Artificial Intelligence In Healthcare Will Make Decisions For Doctors

https://techdigg.com/2017/03/25/artificial-intelligence-in-healthcare-will-make-decisions-for-doctors/

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Artificial intelligence could soon make tough medical choices

Patients are often willing to put themselves in the hands of healthcare professionals when they need to see a doctor, and this includes accepting the technological devices that help physicians. But, artificial intelligence making vital decisions for doctors is another story.

AI is already playing a significant role in healthcare. The healthcare organization, MedyMatch says it is, “creating a new category of AI-driven diagnostic tools” and “leveraging the richness of 3D imaging, the breadth of patient-specific data, and other relevant data… to deliver precise clinical decision support directly to the physician.”

MedyMatch recently announced a major collaboration with IBM Watson Health. The aim is for artificial intelligence applications to work alongside doctors in emergency rooms and other acute care settings.

AI can use deep learning to help physicians by highlighting regions of interest that could “indicate the potential presence of cerebral bleeds in suspected head trauma and strokes.”

Better decisions from better information

So what would AI decision making in a hospital setting look like?

“Clinical Decision Support (CDS) is where the greatest opportunity exists to make an impact,” MedyMatch CFO Michael Rosenberg told TechDigg.

While it’s well known that better decision making comes from having better information, it’s also well known that healthcare professionals are constantly short of time, making it difficult to process a lot of information.

“CDS in its classical sense has been about decision trees, if this then do that… when it comes to AI, we take it to a whole other level,” Rosenberg said.

“When looking at decision support, we aren’t looking at a set of rules, but a set of considerations highlighted for the physician, whether they be statistical data looking at similar patients across a population or highlighting regions of interest.”

This also has a positive financial impact, because: “better decisions lead to better outcomes, and better outcomes mean the reduction of costly errors, which means cost savings for the healthcare system from the Provider, Patient, and Payer.”

Speaking on the relationship between artificial intelligence and doctors, and the stage that relationship is now at, Rosenberg said:

“I think we are seeing the very early stages of an evolution where the definition of a doctor changes. AI will never replace the physician, at least not in our lifetime. The physician will always be the ultimate decision maker, however that decision will be influenced by recommendations that an AI platform recommends.”

“We think of AI as a capability that can be used to enhance the work of a physician… the final diagnosis will always be the responsibility of the doctor, but it will rapidly increase the number of physicians that can perform at an expert level.”

Can we be sure artificial intelligence decisions are safe?

There are many areas of life where people are both excited and cautious about the role that AI can play. Healthcare is perhaps the number one area where the public needs to know it can trust the technology.

“The great thing in healthcare is the regulator,” Rosenberg said. “The FDA is looking out for the patient, and close collaboration between the healthcare industry and the AI provider will result in the best quality for the marketplace.”

Even the best doctors get tired and short of time, and artificial intelligence could be on hand to do the work they simply can’t do themselves.

Healthcare frauds and settlements in 2017: Running list

http://www.healthcarefinancenews.com/slideshow/biggest-healthcare-frauds-2017-running-list?mkt_tok=eyJpIjoiWXpVMk16RXlNV00zTm1OayIsInQiOiIzS3NXdllRRU1HNHZlb0Q1aVBYV0hFazRSbGk4dWc3S0FvZERGbHJDeW53Z2ZTb0xCdFhhWEVPcHBBUlVcLytBR1dkTTF0cElHTDRxU0NMSXJ0bWhQUUNvSzl1TVFtaVh2SUhiYkxNTVozNW54SmJCRXhCWDhZT2VGcGNGNlZSdXYifQ%3D%3D

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A Surprising Place to Find Anti-Kickback Rules

http://www.medpagetoday.com/MeetingCoverage/HIMSS/63409?xid=nl_mpt_DHE_2017-02-25&eun=g885344d0r&pos=4

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Some aspects of EHRs, telemedicine might technically be illegal.

Federal anti-kickback laws may be old, but they’re still relevant, even with something very modern like health information technology (IT), Scott Grubman, JD, said here Thursday at the annual meeting of the Healthcare Information and Management Systems Society (HIMSS).

“So much technology in the healthcare space is to facilitate referrals,” such as when one provider transmits information to another, said Grubman, an attorney at Chilivis, Cochran, Larkins & Bever, in Atlanta. “If those referrals wind up being reimbursed by a federal healthcare program, a company can violate the anti-kickback statute.”

An 82-Year-Old Law

The anti-kickback statute, a version of which was first passed in 1935 and has been amended several times since with the introduction of Medicare and Medicaid, prohibits anyone from “knowingly and willfully paying, offering, soliciting, or receiving remuneration” in return for referring patients to services that are paid for by Medicare, Medicaid, and other federal healthcare programs.

The statute not only prohibits payments to providers, but also prohibits remuneration to beneficiaries, which means services like telemedicine and electronic health records (EHRs) might also be involved, Grubman noted.

Although the government says it wants to encourage technology growth in healthcare, “unfortunately sometimes what they don’t realize is that regulations that have been on the books for years — and are still applicable — don’t mesh well with the explosion of healthcare technology.”

There are two ways technology could be implicated in violations of the anti-kickback rule, he continued. The first way is if technology is being given to a provider to be used to actually issue the referrals that are implicated in the act — in bygone days this would mean if physicians are given fax machines to fax referral orders for which they get bonuses.

“There is lots of guidance [in the rule] that’s related to fax machines, so we have to figure out how to apply [the fax machine guidance] to the provision of tablets or electronic health records [to doctors],” he said.

The second way is if a technology that is used in any way to facilitate referrals — such as to provide the medical information to justify a referral order. “So if there’s technology that can facilitate a referral between a physician and a hospital, or between a hospital and pathology lab, that technology potentially implicates the anti-kickback statute.”

Physician: Consequences of ACA Repeal ‘Gigantic for Us’

http://www.healthleadersmedia.com/physician-leaders/physician-consequences-aca-repeal-gigantic-us?spMailingID=10400909&spUserID=MTY3ODg4NTg1MzQ4S0&spJobID=1100770334&spReportId=MTEwMDc3MDMzNAS2#

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Physician organization leaders are trying to plot business strategies for a post-ACA landscape of increased healthcare consumerism, lower reimbursement, and new partnerships.