Global AI seattle How AI will Reinvent Healthcare
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The document discusses the potential of AI to enhance healthcare through early diagnosis, personalized treatment plans, and optimized healthcare systems. Change Healthcare emphasizes its comprehensive data connectivity and collaboration with providers, payers, and patients to foster innovation in the industry. Additionally, it highlights the challenges and opportunities presented by the integration of AI into various healthcare processes.
Global AI seattle How AI will Reinvent Healthcare
- 1. © 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. PROPRIETARY & CONFIDENTIAL 1© 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. PROPRIETARY & CONFIDENTIAL
- 2. © 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. PROPRIETARY & CONFIDENTIAL 2© 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. PROPRIETARY & CONFIDENTIAL HOW AI WILL REINVENT HEALTHCARE Alex Ermolaev, Director of AI, Change Healthcare
- 3. PROPRIETARY & CONFIDENTIAL 3 The Change Healthcare Intelligent Healthcare Network… • Extensive product/services, expertise, data, and connectivity • Tying our success to our customer: providers, payers and consumers • Independent, unbiased, & relentless drive towards better healthcare • Delivering practical innovation through technology and partners 2,100 Payer Connections 1 in 5 US Patient Records $2 trillion Healthcare Claims Nearly 14 billion Healthcare Transactions 5,500 Hospitals & Health Systems 800,000 Physicians117,000 Dentists 600 Laboratoriesh Pervasive across healthcare
- 4. © 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. PROPRIETARY & CONFIDENTIAL 4 AI Team Evolution Crawl • Several data scientists spread across the company • No leverage • No visibility Walk • CEO/Board commitment • Pipeline of projects Walk Faster • Rapid experimentation • AI engineering • One-click training and deployment Run
- 5. © 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. PROPRIETARY & CONFIDENTIAL 5 Why Apply AI to Healthcare? US Industry by Revenue R&D Budget Number of AI Opportunities Number of AI Startups #1 #2 #1 #1 Most Important for Saving Lives#1
- 6. © 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. PROPRIETARY & CONFIDENTIAL 6 AI in Healthcare Summary Early Diagnosis Health Monitoring Medical Imaging Medical Intelligence Precision Medicine Personalized Treatment Plans Clinical Trials Personalization Smart Electronic Health records Payment Accuracy Patient Identification and Retention Optimized Healthcare System
- 7. © 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. PROPRIETARY & CONFIDENTIAL 7 Medical Intelligence Early Diagnosis and Disease Prediction Health Monitoring Devices Computer-Aided Detection
- 8. PROPRIETARY & CONFIDENTIAL 8 Sepsis Diagnostics 1.6M diagnoses/year (US) 25%-30% Mortality Rate #3 Cause of Death #1 Hospital Cost in US Antibiotics increase survival rate 7.6% per hour
- 9. © 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. PROPRIETARY & CONFIDENTIAL 9 Sepsis Diagnostics (Continued) Source: https://www.researchgate.net/publication/326661039_Applying_Artificial_Intelligence_to_Identify_Physiomarkers_Predicting_Severe_Sepsis_in_the_PICU
- 10. PROPRIETARY & CONFIDENTIAL 10 Medical Devices
- 11. © 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. PROPRIETARY & CONFIDENTIAL 11PROPRIETARY & CONFIDENTIAL Brain Subarachnoid Hemorrhage Subdural hemorrhage Extradural hemorrhage Intraventricular hemorrhage Parenchymal hemorrhage Hydrocephalus Midline shift Descending transtentorial herniation Ascending transtentorial herniation Workflow Intelligence.AI Intelligent Workflow driven by AI Abdomen Perforation / Free air Bowel obstruction Spinal epidural hemorrhage Vertebral fracture Chest Pneumothorax Aortic dissection PE Spinal epidural hemorrhage Vertebral fracture Neck Retropharyngeal abscess Spinal epidural hemorrhage Vertebral fracture Vertebral artery dissection
- 12. © 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. PROPRIETARY & CONFIDENTIAL 12 Personalization Precision Medicine Personalized Treatment Plans Clinical Trials
- 13. © 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. PROPRIETARY & CONFIDENTIAL 13 Personalized Treatment Plans Source: https://www.media.mit.edu/publications/reinforcement-learning-for-designing-novel-clinical-trials-for-treating-cancer-patients/
- 14. © 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. PROPRIETARY & CONFIDENTIAL 14 Clinical Trials Oncology Trials 3.4% of oncology clinical trials are completed Patients Enrolled 5% of cancer patients are enrolled in clinical trials Sources: http://blogs.sciencemag.org/pipeline/archives/2018/02/02/a-new-look-at-clinical-success-rates https://www.beckershospitalreview.com/quality/just-5-of-cancer-patients-participate-in-clinical-trials-5-things-to-know.html "I don't think it's an unwillingness on the patients' part. I don't even think it's an unwillingness on the physician's part. It’s really a system error...” Scott Delacroix, MD, told PBS NewsHour.
- 15. © 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. PROPRIETARY & CONFIDENTIAL 15 Optimized Healthcare System Smart Electronic Health records Transaction Accuracy And Streamlining Patient Identification and Retention
- 16. © 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. PROPRIETARY & CONFIDENTIAL 16 About 1/3 of Healthcare Spending is Wasted Sources: https://advocacy.consumerreports.org/research/engaging-consumers-on-health-care-cost-and-value-issues/
- 17. © 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. Medical Text Understanding Header ✓ Footer ✓ David A. Smith, M.D. ✓ Legalese ✓ Likely diagnoses ✓ Member info ✓
- 18. © 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. PROPRIETARY & CONFIDENTIAL 18 Problem: Medical Claims 1. Source: https://www.businesswire.com/news/home/20170626005391/en/Change-Healthcare-Analysis-Estimated-262-Billion-Healthcare 2. Source: Change Healthcare Internal Statistics US Medical Claims: $3T per year1 Claims Denied: $262B per year (9%)1 Cost of Rework: $118 per claim1 Total Loss: > $100B2
- 19. PROPRIETARY & CONFIDENTIAL 19 Example: Dual Enrollment 1 - CMS Fast Facts, January 2018: https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/CMS-Fast-Facts/index.html 2- Kaiser Family Foundation: https://www.kff.org/medicare/state-indicator/medicare-beneficiaries-by-fpl/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D 3- CMS, https://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/DataStatisticalResources/Data-and-Statistical-Resources.html Today 58.8M Medicare beneficiaries Live at or below 34% of the federal poverty level And only 10.6M are dual-enrolled
- 20. © 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. PROPRIETARY & CONFIDENTIAL 20 AI in Healthcare Summary Early Diagnosis Health Monitoring Medical Imaging Medical Intelligence Precision Medicine Personalized Treatment Plans Clinical Trials Personalization Smart Electronic Health records Payment Accuracy Patient Identification and Retention Optimized Healthcare System
- 21. © 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. PROPRIETARY & CONFIDENTIAL 21 Healthcare AI Startups Source: CBInsights
- 22. PROPRIETARY & CONFIDENTIAL 22 Embrace Variety Respect Data Understand Workflow AI in Healthcare Challenges
- 23. PROPRIETARY & CONFIDENTIAL 23 “In order to understand trust in the relationship between humans and automation, we have to explore trust in two dimensions: trust in the technology and trust in the innovating firm.” Source: https://hbr.org/2017/04/to-get-consumers-to-trust-ai-show-them-its-benefits
- 24. © 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. PROPRIETARY & CONFIDENTIAL 24© 2018 Change Healthcare LLC and/or its subsidiaries or affiliates. All Rights Reserved. PROPRIETARY & CONFIDENTIAL Thank You!