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October 22, 2024 10:00 AM

HLTH 2024, Day 3: Rural providers face hurdles with technology

Caroline Hudson
Gabriel Perna
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    Caroline Hudson

    The HLTH 2024 conference kicked off Sunday, Oct. 20, in Las Vegas at the Venetian Expo Center, where all sorts of innovative companies from the healthcare industry will connect to share strategies, network and discuss their thoughts on the future. Speakers and presenters this year include leaders from Kaiser Permanente, Nvidia, Oracle, Walgreens and many more plus special appearances by Dr. Jill Biden, Halle Berry and Lenny Kravitz.

    Follow here for updates throughout the day on the latest happenings from the conference.

    Missed a day of the conference? Catch up here:

    - HLTH 2024, Day 1

    - HLTH 2024, Day 2

    - HLTH 2024, Day 4

    6:45 p.m. CT: Rural providers face high hurdles with technology

    Technological innovation to improve care delivery is still a challenge in rural areas, executives said during a panel discussion Tuesday at HLTH.

    At Cayuga Health System, it’s taken longer to build up necessary infrastructure necessary for technological advancement, such as telecommunications systems and technical staff.

    “A lot of rural health systems like us are just now getting Epic,” said Melissa Cohen, chief innovation and transformation officer at Ithaca, New York-based Cayuga. “For us, it’s going to take a little bit to catch up to the tech and infrastructure required.”

    Access to technology infrastructure isn’t the only factor, said Mike Mosquito, who helps lead emerging technology and innovation at Gainesville-based Northeast Georgia Health System.

    “It’s not only broadband. It’s having the resources in the community,” Mosquito said. “When I … go into southern Georgia, not only do we have food deserts, but we have health deserts. We had a mayor tell us they play rock, paper, scissors with [the town's] one ambulance. Heart attack, car wreck — who’s going to get it?”

    — Caroline Hudson

    4:45 p.m. CT: Executives discuss dangers, cost burden of GLP-1s

    The industry still has a lot to learn about glucagon-like peptide-1 agonist drugs, or GLP-1s.

    One of the big challenges with GLP-1s is making sure the drugs are provided to the patients who really need them, healthcare executives said at a panel on Tuesday. 

    GLP-1s, which were recently approved for weight loss purposes, have proven to be a costly treatment for patients, providers and payers, including companies and organizations that offer health plans to their employees.

    About 10% of Geisinger’s medical costs are from employees using GLP-1s, said Dr. Terry Gilliland, president and CEO of the Danville, Pennsylvania-based health system. Many patients stop taking the drugs after less than a year, raising the question of whether there is any payoff, he said.

    But costs aren’t the only issue. There is also a lack of knowledge about the drugs.

    For example, compounded versions of GLP-1s are gaining traction in the market. Some argue the altered versions are a way to improve patient access at a lower cost, but others say they jeopardize patient safety.

    Dr. Kavita Patel, a professor of medicine at Stanford University, said the rising popularity of GLP-1s and compounded versions suggest failure in the care delivery system for obesity, including the lack of support for a more significant lifestyle shift.
    “I don’t think people start with, ‘Let me inject things into my body,” Patel said. “You have to make changes, and they’re not going to come from one drug.”

    — Caroline Hudson

    3:15 p.m. CT: Former CMS officials talk 2024 election issues

    Two former administrators of the Centers for Medicare and Medicaid Services spoke about the 2024 election in a keynote address Tuesday at HLTH.

    Seema Verma, CMS Administrator under former President Donald Trump, and Andy Slavitt, who held the job under former President Barack Obama, spoke about the future of the Affordable Care Act, the impact of the U.S. Supreme Court’s Chevron ruling on healthcare, and how Democratic candidate Kamala Harris and Republican Trump differ on Medicare. Neither saw major differences on health policy.

    “Unlike our most recent elections, healthcare is not the main event,” said Slavitt, who is the founding general partner of venture capital firm Town Hall Ventures. “Both candidates are tacking toward the center.”

    Both Slavitt and Verma predict that neither candidate will make major changes to the Affordable Care Act. Verma, who currently serves as the general manager of Oracle Health and Life Sciences, said Trump could reinstate some tweaks under the ACA that were undone by the Biden administration but nothing that fundamentally change the law.

    The Chevron ruling, which weakened the authority of regulatory agencies, could put a hamper on certain programs within the Health and Human Services Department, Verma said. This in turn would put more pressure on Congress to pass specific laws that target programs centered on areas such as pricing transparency and drug discounts.

    One area of difference between Harris and Trump could be with Medicare policies. Trump could look at Medicare Advantage changes enacted under Biden around supplemental benefits and social determinants of health, Verma said.

    “I do think that there will be a review of some of the more recent policy changes to say, ‘Do we really want to go this far?’ That doesn't mean that there's going to be an undoing because I think some of the changes that have happened are necessary,” Verma said. “But with any program, after a few years, you want to take a look at it and figure out what's working and what's not working.”

    — Gabriel Perna

    1:45 p.m. CT: Microsoft: AI models not ready for prime time

    Microsoft is using artificial intelligence to unify and display disparate forms of data such as imaging and medical records.

    The big tech company announced its latest AI capabilities on Oct. 10, including the introduction of imaging-focused AI models that will allow providers to analyze multiple data types. 

    During a keynote address at HLTH, Microsoft Chief Scientific Officer Eric Horvitz clarified that the models still need to be developed and refined.

    “These are not, I would say, ready for prime time,” Horvitz said. “They are prime tools for the creative audience [at HLTH] and the creative community [at large] to work on.”

    For its part, Microsoft has teamed with providers such as Renton, Washington-based Providence to refine these models. Providence has started integrating imaging, genomic and pathology data to improve cancer diagnostics.

    Microsoft sees the models as a starting point for developers. They will need to understand the how the technology can augment clinicians and use them safely and effectively, Horvitz said.

    “It’s mind blowing how far we’ve come, but what will be even more exciting is what people do with these tools,” Horvitz said.

    — Gabriel Perna

    12:45 p.m. CT: Why Tampa General Hospital wants to invest in early-stage companies

    Florida-based Tampa General Hospital is looking for startup partners to “fill the white space” in care coordination left by larger companies, Scott Arnold, chief digital and innovation officer, said in an interview.

    “We feel strongly about … using analytics specifically to solve a lot of our problems, to deal with quality, to give us new insights that we didn’t have before,” Arnold said.

    In June, Tampa General announced an agreement with Palantir, establishing the technology company’s system as its core artificial intelligence and analytics platform. Tampa General implemented Palantir’s Foundry software in 2021 to improve healthcare management and make operations more efficient.

    At the HLTH conference today, Tampa General is sponsoring a pitch competition that will vet eight finalists and their solutions for hurdles in care coordination. The winning pitch will receive $10,000 and access to Tampa General’s innovation team, Arnold said.

    He said Tampa General has a $10 million fund to invest in startups and plans to expand it. Individual investments range from $250,000 to $1 million.

    Rachel Feinman, vice president of innovation at Tampa General and managing director of TGH Ventures, said she and her team look for early-stage companies that want to work with Tampa General to develop a solution that fits with the provider’s desired use case.

    — Caroline Hudson

    12:00 p.m. CT: What it takes to get a meeting with UPMC at HLTH

    Mary Beth Navarra-Sirio of the University of Pittsburgh Medical Center is a rarity at HLTH as someone who represents both a health system and an investor.

    Navarra-Sirio is the vice president of market development at the Pittsburgh-based health system’s venture arm UPMC Enterprises. At an event like HLTH, this makes her a hot commodity since many of the startups in attendance would love to get a meeting with a health system-based investor. She said the event helps her meet with current portfolio companies and look for the organization’s next big investment.

    “We try to talk to as many people as we can,” Navarra-Sirio said in an interview. “We usually do a quick assessment and look at whether this [company] fits into where we’re thinking about investing right now. Does this team seem like somebody we’d want to work with? How much do they have to offer?”

    UPMC Enterprises invests in existing companies and co-creates digital health companies that are spun off, such as when it sold a virtual consulting technology to eVisit in June. The goal is to create companies that can solve areas of unmet need within health systems and health plans.

    Because of its connection to UPMC’s health system and health plan, the venture arm has direct knowledge of the problems facing healthcare organizations, she said. Many startups haven’t figured out what exactly they’re trying to solve and don’t know enough about the healthcare industry, she added.

    “There are a lot of startups that are in love with their technology,” Navarra-Sirio said. “We always joke that you need to be in love with the problem that you're trying to solve. If you know what you're doing, this only partially solves the problem. Then how are you going to advance it or tweak it so that you're actually solving the problem?”

    — Gabriel Perna

    10:45 a.m. CT: Amazon One Medical launches AI tools for clinicians

    Amazon One Medical said Tuesday at HLTH it was providing a series of artificial intelligence tools to its clinicians.

    In a blog post, the company said its clinicians will benefit from the set of AI tools aimed at reducing administrative burdens.

    Amazon, which acquired membership-based care company One Medical in 2023, said individual providers employed by Amazon One Medical can opt to use the tools, which include Amazon Web Services’ clinical ambient documentation technology HealthScribe.

    Other technologies available to clinicians include AI-drafted patient messages and AI-generated summaries of a patient’s medical record. All the tools are integrated with Amazon One Medical’s proprietary electronic health record.

    The announcement is the latest for Amazon One Medical, which on Monday said it inked a partnership with the Cleveland Clinic to open a primary care office in 2025.

    —  Brock E.W. Turner

    10 a.m. CT: Microsoft to delve into generative AI

    Microsoft is kicking off the main stage lineup at Day 3 of HLTH 2024 to discuss how the company is using generative AI to drive change across the healthcare landscape. Later in the morning, executives from Oracle Health and Town Hall Ventures will look at how the upcoming presidential election could affect healthcare. Other speakers and presenters include leaders from UPMC, General Catalyst, Evernorth Health Services, Peloton and Mayo Clinic.

    Day 2 recap

    On Day 2 of HLTH, GE HealthCare unveiled a new AI application called CareIntellect for Oncology, which aggregates multiple forms of patient data from disparate systems into a single view. Blue Shield of California and Salesforce also announced they will start testing a prior authorization solution early next year to help streamline the oft-despised process. And Walgreens' Mary Langowski discussed the troubled company’s path forward with pharmacy at the core.

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