Unleashing AI's Potential for Medicaid Recipients
Addressing the Disparity Gap
In 2022, the US spent a whopping $4.5 trillion on healthcare, accounting for 17.3% of total GDP. Despite the high spending, outcomes are worse, with lower life expectancy and higher death rates. The 80 million low-income Americans on Medicaid have the least access to healthcare and often face below-average health outcomes. AI has the power to transform healthcare, but private-sector-driven innovation exacerbates inequities. For example, until January 2023, the kidney transplant prioritization model ranked Black patients lower. AI models are more complex and difficult to understand, increasing the likelihood of biases. Startups also focus on more lucrative markets, leaving marginalized populations behind. The Federal Government can bridge this gap. The Center for Medicare and Medicaid Innovation (CMMI) should launch the AI for Medicaid (AIM) Initiative to incentivize and pilot novel AI tools for Medicaid recipients.The AIM Initiative - A Path Forward
Guided by the former Medicaid Innovation Accelerator Program and relevant executive orders, the AIM Initiative will encourage private-sector partnerships with state Medicaid programs. It aims to lower costs and improve care delivery for rural and low-income populations. Precedents in other countries show early success. In 2023, the UK's NHS partnered with Deep Medical to pilot AI software, saving over $30M annually.Plan of Action
CMMI will launch and operate the AIM Initiative within the Department of Health and Human Services. $20M from the annual budget will be allocated. State Medicaid programs will submit proposals for competitive grants, with technical assistance provided. Selected projects will be monitored and evaluated.Sample Detailed Timeline
0-6 months: HHS Secretary announces and launches the AIM Initiative, includes funding in the budget request.6-12 months: CMMI engages with state Medicaid agencies and selects proposals for pilot funding.Year 2-7: Launch and roll out selected AI projects with continued technical assistance.Year 8: Produce an evaluative report and recommend broader adoption.Risks and Limitations
Participation: Success depends on state and private-sector participation. CMMI will engage with the National Association of Medicaid Directors and startups. Oversight: Guardrails are crucial to protect patients. State Medicaid agencies must submit evaluation plans, and technology partners must meet certain standards. Longevity: As a pilot program, it only facilitates short-term projects. HHS leadership must ensure program evaluation and long-term integration.Conclusion: The AIM Initiative is a significant step in bringing AI's promise to all Americans. It engages stakeholders and positions the US as a leader in healthcare AI. Addressing market failures in digital health can unlock efficiencies and bridge the health equity gap. This policy memo is part of Day One 2025, aiming to tackle challenges and create a better future.Revolutionize Mammography with GE HealthCare's New System
Automated Image Acquisition
The Pristina Via breast scanner's automated image acquisition process is a game-changer. With zero clicks needed, technologists can focus more on analyzing the images rather than spending time on manual acquisition. This not only saves time but also reduces the potential for errors. For example, in a busy radiology department, where every minute counts, being able to quickly and accurately acquire images can lead to more efficient patient care. It allows for a seamless workflow, ensuring that patients receive timely and accurate diagnoses.Furthermore, the elimination of wait time between exposures is a major advantage. This means that patients can undergo the imaging process more quickly, reducing their discomfort and anxiety. It also enables radiologists to obtain a more comprehensive set of images in a shorter period, enhancing the accuracy of diagnoses. In real-world scenarios, this has been shown to lead to faster treatment plans and improved patient outcomes.Backward Compatibility and Vendor-Neutral Prior Scan Comparison
The new addition to GE HealthCare's mammography offerings builds on the success of the Senographe Pristina platform. One of its notable features is backward compatibility with imaging centers' data systems. This means that existing facilities can easily integrate the Pristina Via system into their existing infrastructure without the need for extensive rewiring or system upgrades. It provides a seamless transition for healthcare providers, allowing them to take advantage of the latest technology while still leveraging their existing investments.In addition, the vendor-neutral prior scan comparison capability is a valuable tool. Radiologists can now compare current scans with previous ones from different vendors, providing a more comprehensive view of a patient's breast health. This helps in detecting subtle changes over time and making more accurate diagnoses. For instance, in a case where a patient has had multiple mammograms from different facilities, the ability to compare these scans can lead to earlier detection of potential issues and better treatment planning.Lowest Radiation Dose
GE HealthCare has emphasized the system's use of the lowest radiation dose across all breast thicknesses. This is a crucial aspect in mammography, as minimizing radiation exposure is essential for patient safety. Compared to major scanners on the market, the Pristina Via system offers a significant advantage in this regard. It allows radiologists to obtain high-quality images without subjecting patients to excessive radiation.For example, studies have shown that reducing radiation dose can have a positive impact on patient well-being, especially for those who may be at higher risk due to age or other factors. By using the Pristina Via system, healthcare providers can ensure that they are providing the best possible care while also minimizing potential risks.In conclusion, GE HealthCare's new mammography system with AI-powered features is set to make a significant impact on the field of mammography. Its automated image acquisition, backward compatibility, and low radiation dose make it a valuable tool for healthcare providers and patients alike. With its debut at the annual meeting of the Radiological Society of North America, this system is poised to become a leader in the industry.Transforming San Francisco with Affordable Housing
Transbay Block 2 West: A Senior Housing Haven
The Transbay Block 2 West is set to become a remarkable nine-story affordable senior housing project. Developed by the Chinatown Community Development Center, it will ultimately house 150 affordable dwellings along with one manager's unit. A significant portion, 30 apartments, will be reserved for formerly unhoused senior residents. Additionally, 60 units will be dedicated to extremely low-income residents with fixed incomes. On-site services like intensive care management will be provided. When we visited early last week, concrete had reached the fourth floor, and facade installation was yet to commence. Completion is expected before the end of 2025. The architecture and interior design for this block are handled by Mithun, with Kerman Morris Architects as the associate architect.Imagine the joy and security these new homes will bring to the senior residents. It's not just about having a roof over their heads; it's about creating a community where they can thrive and age with dignity. The progress we see here is a testament to the commitment of the developers and the importance of providing affordable housing for our senior citizens.
The design of Transbay Block 2 West is not only functional but also aesthetically pleasing. The careful attention to detail in the architecture ensures that these homes will be a source of pride for the residents. As the concrete rises and the floors are completed, it's clear that this project is on track to make a positive impact on the lives of many.
Transbay Block 2 East: A Family Housing Gem
Transbay Block 2 East is a 17-story family housing project led by Mercy Housing. It will offer 183 units affordable to households earning between 20-80% of the area's median income. Currently, crews are hard at work on the foundation and basement level. A representative from Mercy Housing shared with YIMBY that the project is already 20% complete and is approximately 5 months into a 25-month construction schedule. Completion is expected by summer 2026. Kennerly Architecture is responsible for the design, creating a space that will be both comfortable and welcoming for families.For families in need of affordable housing, this project is a ray of hope. It will provide them with a stable environment where they can raise their children and build a future. The progress we are witnessing is a sign of the positive changes that are taking place in our city. With each floor completed and each detail attended to, this project is becoming a reality.
The design of Transbay Block 2 East takes into account the needs of families, with spacious layouts and amenities that will enhance their quality of life. From play areas for children to common spaces for socializing, every aspect has been carefully considered. As the construction continues, it's exciting to think about the families that will soon call these homes their own.
Location and Masterplan
Within the larger Transbay masterplan, Block 2 occupies a significant portion of the former temporary Transbay bus terminal's footprint. Bounded by Folsom Street, Beale Street, Howard Street, and Main Street, it is a central location that will bring convenience and accessibility to the residents. The townhome-style mews and the newly-paved Clementina Street extension will border the Transbay Block 3 park, which has been drafted by the city's Public Works Department. The park will feature a playground, open lawn, and trees, providing a green space for the community to enjoy.The location of these housing projects is truly strategic. It allows residents to be close to essential services, transportation, and amenities. The park adjacent to Block 2 will serve as a gathering place for families and seniors alike, fostering a sense of community. This integration of housing and public spaces is a key aspect of the Transbay masterplan and will enhance the overall quality of life in the area.
On the opposite end of the block, Hines received approval for a potential 47-story tower at Transbay Block 4. However, as reported by Patrick Hoge in the San Francisco Examiner, Hines failed to make a payment to the Office of Community Investment and Infrastructure, losing their exclusive option for the development. This highlights the importance of timely payments and the commitment to these projects.
Budget and Financing
The combined budget for both projects is estimated to reach $309 million, according to the Mayor's office. Financing has been secured from a variety of sources, including California HUD, low-income housing tax credit equity from Bank of America, and the Office of Community Investment and Infrastructure. This diverse funding ensures the sustainability and success of these affordable housing initiatives.The financial support for these projects is a testament to the city's commitment to addressing the housing crisis. By securing these funds, we are able to provide much-needed housing for our community. It shows that with proper planning and collaboration, we can make a real difference in the lives of those in need.
The various sources of financing also bring in different perspectives and expertise. California HUD's involvement ensures compliance with regulations and standards, while Bank of America's low-income housing tax credit equity provides additional resources. The Office of Community Investment and Infrastructure plays a crucial role in coordinating and managing the funds, ensuring that the projects are completed on time and within budget.
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