TTA’s Midsummer Week 6: AI and machine learning’s hidden risks and debt, the permanent fail of nursing home telehealth, and CMS’ PFS adds telehealth codes for opioids


It’s hard to believe, but ‘traditional summer’ is starting to wind down. Being contrarian, we consider that AI and machine learning may be doing real damage both in its workings and in the quality of all that medical data being fed into it. Regrettably, telemedicine in nursing homes looks like a permanent failure. And CMS takes the lead in the PFS with three new telehealth codes on opioid treatment.

TTA will be on holiday starting next week. There will no Alerts published on Thursday 29 August or 5 September.

A realistic look at why telemedicine isn’t succeeding in nursing homes (It should, but it’s the economics of the business)
Are AI’s unknown workings–fed by humans–creating intellectual debt we can’t pay off? (Not only that, but building dangerous error upon error with bad data and destroying theoretical thinking)
CMS’ three new proposed telehealth codes, changes on inclusions, in 2020 Medicare Physician Fee Schedule (US) (CMS takes initiative in opioid treatment)

Summer is really flying by, but the daystopper of the week is the doubling of breached patient records this year. LIVI adds a lot of patients in the UK, Allscripts settles with DOJ on compliance, and GSK IMPACT opens for UK charitable organization applications.

The Breach Barometer hits a new high for healthcare–and the year isn’t over (The geometric increase in breaches and exposed records)
LIVI telemedicine app expands availability to 1.85 million patients with GPs in Birmingham, Shropshire, Northamptonshire, Southeast (The crowded UK telemedicine field)
Allscripts reaches deal with DOJ on Practice Fusion in compliance settlement for $145 million (Bargains are never bargains)
2020 GSK IMPACT/The King’s Fund Awards now open for applications (UK) (Apply soon!)

Summer is flying by, but rural health connectivity advances at the FCC. Smartphones now set up to detect viruses. Another smartphone enabled ultrasound player–but this time in 3D. A study connects health tech to retaining LTC workers. Connected Health Summit coming up, and Vivify Health acquires a new VP.

Comings and goings, short takes, and in other news…: Vivify’s new SVP Sales, Parks’ Connected Health Summit, $35M for 3D portable ultrasound, Oxford Medical Sim new pilot (Events, products, and more)
Technology will help ease, but not replace, rising workforce demand in long-term care: UCSF study (It’s almost all about the workers and retaining them in the face of technology)
Can a smartphone camera, app, and device detect viruses at low cost? (A University of Tokyo team says yes)
FCC reforming Rural Health Care Program to improve telehealth funding in addition to Connected Care Pilot (US) (About time, but still underfunded)

A news-filled week with events, executive moves at Verily, Teladoc, and ATA, a challenging take on oral health, a dim view on AI, mall ‘medtail’, CVS’ SDH initiative, and Call9’s fan dance.

Comings and goings, short takes and upcoming events: MedStartr Wed night, Mad*Pow acquired, Teladoc’s new COO, JAMA ponders telepharmacy, NHS London anxiety apps partner (updated)
Oral health: more than a public health challenge, an opportunity for telehealth? (Two Lancet articles make the case)
News roundup: docs dim on AI without purpose, ‘medtail’ a mall trend, CVS goes SDH, Kvedar to ATA, Biden ‘moonshot’ shorts out, and Short Takes
Call9: we’ll be back — with a different model! (Not forthcoming to Crain’s on what it looks like, though)

Rock Health assesses the first half 2019 funding picture and is reassured at the pressure that investors have to exit–but we see other and somewhat cautionary things. And the hearings on the CVS-Aetna merger slump towards an exhausting close in Judge Leon’s court.

Health tech bubble watch: Rock Health’s mid-2019 funding assessment amid Big IPOs (Why the funding picture is far more interesting than Rock Health thinks)
The CVS-Aetna merger hearing draws to a dreary, weary close (But when?)

A just-published UK survey of the care tech landscape has implications in the worldwide trend of community-based wellness and disease prevention. CVS-Aetna goes another round in Judge Leon’s court, this time with five states; he should Ask Alexa as NHS patients in the UK shortly will. And did you attend DHACA’s most recent meeting on the 17th?

Care Technology Landscape Review: Socitm Advisory for Essex County Council (UK) (A UK study which has international resonance)
‘Ask Alexa’ if you’re sick, says the NHS (But what if Alexa no comprende?)
Another round this Wednesday in the CVS-Aetna merger hearings (We’ll see what happens next in the longest post-merger hearing in healthcare history)
Come and listen to Julian Hitchcock talking regulation next Wednesday 17th July! (It’s past, but keep in touch with DHACA)

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