lot of time making the transaction happen.

Finally, what they pay for, say, a bottle of soda, compared to the larger operation, because of the lack of buying power, also eats into their margin. So overall, the problems are that they’re not able to delight their guests with loyalty. Their operations are not simple, and so they do a lot of work to keep their operations up to date and pay a lot more for their operations, both technology and convenience operations. That’s kind of the summary.

Megan: Right, and I suppose there’s a way to help them address these challenges. I know bp has created this new way to reach convenience store owners to offer various new opportunities and products. Could you tell us a bit about what you’ve been working on? For example, I know there’s an app, point of sale and payment systems, and a snack brand, and also how these sort of benefit convenience store owners and their customers in this climate that we’re talking about.

Tarang: So bp is in pursuit of these digital first customer experiences that don’t replace the one-on-one human interactions of mom-and-pop store operators, but they amplify that by providing them with an ecosystem that helps them delight their guests, run their stores simply and more efficiently, and also reduce their cost while doing so. And what we have done as bp is, we’ve launched a suite of customer solutions and an innovative retail operating system experience. We’ve branded it Crosscode so that it works from the forecourt to the backcourt, it works for the consumers, it works for the stores to run their stores more efficiently, and we can leverage all kinds of technologies like AI to personalize and customize for the customers and the stores.

The reason why we did this is, we asked ourselves, what would happen if these small operations could combine their knowledge of their market, of their neighborhood, with the state-of-the-art technology? That’s how we came up with a consumer app called Earnify. It is kind of the Uber of loyalty programs. We did not name it BPme. We did not name it BP Rewards or ampm or Thorntons. We created one standardized loyalty program that would work in the entire country to get more loyal consumers and drive their frequency, and we’ve scaled it to about 8,000 stores in the last year, and the results are amazing. There are 68% more active, loyal consumers that are coming through Earnify nationally. 

And the second piece, which is even more important is, which a lot of companies haven’t taken care of, is a simple to operate, cloud-based retail operating system, which is kind of the POS, point of sale, and the ecosystem of the products that they sell to customers and payment systems. We have applied AI to make a lot of tasks automated in this retail operating system.

What that has led to is 20% reduction in the operating costs for these mom-and-pop store operators. That 20% reduction in operating costs, goes directly to the bottom line of these stores. So now, the mom-and-pop store operators are going to be able to delight their guests, keeping their customers loyal. Number two, they’re able to spend less money on running their store operations. And number three, very, very, very important, they are able to spend more time serving the guests instead of running the store.

Megan: Yeah, absolutely. Really fantastic results that you’ve achieved there already. And you touched on a couple of the sort of technologies you’ve made use of there, but I wondered if you could share a bit more detail on what additional technologies, like cloud and AI, did you adopt and implement, and perhaps what were some of the barriers to adoption as well?

Tarang: Absolutely. I will first start with how did we enable these mom-and-pop store operators to delight their guests? The number one thing that we did was we first started with a basic points-based loyalty program where their guests earn points and value for both fueling at the fuel pump and buying convenience store items inside the store. And when they have enough points to redeem, they can redeem them either way. So they have value for going from the forecourt to the backcourt and backcourt to the forecourt. Number one thing, right? Then we leveraged data, machine learning, and artificial intelligence to personalize the offer for customers.

If you’re on Earnify and I am in New York, and if I were a bagel enthusiast, then it would send me offers of a bagel plus coffee. And say my wife likes to go to a convenience store to quickly pick up a salad and a diet soda. She would get offers for that, right? So personalization. 

What we also applied is, now these mom-and-pop store operators, depending on the changing seasons or the changing landscape, could create their own offers and they could be instantly available to their customers. That’s how they are able to delight their guests. Number two is, these mom-and-pop store operators, their biggest problem with technology is that it goes down, and when it goes down, they lose sales. They are on calls, they become the IT support help desk, right? They’re trying to call five different numbers.

So we first provided a proactively monitored help desk. So when we leveraged AI technology to monitor what is working in their store, what is not working, and actually look at patterns to find out what may be going down, like a PIN pad. We would know hours before, looking at the patterns that the PIN pad may have issues. We proactively call the customer or the store to say, “Hey, you may have some problems with the PIN pad. You need to replace it, you need to restart it.”

What that does is, it takes away the six to eight hours of downtime and lost sales for these stores. That’s a proactively monitored solution. And also, if ever they have an issue, they need to call one number, and we take ownership of solving the problems of the store for them. Now, it’s almost like they have an outsourced help desk, which is leveraging AI technology to both proactively monitor, resolve, and also fix the issues faster because we now know that store X also had this issue and this is what it took to resolve, instead of constantly trying to resolve it and take hours.

The third thing that we’ve done is we have put in a cloud-based POS system so we can constantly monitor their POS. We’ve connected it to their back office pricing systems so they can change the prices of products faster, and [monitor] how they are performing. This actually helps the store to say, “Okay, what is working, what is not working? What do I need to change?” in almost near real-time, instead of waiting hours or days or weeks to react to the changing customer needs. And now they don’t need to make a decision. Do I have the capital to invest in this technology? The scale of bp allows them to get in, to leverage technology that is 20% cheaper and is working so much better for them.

Megan: Fantastic. Some really impactful examples of how you’ve used technology there. Thank you for that. And how has bp also been agile or quick to respond to the data it has received during this campaign?

Tarang: Agility is a mindset. What we’ve done is to bring in a customer-obsessed mindset. Like our leader Greg Franks talks about, we have put the customer at the heart of everything that we do. For us, customers are people who come to our stores and the people on the frontline who serve them. Their needs are of the utmost importance. What we did was, we changed how we went to business about them. Instead of going to vendors and putting vendors in charge of the store technology and consumer technology, we took ownership. We built out a technology team that was trained in the latest tools and technologies like AI, like POS, like APIs.

Then we changed the processes of how quickly we go to market. Instead of waiting two years on an enterprise project and then delivering it three years later, what we said was, “Let’s look at an MVP experience, most valuable experience delivered through a product for the customers.” And we started putting it in the stores so that the store owners could start delighting their guests and learning. Some things worked, some didn’t, but we learned much faster and were able to react almost on a weekly basis. Our store owners now get these updates on a biweekly basis instead of waiting two years or three years.

Third, we’ve applied an ecosystem mindset. Companies like Airbnb and Uber are known for their aggregator business models. They don’t do everything themselves, and we don’t do everything ourselves. But what we have done is, we’ve become an aggregator of all the capabilities, like consumer app, like POS, like back office or convenience value chain, like pricing, like customer support. We’ve aggregated all of that into one offering for our customers. We proactively monitor it. We fix it. We take ownership of making sure that these systems are up. We make sure that the systems are personalizing offers for the customers. So the store owner can just focus on delighting their guests.

We have branded this as Crosscode Retail Operating System, and we are providing it as a SaaS service. You can see in the name, there’s no bp in the name because, unlike the very big convenience players, we are not trying to make them into a particular brand that we want them. We want them to stay local. We want them to stay the mom-and-pop store operator that their customers trust, but we are providing them the tools to run their stores more efficiently and to delight their guests.

Megan: Really fantastic. And you mentioned that this was a very customer-centric approach that you took. So, how important was it to focus on that customer experience, in addition to the 

technology and all that it can provide?

Tarang: The customer experience was the most important thing. We could have started with a project and determined, “Hey, this is how it makes money for bp first.” But we said, “Okay, let’s look at solving the core problems of the customer.” Our customer told us, “Hey, I want to pay frictionlessly at the pump, when I come to the pump.” So what did we do? We launched pay for fuel feature, where they can come to the pump, they don’t need to take their wallet out. They just take their app out and choose what pump and what payment method. 

Then they said, “Hey, I don’t get any value from buying fuel every week and going inside. These are two different stores for me.” So what did we do? We launched a unified loyalty program. Then the store owner said, “Hey, my customers don’t like the same offers that you do nationally.” So what did we do? We created both personalized offers and build-your-own offers for the store owner. 

Finally, to be even more customer-obsessed, we said that being customer-obsessed doesn’t just happen. We have to measure it. We are constantly measuring how the consumers are rating the offers in our app and how the consumers are rating that experience. And we made a dramatic shift. The consumers, if you go to the Earnify app in the app store, they’re rating it as 4.9. 

We have 68% more loyal consumers. We are also measuring these loyal consumers, how often they are coming and what they are buying. Then we said, “Okay, from a store owner perspective, their satisfaction is important.” We are constantly measuring the satisfaction of these store operators and the frontline employees who are operating the systems. Customer satisfaction used to be three out of 10 when we first started, and now, it has reached an 8.7 out of 10, and we are constantly monitoring. Some stores go down because we haven’t paid enough attention. We learn from it and we apply.

Finally, what we’ve also done is with this Earnify app, instead of a local store operator having their own loyalty program with a few hundred customers, how many people are going to download that app? We’ve given them a network of millions of consumers nationwide that can be part of the ecosystem. The technologies that we are using are helping the stores delight the consumers, helping the stores providing the value to the consumers that they see, helping the stores provide the experience to the consumers that they see, and also helping bp to provide the seamless experience to the frontline employees.

Megan: Fantastic. There are some incredible results there in terms of customer satisfaction. Are there any other metrics of success that you’re tracking along the way? Any other kind of wins that you can share so far in the implementation of all of this?

Tarang: We are tracking a very important deeper metric so that we can hold ourselves accountable, the uptime of the store. The meantime to resolve the issues, the sales uplift of the stores, the transaction uplift of the stores. Are the consumers buying more? Are the consumers rating their consumer experience higher? Are they engaging in different offers? Because we may do hundreds of offers. If consumers don’t like it, then they are just offers.

On this journey, we are measuring every metric, and we are making it transparent. That entire team is on the same scorecard of metrics that the customers or the store owners have for the performance of their business. Their performance and the consumer delight are embedded into the metrics on how all of us digital employees are measured.

Megan: Yes, absolutely. It sounds like you’re measuring success through several different lenses, so it’s really interesting to hear about that approach. Given where you are in your journey, as many companies struggle to adopt and implement AI and other emerging technologies, is there any advice that you’d offer, given the lessons you’ve learned so far?

Tarang: On AI, we have to keep it very, very simple. Instead of saying that, “Hey, we are going to create, we are going to use AI technology for the sake of it,” we have to tie the usage of AI technology to the impact it has on the customers. I’ll use four examples on how we are doing that. 

When we say we are leveraging AI to personalize the offers, leveraging data for consumers, what are we measuring, and what are we applying? We are looking at the data of consumer behavior and applying AI models to see, based on the current transactions, how would they react, what would they buy? People living in Frisco, Texas, age, whatever, what do they buy, when do they come, and what are they buying other places?

So let’s personalize offers so that they make that left turn. And we are measuring, whether personalization is driving the delight enough that the consumers come back to the store and don’t go back to their old ways, number one. Number two, what we are also doing is, like I mentioned earlier, we are leveraging data and AI technologies to constantly monitor the trends right in the marketplace, and we’ve created some automation to leverage those trends and act quickly, which also leads to some level of personalization. It’s more regionalization. 

Now, as we do that, we also look at the patterns of what equipment or what transactions are slowing down and we proactively monitor and resolve them. So if the store has issues and if payment has issue, loyalty has issue, or POS has issue, back office has issue, we proactively work on it to resolve that.

Number three that we are doing is, we are looking at the convenience market and we are looking at what is selling and what is in stock, so we are optimizing our supply chain inventory, pricing, and inventory, so that we could enable the store owners to cater to their consumers who come to the stores. This is actually really helping us have the product in the store that the customer actually came for.

Megan: Absolutely. Looking ahead, when you think about the path to generative AI and other emerging technologies? Is there something that excites you the most, kind of looking ahead in the years to come as well?

Tarang: That’s a great question, Megan. I’m going to answer that question a little bit philosophically because as technologists, our tendency is, whenever there is a new technology like generative AI, to create a lot of toys with it, right? But I’ve learned through this experience that whatever technology we use, like generative AI, we need to tie it to the objectives and key results for the consumer and the store. 

As an example, if we are going to leverage generative AI to do personalized offers, to do personalized creative, then we need to be able to create frameworks to measure the impact on the store, to measure the impact on the consumer, and tie that directly to the use of the technology. Are we making the consumers more loyal? Are they coming more often? Are they buying more? Because only then, we will have adopters of that technology, both the store and stores driving the consumers to adopt.

Number two, AI and other technologies should help us create an ecosystem that does not replace humans, but actually augments their ability to serve consumers and to serve the consumers so well that the consumers don’t go back to their old ways. That’s where we have to stay very, very customer-obsessed instead of just business-obsessed.

When I say ecosystem, what excites me the most is, think about it. These small mom-and-pop store operators, these generational businesses, which are the core of the American dream or entrepreneurialism, we are going to enable them with an ecosystem like an Airbnb of mobility and convenience, where they get a loyalty program with personalization, where they can delight their guests. They get technology to run their stores very, very efficiently and reduce their cost by 20%.

Number three, and very important, their frontline employees look like heroes to the guests that are walking into the store. If we achieve these three things and create an ecosystem, then that will drive prosperity leveraging technology. And bp, as a company, we would love to be part of that.

Megan: I think that’s fantastic advice. Thank you so much, Tarang, for that.

Tarang: Thank you.

Megan: That was Tarang Sethia, the GM of digital products, mobility and convenience for the Americas at bp, whom I spoke with from Brighton, England. 

That’s it for this episode of Business Lab. I’m your host, Megan Tatum. I’m a contributing editor and host for Insights, the custom publishing division of MIT Technology Review. We were founded in 1899 at the Massachusetts Institute of Technology, and you can find us in print on the web and at events each year around the world. For more information about us and the show, please check out our website at technologyreview.com.

This show is available wherever you get your podcasts, and if you enjoy this episode, we hope you’ll take a moment to rate and review us. Business Lab is a production of MIT Technology Review. This episode was produced by Giro Studios. Thanks ever so much for listening.

This content was produced by Insights, the custom content arm of MIT Technology Review. It was not written by MIT Technology Review’s editorial staff.

This content was researched, designed, and written entirely by human writers, editors, analysts, and illustrators. This includes the writing of surveys and collection of data for surveys. AI tools that may have been used were limited to secondary production processes that passed thorough human review.

Can crowdsourced fact-checking curb misinformation on social media?

In a 2019 speech at Georgetown University, Mark Zuckerberg famously declared that he didn’t want Facebook to be an “arbiter of truth.” And yet, in the years since, his company, Meta, has used several methods to moderate content and identify misleading posts across its social media apps, which include Facebook, Instagram, and Threads. These methods have included automatic filters that identify illegal and malicious content, and third-party factcheckers who manually research the validity of claims made in certain posts.

Zuckerberg explained that while Meta has put a lot of effort into building “complex systems to moderate content,” over the years, these systems have made many mistakes, with the result being “too much censorship.” The company therefore announced that it would be ending its third-party factchecker program in the US, replacing it with a system called Community Notes, which relies on users to flag false or misleading content and provide context about it.

While Community Notes has the potential to be extremely effective, the difficult job of content moderation benefits from a mix of different approaches. As a professor of natural language processing at MBZUAI, I’ve spent most of my career researching disinformation, propaganda, and fake news online. So, one of the first questions I asked myself was: will replacing human factcheckers with crowdsourced Community Notes have negative impacts on users?

Wisdom of crowds

Community Notes got its start on Twitter as Birdwatch. It’s a crowdsourced feature where users who participate in the program can add context and clarification to what they deem false or misleading tweets. The notes are hidden until community evaluation reaches a consensus—meaning, people who hold different perspectives and political views agree that a post is misleading. An algorithm determines when the threshold for consensus is reached, and then the note becomes publicly visible beneath the tweet in question, providing additional context to help users make informed judgments about its content.

Community Notes seems to work rather well. A team of researchers from University of Illinois Urbana-Champaign and University of Rochester found that X’s Community Notes program can reduce the spread of misinformation, leading to post retractions by authors. Facebook is largely adopting the same approach that is used on X today.

Having studied and written about content moderation for years, it’s great to see another major social media company implementing crowdsourcing for content moderation. If it works for Meta, it could be a true game-changer for the more than 3 billion people who use the company’s products every day.

That said, content moderation is a complex problem. There is no one silver bullet that will work in all situations. The challenge can only be addressed by employing a variety of tools that include human factcheckers, crowdsourcing, and algorithmic filtering. Each of these is best suited to different kinds of content, and can and must work in concert.

Spam and LLM safety

There are precedents for addressing similar problems. Decades ago, spam email was a much bigger problem than it is today. In large part, we’ve defeated spam through crowdsourcing. Email providers introduced reporting features, where users can flag suspicious emails. The more widely distributed a particular spam message is, the more likely it will be caught, as it’s reported by more people.

Another useful comparison is how large language models (LLMs) approach harmful content. For the most dangerous queries—related to weapons or violence, for example—many LLMs simply refuse to answer. Other times, these systems may add a disclaimer to their outputs, such as when they are asked to provide medical, legal, or financial advice. This tiered approach is one that my colleagues and I at the MBZUAI explored in a recent study where we propose a hierarchy of ways LLMs can respond to different kinds of potentially harmful queries. Similarly, social media platforms can benefit from different approaches to content moderation.

Automatic filters can be used to identify the most dangerous information, preventing users from seeing and sharing it. These automated systems are fast, but they can only be used for certain kinds of content because they aren’t capable of the nuance required for most content moderation.

Crowdsourced approaches like Community Notes can flag potentially harmful content by relying on the knowledge of users. They are slower than automated systems but faster than professional factcheckers.

Professional factcheckers take the most time to do their work, but the analyses they provide are deeper compared to Community Notes, which are limited to 500 characters. Factcheckers typically work as a team and benefit from shared knowledge. They are often trained to analyze the logical structure of arguments, identifying rhetorical techniques frequently employed in mis- and disinformation campaigns. But the work of professional factcheckers can’t scale in the same way Community Notes can. That’s why these three methods are most effective when they are used together.

Indeed, Community Notes have been found to amplify the work done by factcheckers so it reaches more users. Another study found that Community Notes and factchecking complement each other, as they focus on different types of accounts, with Community Notes tending to analyze posts from large accounts that have high “social influence.” When Community Notes and factcheckers do converge on the same posts, their assessments are similar, however. Another study found that crowdsourced content moderation itself benefits from the findings of professional factcheckers.

A path forward

At its heart, content moderation is extremely difficult because it is about how we determine truth—and there is much we don’t know. Even scientific consensus, built over years by entire disciplines, can change over time.

That said, platforms shouldn’t retreat from the difficult task of moderating content altogether—or become overly dependent on any single solution. They must continuously experiment, learn from their failures, and refine their strategies. As it’s been said, the difference between people who succeed and people who fail is that successful people have failed more times than others have even tried.

This content was produced by the Mohamed bin Zayed University of Artificial Intelligence. It was not written by MIT Technology Review’s editorial staff.

How cloud and AI transform and improve customer experiences

As AI technologies become increasingly mainstream, there’s mounting competitive pressure to transform traditional infrastructures and technology stacks. Traditional brick-and-mortar companies are finding cloud and data to be the foundational keys to unlocking their paths to digital transformation, and to competing in modern, AI-forward industry landscapes. 

In this exclusive webcast, experts discuss the building blocks for digital transformation, approaches for upskilling employees and putting digital processes in place, and data management best practices. The discussion also looks at what the near future holds and emphasizes the urgency for companies to transform now to stay relevant. 

Learn from the experts

  • Digital transformation, from the ground up, starts by moving infrastructure and data to the cloud
  • AI implementation requires a talent transformation at scale, across the organization
  • AI is a company-wide initiative—everyone in the company will become either an AI creator or consumer

Featured speakers

Mohammed Rafee Tarafdar, Chief Technology Officer, Infosys

Rafee is Infosys’s Chief Technology Officer. He is responsible for the technology vision and strategy, sensing & scaling emerging technologies, advising and partnering with clients to help them succeed in their AI transformation journey and building high technology talent density. He is leading the AI First transformation journey for Infosys and has implemented population and enterprise scale platforms. He is the co-author of “The Live Enterprise” book and has been recognized as a top 50 technology global leader by Forbes in 2023 and Top 25 Tech Wavemaker by Entrepreneur India magazine in 2024.

Sam Jaddi, Chief Information Officer, ADT

Sam Jaddi is the Chief Information Officer for ADT. With more than 26 years of experience in technology innovation, Sam has deep knowledge of the security and smart home industry. His team helps to drive ADT’s business platforms and processes to improve both customer and employee experiences in the future. Sam has helped set the technology strategy, vision and direction for the company’s Digital transformation. Prior to Sam’s role at ADT, he served as Chief Technology Officer at Stanley, overseeing the company’s new security division, leading global integration initiatives, IT strategy, transformation and international operations.

This content was produced by Insights, the custom content arm of MIT Technology Review. It was not written by MIT Technology Review’s editorial staff.

The business of the future is adaptive

Manufacturing is in a state of flux. From supply chain disruptions to rising costs, tougher environmental regulations, and a changing consumer market, the sector faces a series of competing challenges.

But a new way of operating offers a way to tackle complexities head-on: adaptive production hardwires flexibility and resilience into the enterprise, drawing on powerful tools like artificial intelligence, digital twins, and robotics. Taking automation a step further, adaptive production allows manufacturers to respond in real time to demand fluctuations, adapt to supply chain disruptions, and autonomously optimize operations. It also facilitates an unprecedented level of personalization and customization for regional markets.

Time to adapt

The journey to adaptive production is not just about addressing today’s pressures, like rising costs and supply chain disruptions—it’s about positioning businesses for long-term success in a world of constant change. “In the coming years,” says Jana Kirchheim, director of manufacturing for Microsoft Germany, “I expect that new key technologies like copilots, small language models, high-performance computing, or the adaptive cloud approach will revolutionize the shop floor and accelerate industrial automation by enabling faster adjustments and re-programming for specific tasks.” These capabilities make adaptive production a transformative force, enhancing responsiveness and opening doors to systems with increasing autonomy—designed to complement human ingenuity rather than replace it.

These advances enable more than technical upgrades—they drive fundamental shifts in how manufacturers operate. John Hart, professor of mechanical engineering and director of MIT’s Center for Advanced Production Technologies, explains that automation is “going from a rigid high-volume, low-mix focus”—where factories make large quantities of very few products—“to more flexible high-volume, high-mix, and low-volume, high-mix scenarios”—where many product types can be made in custom quantities. These new capabilities demand a fundamental shift in how value is created and captured.

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This content was produced by Insights, the custom content arm of MIT Technology Review. It was not written by MIT Technology Review’s editorial staff.

This content was researched, designed, and written entirely by human writers, editors, analysts, and illustrators. This includes the writing of surveys and collection of data for surveys. AI tools that may have been used were limited to secondary production processes that passed thorough human review.

Enabling human-centric support with generative AI

It’s a stormy holiday weekend, and you’ve just received the last notification you want in the busiest travel week of the year: The first leg of your flight is significantly delayed.

You might expect this means you’ll be sitting on hold with airline customer service for half an hour. But this time, the process looks a little different: You have a brief text exchange with the airline’s AI chatbot, which quickly assesses your situation and places you in a priority queue. Shortly after, a human agent takes over, confirms the details, and gets you rebooked on an earlier flight so you can make your connection. You’ll be home in time to enjoy mom’s pot roast.

Generative AI is becoming a key component of business operations and customer service interactions today. According to Salesforce research, three out of five workers (61%) either currently use or plan to use generative AI in their roles. A full 68% of these employees are confident that the technology—which can churn out text, video, image, and audio content almost instantaneously—will enable them to provide more enriching customer experiences.

But the technology isn’t a complete solution—or a replacement for human workers. Sixty percent of the surveyed employees believe that human oversight is indispensable for effective and trustworthy generative AI.

Generative AI enables people and increases efficiencies in business operations, but using it to empower employees will make all the difference. Its full business value will only be achieved when it is used thoughtfully to blend with human empathy, ingenuity, and emotional intelligence.

Generative AI pilots across industries

Though the technology is still nascent, many generative AI use cases are starting to emerge.

In sales and marketing, generative AI can assist with creating targeted ad content, identifying leads, upselling, cross-selling, and providing real-time sales analytics. When used for internal functions like IT, HR, and finance, generative AI can improve help-desk services, simplify recruitment processes, generate job descriptions, assist with onboarding and exit processes, and even write code.

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This content was produced by Insights, the custom content arm of MIT Technology Review. It was not written by MIT Technology Review’s editorial staff.

Pairing live support with accurate AI outputs

A live agent spends hours each week manually documenting routine interactions. Another combs through multiple knowledge bases to find the right solution, scrambling to piece it together while the customer waits on hold. A third types out the same response they’ve written dozens of times before.

These repetitive tasks can be draining, leaving less time for meaningful customer interactions—but generative AI is changing this reality. By automating routine workflows, AI augments the efforts of live agents, freeing them to do what they do best: solving complex problems and applying human understanding and empathy to help customers during critical situations.

“Enterprises are trying to rush to figure out how to implement or incorporate generative AI into their business to gain efficiencies,” says Will Fritcher, deputy chief client officer at TP. “But instead of viewing AI as a way to reduce expenses, they should really be looking at it through the lens of enhancing the customer experience and driving value.”

Doing this requires solving two intertwined challenges: empowering live agents by automating routine tasks and ensuring AI outputs remain accurate, reliable, and precise. And the key to both these goals? Striking the right balance between technological innovation and human judgment.

A key role in customer support

Generative AI’s potential impact on customer support is twofold: Customers stand to benefit from faster, more consistent service for simple requests, while
also receiving undivided human attention for complex, emotionally charged situations. For employees, eliminating repetitive tasks boosts job satisfaction and reduces burnout.The tech can also be used to streamline customer support workflows and enhance service quality in various ways, including:

Automated routine inquiries: AI systems handle straightforward customer requests, like resetting passwords or checking account balances.

Real-time assistance: During interactions, AI pulls up contextually relevant resources, suggests responses, and guides live agents to solutions faster.

Fritcher notes that TP is relying on many of these capabilities in its customer support solutions. For instance, AI-powered coaching marries AI-driven metrics with human expertise to provide feedback on 100% of customer interactions, rather than the traditional 2%
to 4% that was monitored pre-generative AI.

Call summaries: By automatically documenting customer interactions, AI saves live agents valuable time that can be reinvested in customer care.

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This content was produced by Insights, the custom content arm of MIT Technology Review. It was not written by MIT Technology Review’s editorial staff.

The 8 worst technology failures of 2024

They say you learn more from failure than success. If so, this is the story for you: MIT Technology Review’s annual roll call of the biggest flops, flimflams, and fiascos in all domains of technology.

Some of the foul-ups were funny, like the “woke” AI which got Google in trouble after it drew Black Nazis. Some caused lawsuits, like a computer error by CrowdStrike that left thousands of Delta passengers stranded. We also reaped failures among startups that raced to expand from 2020 to 2022, a period of ultra-low interest rates. But then the economic winds shifted. Money wasn’t free anymore. The result? Bankruptcy and dissolution for companies whose ambitious technological projects, from vertical farms to carbon credits, hadn’t yet turned a profit and might never do so.

Read on.

Woke AI blunder

ai-generated image of a female pope

GOOGLE GEMINI VIA X.COM/END WOKENESS

People worry about bias creeping into AI. But what if you add bias on purpose? Thanks to Google, we know where that leads: Black Vikings and female popes.

Google’s Gemini AI image feature, launched last February, had been tuned to zealously showcase diversity, damn the history books. Ask Google for a picture of German soldiers from World War II, and it would create a Benetton ad in Wehrmacht uniforms. 

Critics pounced and Google beat an embarrassed retreat. It paused Gemini’s ability to draw people and agreed its well-intentioned effort to be inclusive had “missed the mark.” 

The free version of Gemini still won’t create images of people. But paid versions will. When we asked for an image of 12 CEOs of public biotech companies, the software produced a photographic-quality image of middle-aged white men. Less than ideal. But closer to the truth. 

More: Is Google’s Gemini chatbot woke by accident, or by design? (The Economist), Gemini image generation got it wrong. We’ll do better. (Google)


Boeing Starliner

Boeing CST-100 Starliner

THE BOEING COMPANY VIA NASA

Boeing, we have a problem. And it’s your long-delayed reusable spaceship, the Starliner, which stranded NASA astronauts Sunita “Suni” Williams and  Barry “Butch” Wilmore on the International Space Station.

The June mission was meant to be a quick eight-day round trip to test Starliner before it embarked on longer missions. But, plagued by helium leaks and thruster problems, it had to come back empty. 

Now Butch and Suni won’t return to Earth until 2025, when a craft from Boeing competitor SpaceX is scheduled to bring them home. 

Credit Boeing and NASA with putting safety first. But this wasn’t Boeing’s only malfunction during 2024. The company began the year with a door blowing off one of its planes midflight, faced a worker strike, agreed to a major fine for misleading the government about the safety of its 737 Max airplane (which made our 2019 list of worst technologies), and saw its CEO step down in March.

After the Starliner fiasco, Boeing fired the chief of its space and defense unit. “At this critical juncture, our priority is to restore the trust of our customers and meet the high standards they expect of us to enable their critical missions around the world,” Boeing’s new CEO, Kelly Ortberg, said in a memo.

More: Boeing’s beleaguered space capsule is heading back to Earth without two NASA astronauts (NY Post), Boeing’s space and defense chief exits in new CEO’s first executive move (Reuters), CST-100 Starliner (Boeing)


CrowdStrike outage

MITTR / ENVATO

The motto of the cybersecurity company CrowdStrike is “We stop breaches.” And it’s true: No one can breach your computer if you can’t turn it on.

That’s exactly what happened to many people on July 19, when thousands of Windows computers at airlines, TV stations, and hospitals started displaying the “blue screen of death.” 

The cause wasn’t hackers or ransomware. Instead, those computers were stuck in a boot loop because of a bad update shipped by CrowdStrike itself. CEO George Kurtz jumped on X to say the “issue” had been identified as a “defect” in a single computer file.

So who is liable? CrowdStrike customer Delta Airlines, which canceled 7,000 flights, is suing for $500 million. It alleges that the security firm caused a “global catastrophe” when it took “uncertified and untested shortcuts.” 

CrowdStrike countersued. It says Delta’s management is to blame for its troubles and that the airline is due little more than a refund. 

More: “Crowdstrike is working with customers(George Kurtz), How to fix a Windows PC affected by the global outage (MIT Technology Review), Delta Sues CrowdStrike Over July Operations Meltdown (WSJ)


Vertical farms

a blighted brown leaf of lettuce

MITTR / ENVATO

Grow lettuce in buildings using robots, hydroponics, and LED lights. That’s what Bowery, a “vertical farming” startup, raised over $700 million to do. But in November, Bowery went bust, making it the biggest startup failure of the year, according to the business analytics firm CB Insights. 

Bowery claimed that vertical farms were “100 times more productive” per square foot than traditional farms, since racks of plants could be stacked 40 feet high. In reality, the company’s lettuce was more expensive, and when a stubborn plant infection spread through its East Coast facilities, Bowery had trouble delivering the green stuff at any price.

More: How a leaf-eating pathogen, failed deals brought down Bowery Farming (Pitchbook), Vertical farming “unicorn” Bowery to shut down (Axios)


Exploding pagers

an explosion behind a pager

MITTR / ADOBE STOCK

They beeped, and then they blew up. Across Lebanon, fingers and faces were shredded in what was called Israel’s “surprise opening blow in an all-out war to try to cripple Hezbollah.” 

The deadly attack was diabolically clever. Israel set up shell companies that sold thousands of pagers packed with explosives to the Islamic faction, which was already worried that its phones were being spied on. 

A coup for Israel’s spies. But was it a war crime? A 1996 treaty prohibits intentionally manufacturing “apparently harmless objects” designed to explode. The New York Times says nine-year-old Fatima Abdullah died when her father’s booby-trapped beeper chimed and she raced to take it to him.

More: Israel conducted Lebanon pager attack… (Axios), A 9-Year-Old Girl Killed in Pager Attack Is Mourned in Lebanon (New York Times), Did Israel break international law? (Middle East Eye)


23andMe

The 23 and me logo protruding from a cardboard box of desk items held by an office worker.

MITTR / ADOBE STOCK

The company that pioneered direct-to-consumer gene testing is sinking fast. Its stock price is going toward zero, and a plan to create valuable drugs is kaput after that team got pink slips this November.

23andMe always had a celebrity aura, bathing in good press. Now, though, the press is all bad. It’s a troubled company in the grip of a controlling founder, Anne Wojcicki, after its independent directors resigned en masse this September. Customers are starting to worry about what’s going to happen to their DNA data if 23andMe goes under.

23andMe says it created “the world’s largest crowdsourced platform for genetic research.” That’s true. It just never figured out how to turn a profit. 

More:  23andMe’s fall from $6 billion to nearly $0 (Wall Street Journal), How to…delete your 23andMe data (MIT Technology Review), 23andMe Financial Report, November 2024 (23andMe)


AI slop

ai-generated image of a representation of Jesus with outspread arms and body composed of shrimp parts

AUTHOR UNKNOWN VIA WIKIMEDIA COMMONS

Slop is the scraps and leftovers that pigs eat. “AI slop” is what you and I are increasingly consuming online now that people are flooding the internet with computer-generated text and pictures.  

AI slop is “dubious,” says the New York Times, and “dadaist,” according to Wired. It’s frequently weird, like Shrimp Jesus (don’t ask if you don’t know), or deceptive, like the picture of a shivering girl in a rowboat, supposedly showing the US government’s poor response to Hurricane Helene.

AI slop is often entertaining. AI slop is usually a waste of your time. AI slop is not fact-checked. AI slop exists mostly to get clicks. AI slop is that blue-check account on X posting 10-part threads on how great AI is—threads that were written by AI. 

Most of all, AI slop is very, very common. This year, researchers claimed that about half the long posts on LinkedIn and Medium were partly AI-generated.

More: First came ‘Spam.’ Now, With A.I., We’ve got ‘Slop’ (New York Times), AI Slop Is Flooding Medium (Wired)


Voluntary carbon markets

a spindly tree with a cloud of emissions hovering around it

MITTR / ENVATO

Your business creates emissions that contribute to global warming. So why not pay to have some trees planted or buy a more efficient cookstove for someone in Central America? Then you could reach net-zero emissions and help save the planet.

Neat idea, but good intentions aren’t enough. This year the carbon marketplace Nori shut down, and so did Running Tide, a firm trying to sink carbon into the ocean. “The problem is the voluntary carbon market is voluntary,” Running Tide’s CEO wrote in a farewell post, citing a lack of demand.

While companies like to blame low demand, it’s not the only issue. Sketchy technology, questionable credits, and make-believe offsets have created a credibility problem in carbon markets. In October, US prosecutors charged two men in a $100 million scheme involving the sale of nonexistent emissions savings. 

More: The growing signs of trouble for global carbon markets (MIT Technology Review), Running Tide’s ill-fated adventure in ocean carbon removal (Canary Media), Ex-carbon offsetting boss charged in New York with multimillion-dollar fraud (The Guardian) 

Delivering the next-generation barcode

The world’s first barcode, designed in 1948, took more than 25 years to make it out of the lab and onto a retail package. Since then, the barcode has done much more than make grocery checkouts faster—it has remade our understanding of how physical objects can be identified and tracked, creating a new pace and set of expectations for the speed and reliability of modern commerce.

Nearly eighty years later, a new iteration of that technology, which encodes data in two dimensions, is poised to take the stage. Today’s 2D barcode is not only out of the lab but “open to a world of possibility,” says Carrie Wilkie, senior vice president of standards and technology at GS1 US.

2D barcodes encode substantially more information than their 1D counterparts. This enables them to link physical objects to a wide array of digital resources. For consumers, 2D barcodes can provide a wealth of product information, from food allergens, expiration dates, and safety recalls to detailed medication use instructions, coupons, and product offers. For businesses, 2D barcodes can enhance operational efficiencies, create traceability at the lot or item level, and drive new forms of customer engagement.

An array of 2D barcode types supports the information needs of a variety of industries. The GS1 DataMatrix, for example, is used on medication or medical devices, encoding expiration dates, batch and lot numbers, and FDA National Drug Codes. The QR Code is familiar to consumers who have used one to open a website from their phone. Adding a GS1 Digital Link URI to a QR Code enables it to serve two purposes: as both a traditional barcode for supply chain operations, enabling tracking throughout the supply chain and price lookup at checkout, and also as a consumer-facing link to digital information, like expiry dates and serial numbers.

Regardless of type, however, all 2D barcodes require a business ecosystem backed by data. To capture new value from advanced barcodes, organizations must supply and manage clean, accurate, and interoperable data around their products and materials. For 2D barcodes to deliver on their potential, businesses will need to collaborate with partners, suppliers, and customers and commit to common data standards across the value chain.

Driving the demand for 2D barcodes

Shifting to 2D barcodes—and enabling the data ecosystems behind them—will require investment by business. Consumer engagement, compliance, and sustainability are among the many factors driving this transition.

Real-time consumer engagement: Today’s customers want to feel connected to the brands they interact with and purchase from. Information is a key element of that engagement and empowerment. “When I think about customer satisfaction,” says Leslie Hand, group vice president for IDC Retail Insights, “I’m thinking about how I can provide more information that allows them to make better decisions about their own lives and the things they buy.”

2D barcodes can help by connecting consumers to online content in real time. “If, by using a 2D barcode, you have the capability to connect to a consumer in a specific region, or a specific store, and you have the ability to provide information to that consumer about the specific product in their hand, that can be a really powerful consumer engagement tool,” says Dan Hardy, director of customer operations for HanesBrands, Inc. “2D barcodes can bring brand and product connectivity directly to an individual consumer, and create an interaction that supports your brand message at an individual consumer/product level.”

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This content was produced by Insights, the custom content arm of MIT Technology Review. It was not written by MIT Technology Review’s editorial staff.