JULY 2019

The evidence base is wobbly, but artificial intelligence is coming on strong and the hype for it is even stronger. Screening for diabetic retinopathy is an early application. Lingering questions include whether the use of AI will contribute to health care inequities rather than solve them.
Competitors are coming together to see if they can leverage blockchain’s magic to solve big problems. Provider directories are among the first use cases.
The University of Pennsylvania has established the first “nudge unit” in a health care system to bring the lessons of behavioral economics to the practice of American health care. The goal is to steer clinicians and patients toward choices that will improve health—and save money.
Stringent FAA safety regulations don’t necessarily mean that medical drones won’t fly as an everyday tool—but it will be a lift.
An MIT-led collaboration is working on a pilot project on how to pay for Zolgensma—a $2.1 million gene therapy—in installments that are contingent on the drug living up to its curative promise.
The state used a reverse auction whose rounds of bidding saved $1 billion on PBM services, according to the consultant who helped orchestrate the deal. Other states (maybe Maryland) and large purchasers may follow suit.
EMS providers are making house calls and helping people gain access to primary care with the goal of reducing unnecessary ED utilization.
Bundled payment is pushing providers to look for ways to control the cost of joint replacements. Is joint replacement going to become outpatient surgery?
The storied hospital in Baltimore has hired 70 community health workers and peer recovery specialists from the city’s disadvantaged neighborhoods.
A program at Purdue succeeds by giving people with the disease many choices for how to manage the condition.
Presbyterian Healthcare Services in New Mexico has spent $50 million to centralize clinic, pharmacy, and SDOH in a single “data warehouse.” Now the not-for-profit health care system is marketing its data collecting and crunching expertise via a for-profit subsidiary.
Even though misunderstandings abound, now is still a good time to take the plunge and become an ACO. New CMS rules have increased the chances of financial success.

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