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An app that scans for STIs, VCs delve deeper into hospitals & the latest White House AI guidance

April 2, 2024
Reporter, STAT Health Tech Writer

Good morning! As I track the explosion of tech companies offering so-called "concierge medicine," this recent story from KFF raises crucial questions about the patients who get left out. It's such a compelling case study examining the tradeoffs between convenient, tech-enabled and commercially-covered health services for the subset of patients who can afford it, versus less than stellar care that's still accessible to the masses regardless of income. And as primary care provider shortages demonstrate, you can't really have both. Thoughts, and news tips, go to mohana.ravindranath@statnews.com.

FDA

An AI company is scanning genital pictures for STIs

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This week Lizzy Lawrence takes a closer look at a company generating outrage and bemusement over its online platform that uses AI to detect sexually-transmitted diseases from genital photos. The company, HeHealth, recently launched a new service called Calmara that it has so far attempted to market to Gen Z women who might want to establish the absence of STIs before sex. 

Questions and criticism, of course, abound — especially from privacy experts, patient advocates and medical practitioners who point out that the platform appears to sanction nonconsensual photos, and that there's little proof that the AI detection even works. And the creators could be taking advantage of a regulatory gray area that allows the platform that self-categorize as "wellness" products to evade Food and Drug Administration scrutiny. 

"If I were still at the agency, I would give them a call and a 'it's come to our attention' email,'" Alex Cadotte, a director at device consulting firm MCRA and former FDA official, told Lizzy. Read more


Otsuka's digital depression treatment cleared by FDA  

In other regulatory news, the FDA has cleared a digital treatment for major depressive order developed by Otsuka Pharmaceutical, Mario Aguilar writes. The prescription product, branded as Rejoyn, was developed in conjunction with Click Therapeutics, and is designed to be used alongside antidepressant medication. It's a six-week program focused on "cognitive-emotional training," which asks users to identify and recall faces displaying various emotions — the technique is supposed to train users to exert cognitive control over "emotional information processing." This step, Mario writes, makes Otsuka the first drug company to score FDA clearance for digital mental health treatment; but prescription digital services are far from cash cows, and several companies have already run themselves into the ground trying to build them. Read more from Mario


cybersecurity 

Could Change Healthcare bring on new cyber rules?

Washington regulators are in the very, very early stages of strategizing to avert future cybersecurity attacks like the one that crippled UnitedHealth Group property Change Healthcare's pharmacy and provider payment system, disrupting billing across the country for weeks. It's too early to say what the new regulations could look like — that'll depend on the election, how quickly Congress and executive branch agencies can move, and how much pressure industry groups exert on policymakers — but they'll have major implications for hospitals, pharmacies and tech vendors, experts told me last week. 

"How quickly can people step back from being angry about what happened to Change, and realize, 'let's really think about the roles — the roles are, are you the victim? Or are you the criminal?'" Rodney Whitlock, a vice president at McDermott+Consulting, told me. Read more.


artificial intelligence 

Inside the White House's AI plan for government 

A White House memo posted late last week outlines sweeping new policies for federal agencies' use, and governance, of AI services — including a directive that all agencies name chief AI officers and spin up AI governance boards. Over the next several months, agencies must also "implement concrete safeguards when using AI in a way that could impact Americans' rights or safety," among other steps. 

Federal health care systems, such as the Veterans Health Administration, would need to closely examine any AI-guided diagnostic tools and ensure that "a human being is overseeing the process to verify the tools' results and avoids disparities in healthcare access."

How useful are these guidelines, and how burdensome might it be for federal agencies to implement them? I invite your perspectives at mohana.ravindranth@statnews.com



Venture capital 

Aegis Ventures partners with nine health systems

Venture firms are creeping further into health systems — before General Catalyst announced plans to buy Ohio safety net health system Summa Health, it launched its "health assurance ecosystem," which involves close partnerships with health systems across the country to nurture relationships between startups and often skeptical health industry buyers. Now, Aegis Ventures appears to be following suit with a new "digital consortium" consisting of nine health system partners including Stanford, Northwell, and Ochsner. John Noseworthy, who formerly led Mayo Clinic, will head up the consortium, whose goal is to co-develop and invest in tech that health systems might actually use. 


Providence Health's AI spinout Praia Health raises $20M

Praia Health, an AI company launched out of health system Providence's startup incubator has closed an oversubscribed $20 million round led by Frist Cressey Ventures, with additional backing from SignalFire, Epsilon Health Investors and Providence Ventures. Marketed as a "platform-as-a-service," Praia's technology enables health systems to offer their patients a series of digital products and resources. Providence, a 51-hospital system with footprints in several states including California, Washington State, Oregon, Montana, Texas and Alaska, has been offering the platform to its own patients since 2022, and has 3.5 million user accounts so far. 


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What we're reading

  • An AI tool could help doctors prescribe medicine in England, The Guardian
  • A heart pump is linked to 49 deaths, The New York Times
  • Inside Amwell's path from darling to dud, Axios 
  • A potential path to treating deadly childhood tumor, STAT

Thanks for reading! More on Thursday - Mohana

Mohana Ravindranath is a Bay Area correspondent covering health tech at STAT and has made it her mission to separate out hype from reality in health care.


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