Literature Review

HHS intervenes in Change Healthcare hack Becker's Health IT, by Giles Bruce; 3/5/24HHS said March 5 it would help accelerate payments to hospitals affected by the Change Healthcare cyberattack and institute other workarounds for providers. The agency said hospitals facing cash-flow issues from the IT outage can submit accelerated payment requests, like those issued during the pandemic, to their Medicare Administrative Contractors for "individual consideration." HHS said more details would be coming from the contractors later this week. 

Change Healthcare's temporary funding program 'not even a Band-Aid,' AHA says Becker's Health IT, by Giles Bruce; 3/4/24 The American Hospital Association called Change Healthcare's temporary funding program for providers affected by the cyberattack on the UnitedHealth Group subsidiary inadequate, while a U.S. Senate leader asked CMS to speed up payments to hospitals. Change Healthcare set up the funding assistance March 1 for providers facing cash-flow issues after losing access to its payer systems, which have been down since the Feb. 21 ransomware attack. However, AHA President and CEO Rick Pollack wrote in a March 4 letter to UnitedHealth Group that the program is "not even a Band-Aid on the payment problems you identify."

Pharmacy associations join forces to advocate for pharmacists during change healthcare outageNewswire Press Release; 3/3/24 Association executives from the American Pharmacists Association (APhA), the National Community Pharmacists Association (NCPA), the National Alliance of State Pharmacy Associations (NASPA), and the American Society of Consultant Pharmacists (ASCP) released an open letter to pharmacy benefit manager (PBM) executives and other insurance payers whose systems may have been impacted by the Change Healthcare outage. Pharmacists and pharmacies are asking for assurances that claims fulfilled during this outage will be paid, and paid in a timely manner, considering the challenges faced by pharmacies and pharmacists with predicting co-payments and determining eligibility and coverage. 

How AI will help the world's top hospital CEOs transform health careNewsweek, by Jeff Young; on 2/28/24Artificial intelligence is quickly showing the potential to revolutionize many aspects of care giving, from cancer diagnoses to clerical work. But AI also presents new risks, uncertainties and vexing ethical questions. With the release of Newsweek's ranking of the "World's Best Hospitals," executives at leading hospitals around the world told us how they are using the power of AI.

Driving Accessibility in HealthTech: 3 things founders should consider for thoughtful AI implementation in 2024MedCity News, by Justin Williams; 2/23/24As we stand in the new era in healthcare, the promises of artificial intelligence advancements have electrified us all. But while innovation is being pursued, it’s critical to be aware of the possible pitfalls that could make already-existing inequities in healthcare outcomes worse. Precision and inclusion are pivotal in the venture capital space since startup founders significantly influence how healthcare technology develops in the future.

UnitedHealth unplugs change healthcare information systems to contain cyber attackManaged Healthcare Executive, by Peter Wehrwein; 2/23/24UnitedHealth Group disconnected Change Healthcare's information system to contain a cyberattack that the company says is from an unnamed “nation-state associated cyber security threat actor.”

AI-generated clinical summaries require more than accuracyJAMA Network; by Katherine E. Goodman, JD, PhD; Paul H. Yi, MD; and Daniel J. Morgan, MD, MS; Originally published 1/29/24, redistributed 2/20/24 ... Currently, there are no comprehensive standards for LLM-generated [Large Language Model] clinical summaries beyond the general recognition that summaries should be consistently accurate and concise. Yet there are many ways to accurately summarize clinical information. Variations in summary length, organization, and tone could all nudge clinician interpretations and subsequent decisions either intentionally or unintentionally. To illustrate these challenges concretely, we prompted ChatGPT-4 to summarize a small sample of deidentified clinical documents. [Click on the title's link to view the example.]

Why the Tech Industry Won’t Disrupt Health CareHarvard Business Review, by John Glaser, Sara Vaezy, and Janet Guptill; 2/16/24Because health care delivery is heavily data-driven but lags in adopting new technologies, it is easy to jump to the conclusion that it is ripe for digital disruption. Indeed, it’s obvious that U.S. health care badly needs significant change: It costs too much, its quality isn’t what it could and should be, and as for access, millions of people live hundreds of miles from the nearest hospital and/or don’t have a primary care doctor. But does that mean that new tech-savvy entrants, armed with powerful digital tools and novel business models, could displace and demolish incumbent health systems with their better-fastercheaper ethos? They haven’t so far, and we don’t think that they will.Publisher's note: Thank you Ernesto Lopez, The Denver Hospice, for sharing this article with us.

Virtual reality is a tool for education, relaxation for nurses and patientsOncology Nursing News, by Darlene Dobkowski, MA; 2/13/24Simulated experiences using virtual reality (VR) can help oncology nurses alleviate a patient’s anxiety before undergoing treatment, provide comfort in palliative care settings, and serve as an educational tool for both nurses and patients.

MIDEO Systems Inc. secures contract with city of Austin for innovative end-of-life care solution BBN, by Waqas Arain; 2/13/24MIDEO Systems Inc., a groundbreaking platform offering video-based advance care planning services, has secured a contract with the City of Austin. The partnership aims to streamline and digitize the process of documenting patients' medical preferences, making it more accessible and understandable for medical professionals.

What primary care’s “Barnes & Noble moment” means for the future of digital healthMedcity, by Kyna Fong; 2/6/24Primary care is essential to living healthier lives, and we need all forms of it, from small local practices to big health systems and retail chains. Ultimately, it's going to be all primary care hands on deck, working together to make a lasting change for the health of Americans.

Healthcare data breaches set record in 2023Becker's Health IT, by Giles Bruce; 2/7/24Healthcare data breaches hit an all-time high in 2023 as cybersecurity concerns continue to plague the industry, HIPAA Journal reported. More than 133 million patient records were breached last year, more than double the number in 2022 (51.9 million), according to the publication's analysis of HHS data.

Mass General Brigham pilot: AI tool helped optimize palliative care utilizationFierce Healthcare, by Anastassia Gliadkovskaya; 2/2/24Artificial intelligence can help identify easy to miss patients who might be good candidates for a palliative or hospice care referral, a recent pilot at Mass General Brigham (MGB) revealed. ... Over the course of the pilot, 9% of 1,522 MSSP ACO patients were recommended for a consult by the tool, with 40 receiving inpatient palliative consults. An estimated 17 of those would have been missed without the Radial tool.