Why healthcare needs to think differently about AI

Applications of AI


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An interview with Collective Health’s Ali Diab

went collective healthInc.’s San Mateo headquarters this week is seeking insights into the forecasts and digital health buying patterns of large enterprises. Employer customers use Collective Health to select the healthcare providers and benefits they want to offer to their employees. CEO Ali Diab At his company, he told me, he sees customers scrutinizing their spending more than ever.

He said cost-cutting pressures are fueling employers’ frustration that big health insurers aren’t allowing providers and benefits to experiment and mix. “For employers, I feel more and more constrained.”

Currently, Collective charges employers a fixed monthly fee calculated based on the number of employees. But Diab also said the company is conducting performance-based experiments to see if it can reduce costs while making beneficiaries healthier, such as by encouraging them to receive preventive and behavioral care.

Still, such models can be technically complex, Diab explained. Collectives must be able to assess each member’s specific health risks and recommend next steps such as colonoscopies and mammograms. The company leverages data sources such as beneficiary test results, site interactions, and billing. And even if a beneficiary’s risk assessment succeeds, he said, “whether you can actually engage with the beneficiary is another matter” and the beneficiary can follow the recommendations.

How healthcare should change the way we think about AI

At last week’s STAT Breakthrough Summit, top leaders in medical technology pondered the opportunities and limitations of artificial intelligence, especially generative AI systems like ChatGPT, in healthcare delivery. on stage, Vanna healthof Tom Insel – Previously Mind Strong and Truly — he told me he’s been playing around with the latest large-scale language models to explore their potential in health. “Its ability to adequately support clinical decision-making is frighteningly good.”

“AI is great at creating the documents you need to get paid for in public health,” he said, while in behavioral health, some automation will “make it possible to work tomorrow with just that tool.” It could increase power by 30-40%.” we have now ”

Still, my colleague Brittany Trang writes that there are many misconceptions about AI, and experts have urged the industry to recognize that the application goes far beyond ChatGPT.

“One thing I find very offensive is ChatGPT’s extreme zoom laser focus itself,” he said. Sariais headed by Machine Learning and Healthcare Lab at Johns Hopkins University“People think of ChatGPT as a box. Advances are the technology inside that box, and when trained on other medical data her streams can do even more. Please see here for the detail.

Track FDA progress on health technology

Speaking of artificial intelligence, the FDA commissioner Robert Caliph We gave an overview of AI, digital health, and patient engagement. National Health Council Symposium on Monday. What’s the point? Medical technology is advancing rapidly, and the FDA needs to become more agile to regulate medical technology and better engage patients in the conversation. “I think we are behind. It will be really hard to catch up,” Caliph said.

While government agency frameworks for testing devices that use AI and mobile health apps remain in flux, so are approaches to incorporating patient perspectives, says my colleague Lizzie Lawrence. writes.

AI devices learn and grow from real-world use. This makes it even more difficult for FDA and patients to fully understand the risk-benefit profile at the beginning of the development cycle. Read Lizzy’s message from DC here. (A version of this article was also published in STAT’s DC Diagnosis newsletter. here.)

University of California, San Diego AI Mission Control Center Project

$22 million donation University of California San Diego Health The San Diego Union-Tribune said at a symposium held there late last week that it will back a new center that will house efforts to use artificial intelligence to guide clinical care, and leaders are making plans. It was reported that it is proceeding with. Recent efforts include developing an AI system to predict bowel obstruction and allowing AI to recommend responses to patient emails.Another system to predict sepsis is already available to patients, says chief medical and digital officer at UC San Diego Christopher Longhurst said to Union Tribune.

“We introduced this algorithm six months ago, but in our emergency department, in the last six months, the observed mortality and sepsis expected mortality (vs. It’s the lowest I’ve ever seen,” he said. Still, it will be years before the center is fully operational, Longhurst said.

An update on Carbon’s insurance issues

We reported last week carbon healtha rare public dispute with california national anthem blue cross, refused to raise payment rates for primary care technology companies and subsequently let their contracts expire. (At the time, Carbon said Anthem Blue Cross had refused to reimburse out-of-network claims for patients who continued to visit Carbon, and had just recently stopped processing claims altogether. He denied the accusation.)

Now Anthem — part of the parent company Elevance Health According to Carbon’s blog post, they seem to process these charges and even offer partial refunds for out-of-network visits to Carbon.

Transactions, Earnings, Fundraising

  • Implantable heart attack detection device manufacturer Avertix decided to go public through a merger with BIOS Acquisition.
  • Precision medicine with a focus on the digestive system recurrent health conditions We partner with clinical workflow companies Proof Sell ​​an AI-guided polyp detection tool that clinicians can use during colonoscopies.
  • Direct-to-consumer telemedicine company him and her announced its first quarter earnings this week. Revenue was $190.8 million, up 88% year-on-year, and net loss was $10.1 million (versus $16.3 million in the same period last year).

what we are reading

  • Alphabet plans AI updates at Google I/O, CNBC
  • Why Chatbots Shouldn’t Look Human, The Boston Globe
  • Federal Agents Find $348 Million Inadequate Medicare Bills For Telemedicine Psychotherapy, MobiHealthNews





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