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Why health care needs to shift its thinking on AI

by Universalwellnesssystems

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Sitting with Collective Health’s Ali Diab

went collective health‘s San Mateo headquarters this week are looking for insights into forecasts and digital health buying patterns for large companies. Employer customers use Collective Health to select the providers and benefits they want to offer to their employees. CEO Ali Diab His company told me it sees customers scrutinizing their spending more than ever.

The pressure to cut costs is driving employers’ frustration that large health insurers aren’t allowing providers and benefits to experiment and mix, he said. “For employers, they’re feeling 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 experimenting with performance-based pay-for-performance programs that reduce costs while making beneficiaries healthier, such as by encouraging them to receive preventive or behavioral care. If possible.

Still, this kind of model can be technically complex, Diab explained. Collectives must be able to assess each member’s specific health risks and recommend next steps, such as undergoing a colonoscopy or mammogram. It utilizes data sources such as claims. And even if they do a good job of assessing the risks to the beneficiaries, “whether or not you can actually engage them is another thing,” he said, so they’ll follow up on their recommendations.

How healthcare should change the way we think about AI

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

“AI can get paid because it’s so good at producing the kinds of documents that are needed in the public health space,” he said, while for behavioral health, some automation will ” The tools alone can increase tomorrow’s workforce by 30-40%.” we have now

Still, misconceptions about AI abound, and experts have urged the industry to recognize that the application is far beyond ChatGPT, writes colleague Brittany Trang.

“One thing I find very annoying is the extreme zoom laser focus of ChatGPT itself,” he said. Sutisaliawho Machine Learning and Healthcare Lab at Johns Hopkins University“People think of ChatGPT as a box. Get more done by training with the healthcare data stream in . Click here for details.

Tracking FDA’s progress on medical technology

Speaking of artificial intelligence, the FDA Commissioner Robert Caliph Outlined AI, digital health, and patient engagement National Health Council Symposium on Monday. core? Medical technology is advancing rapidly, and the FDA needs to be much more agile to regulate it and engage patients in the conversation. “I think we are falling behind. It will be really difficult to catch up,” said the Caliph.

Institutional frameworks for testing devices that use AI and mobile health apps remain in flux, as does their approach to eliciting patient perspectives, writes my colleague Lizzie Lawrence. increase.

AI device Learn and grow from real-world useAs such, it is more difficult for FDA and patients to understand the full risk/benefit profile at the beginning of the development cycle. Read Lizzie’s dispatch from DC here. (A version of this article was also published in STAT’s DC Diagnostics newsletter. here.)

Plans for AI Mission Control Center at UC San Diego

$22 million donation UC San Diego Health Support new centers that house efforts to use artificial intelligence to guide clinical care. The leader is on track with his plan. San Diego Union Tribune A report from the symposium held late last week. 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 reaching patients, says chief medical and digital officer at UC San Diego Health Christopher Longhurst said to Union Tribune.

“We implemented this algorithm six months ago. It showed the lowest value,” he said. Still, it will be many years before the center is fully operational, Longhurst said.

Carbon insurance updates

reported last week carbon healtha rare public controversy with Anthem Blue Cross of Californiarefused to increase the payment rate of the primary care technology company and subsequently let the contract expire. and recently said it has stopped processing claims entirely, although Anthem has denied the latter claim.)

Well, Anthem — part of the parent company Elevance Health — seems to be processing these claims and offering some reimbursement for accessing Carbon out of network. According to Carbon’s blog post.

Deal, Earnings, Fundraising

  • Implantable heart attack detection device manufacturer Avertix decided to publish Merged with BIOS Acquisition.
  • Precision medicine specializing in the digestive system recurring health We partner with clinical workflow companies Proof Sell ​​an AI-guided polyp detection tool that clinicians can use during colonoscopies.
  • Consumer telehealth company Hims & Hers .

what we are reading

  • Alphabet is planning an AI update at Google I/O. CNBC
  • Why Chatbots Shouldn’t Look Like People boston globe
  • Feds uncover $348 million in improper Medicare bills for telemedicine psychotherapy. MobiHealthNews

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