Artificial Intelligence – Transforming the

future of Healthcare

Insights, real world examples of innovation and implementation of

Artificial Intelligence across the Healthcare Value Chain

DT0127IL
Innovation Landscape Report
May 2018
Table of Contents
Artificial Intelligence: Overview 3
Artificial Intelligence: Key Benefits
4

Current healthcare challenges and potential AI solutions

5

Healthcare Value Chain and Artificial Intelligence Use Cases

6-7
Artificial Intelligence in Healthcare: Research & Development
8-12

Artificial Intelligence in Healthcare: Supply Chain Management

13-17

Artificial Intelligence in Healthcare: Sales & Marketing

18-22
Artificial Intelligence in Healthcare: Providers & Payers
23-27
Artificial Intelligence in Healthcare: End User
28-32
Artificial Intelligence in Healthcare: Regulatory, Risk,
Compliance & Strategy
33-36
AI in Healthcare: Future Outlook
37

2
 Artificial Intelligence: Overview
“Artificial intelligence would be the ultimate version of Google. The ultimate search engine that would understand
everything on the web. It would understand exactly what you wanted, and it would give you the right thing.”
- Larry Page, Chief Executive Officer, Alphabet
Google’s A.I. AlphaGo beats world champion in the
2017
complex board game of Go
Artificial intelligence describes the work processes
of machines that would require intelligence, if
performed by humans. The term ‘artificial
intelligence’ refers to ‘investigating intelligent
problem-solving behaviour and creating intelligent
SIRI Apple integrates Siri, an intelligent virtual
computer systems’. The goal of AI systems is to assistant with a voice interface 2011
develop systems capable of tackling complex
problems in ways similar to human logic and
reasoning. 1998

AI is a self-running engine, which enables the KISmet, an emotionally intelligent robot insofar as it detects and responds
to people’s feelings
machines to sense, understand and act to perform
administrative and operational functions. AI has
become more popular due to its immense potential Unimate, an industrial robot goes to work at GM replacing humans on the assembly
to unlock improvements in cost, quality precision, 1961 line
efficiency and outcomes, which can be provided
anywhere, anytime and any place.

Evolution of Artificial Intelligence 1955 The term “AI” was coined by John McCarthy to define “the science and engineering of
making intelligent machines”.

“We shall therefore say that a program has common sense if it automatically deduces for itself a sufficient wide class of immediate consequences of
anything it is told and what it already knows. ... Our ultimate objective is to make programs that learn from their experience as effectively as humans do. “
- John McCarthy, Father of AI

3
Artificial Intelligence: Key Benefits

• Gathers and analyzes big data • Intelligent alerts and reminders

• Enables real-time decision- • Pattern recognition and anomaly
making by making the process detection
faster and smarter • Supports big data and cloud
Data Internet of Things computing
• Improves consistency and
management (IoT) and Cyber
manageability for better
Security
data quality

• Solves complex • Operates 24x7 without

equations and Accuracy & interruptions or breaks and
performs critical tasks Automation Efficiency has no downtime
• Performs repetitive • Mass market potential
tasks and simplifies (can be deployed across
front-and back-end industries)
workflows

Cost & Personalization

• Reduces labor and operational costs
by optimizing product or business
• Carries out intelligent advice and
support
• Effective over time as it involves
cognitive learning
Savings • Personalized intelligent automation services
• Addresses customer needs and specific tasks
• Makes personalized product recommendations,
sends targeted emails, sets prices, delivers
personalized ads or recommend content for
them

4
 Current healthcare challenges and potential AI solutions

Common challenges of artificial intelligence in healthcare include lack of data exchange, regulatory compliance requirements and
patient and provider adoption. Equipped with the power to predict health outcomes, support a clinical diagnosis and provide intelligent
alerts for medication adherence, Artificial Intelligence represents a great new frontier with the ability to overcome the said challenges

Healthcare Data Management Privacy & Security Concerns

• AI helps in medical data collection, • AI ensures that healthcare data is safe
storage retrieval and analytics (EHR), and secure without any breach of
which results in automated data information which boosts trust among
management facilitating patients and the customers and healthcare providers.
physicians.

Manage and Engage Patients Control & Manage Costs

• AI enhances the physician experience • AI allows health plans to collect and
by intelligent follow -ups relieving the analyze volumes of data that could
clerical burden through medication lead to customized care programs,
and clinical adherence. leading to higher cost controls and
management.
Diagnosis and Patient Care
• AI can help identify high-risk patients Medical Treatments
and provide at-home care • AI understands, motivates and
maintaining patient-practitioner interacts with patients, and
relationship. recommends treatments; by
selecting the optimal treatment plan.
Disease Management
• AI can detect diseases and early forms Target Identification
of cancer, and enable development of • AI can expedite target identification
precision therapeutics. process and also identify targets
easily by analyzing the data from
multiple sources.

5
Healthcare Value Chain and Artificial Intelligence
Use Cases

6
Healthcare Value Chain and Artificial Intelligence Use Cases

Regulatory, Risk,
Research & Supply Chain Sales & Providers &
Technology End User Compliance &
Development Management Marketing Payers
Strategy
Healthcare Brand
Smart Supply Management and Automated Medication
Drug Discovery Chain Marketing Image Diagnosis Adherence Risk Management
Automated Regulatory
Intelligent Drug Cognitive Market Hospital Diagnosis & Compliance
Designing Sourcing Research Management Prescription Monitoring
Supplier Selection Content
Generate Novel and Relationship Distribution on Virtual Disease Prediction Fraud
Drug Candidates Management Social Media Assistants & Prevention Detection
Product
Lead Identification Information Clinical Predictive Personalized Smart Security
& Optimization Demand Analysis Management Analytics Healthcare Systems

Artificial Smart Sales Data Input Clinical Decision Patient Data Strategy
AI Biomarkers Inventories Automation Support System Analytics Optimization
Intelligence
Clinical Care
Clinical Research Warehouse Mental Health
Call Tracking Logistics
Databases/ Tools Management & TeleHealth
and Analytics Automation
Clinical Trial
Medication Workflow Prescription Robotics Process
Adherence Management Pricing AI Error Alerts Automation

Genome Analysis Personalized Medical Records Smart Connected

& Editing Advertising Management Devices

Precision Claims Advanced Biometrics

Therapeutics Management Authentication
Medical Devices Payment Integrity Pattern Recognition

7
Artificial Intelligence in Healthcare: Research &
Development

8
Value Chain and Use Cases – Research &
Development (1/3)

“Harnessing the power of modern supercomputers and machine learning will enable us
to develop medicines more quickly, and at a reduced cost.”

John Baldoni, Head of new drug discovery unit, GSK (Brentford, UK)

“AI is the one technology that could make a

huge and dramatic change" because it can
digest large amounts of data quickly, and
turn that into usable information for clinical
decision-making.”

Dick Daniels, Kaiser CIO

“A.I. could play a big role in supporting

prevention, diagnosis, treatment plans,
medication management, precision
medicine and drug creation.”
Bruce Liang, Chief Information Officer of
Singapore's Ministry of Health
“We are starting to see AI can outperform
humans when analysing very complicated
datasets for high content phenotypic drug
discovery.”
Andrew Hopkins, Exscientia CEO
Value Chain and Use Cases – Research & Development (2/3)
Research & Development
The Healthcare industry is losing approximately 50% of compounds in Phase II and Phase III trials for lack of efficacy, and AI enables to
identify the right targets of R&D and help making the right decisions about what compounds to prioritize. This can drastically improve
success rate during early drug development stages. Companies are using machine learning algorithms to reduce development time and
build a strong and sustainable drugs pipeline. AI can also analyze and identify patterns in large and complex datasets faster and more
precisely than had previously been possible. Additionally, AI is also used for medical research by helping to match suitable patients to
clinical studies

Use Cases AI + Use cases/Definition Innovation Examples Company

AI helps aggregate and synthesize
 Drug
information by which potential new
Discovery
drugs or medicines can be discovered
GSK partners with startup Exscientia* to apply AI to drug discovery. GSK
will use Exscientia’s AI-enabled platform to discover small molecules to
treat up to 10 targets chosen by GSK, across multiple therapeutic areas.

AI uses tools that speed up drug Virvio develops synthetic biotherapeutics using AI technology. The
 Intelligent
discovery process by identifying synthetic proteins are computationally designed, and thereby used to
Drug
individual compounds, which are more accurately target conserved sites on the disease with similar molecular
Designing
likely to succeed in clinical trials affinity and specificity compared to clinically validated antibodies.
AI applies machine learning for
 Generate BenevolentAI uses AI to identify new drug candidates. The company uses
identifying and validating the potential
Novel Drug proprietary algorithms to analyze pieces of scientific research and clinical
drug candidates quickly and cost
Candidates studies for new medicines or new applications for existing drugs.
effectively
AI focuses on target identification and NuMedii’s Artificial Intelligence for Drug Discovery (AIDD) platform helps
 Lead
lead generation for discovering to discover connections between drugs and diseases at systems level
Identification &
connections between drugs and using Big Data and AI. The technology can help in identifying patient
Optimization
diseases subgroups, new therapeutic options and biomarkers.
Imagia Cybernetics releases Deep Radiomics, an AI-based biomarker. The
AI helps in the development of new
biomarker is capable of predicting, previewing and complementing test
 AI Biomarkers imaging biomarkers for lung cancer or
results by acting as digital equivalents to markers that are difficult to
human aging
extract from the diseased.

10
Value Chain and Use Cases – Research & Development (3/3)
Use Cases AI + Use cases/Definition
 Clinical AI helps to aggregate, contextualize
Research huge volumes of unstructured data to
Databases/ help identify possible applications to
Tools get them into clinical trials faster
 Clinical Trial AI assists to design, recruit , improve
Medication medication adherence and evaluate
Adherence response to therapy for clinical trials
AI supports to create small insertion,
 Genome
delete mutations and build a more
Analysis &
accurate picture of a person’s genome
Editing
from sequencing data
AI helps to accelerate the development
 Precision
of cures or conditions, when applied to
Therapeutics
rich data diseases databases
Medical devices equipped with AI
 Medical
capabilities provide effective
Devices
diagnosis, using connected mobile apps
Innovation Examples Company
Antidote uses AI to accelerate and improve medical research for
clinical trials. The platform is designed to aggregate, structure clinical
trial listings data and make it ‘machine readable’. Patients can be “smart
matched” with trials that are relevant to their therapeutic condition.
AiCure, an advanced medication adherence solutions company, has
developed AI based solution to help pharmaceutical companies along
with clinical research organizations to remotely monitor patients and
visually confirm medication ingestion during clinical trials.
Google’s new tool ‘DeepVariant’ uses AI techniques to build a more
accurate picture of a person’s genome from sequencing data. It
automatically identifies small insertion and deletion mutations and
single-base-pair mutations in sequencing data.
BERG's platform ‘BERG Interrogative Biology’ leverages adaptive-omics
and AI machine learning algorithms for precision healthcare. It combines
patient biology and AI based analytics to engage the differences between
healthy and disease environments.
Medtronic, a medical device company uses AI to help diabetics manage
their conditions. It’s Sugar.IQ app monitors blood glucose levels by
analyzing data generated from Medtronic glucose sensors and insulin
pumps.
11
Artificial Intelligence: Success Stories in R&D

BenevolentAI’s Proximagen Uses AI to Reduce the Potential Time For New

Drugs to Enter Clinical Test

Company: Proximagen| Partner: BenevolentAI

• BenevolentAI acquired Proximagen’s U.K. operations, a drug discovery and

development facility on the Babraham Research Campus in Cambridge. It
allows BenevolentAI to cover the entire drug R&D process.
• BenevolentAI aims to improve its scale and capability. It plans to significantly
reduce hypotheses validation time and diversify its range of projects and
therapeutic areas.
• BenevolentAI can generate biological hypotheses at scale, significantly reduce
hypotheses validation time and diversify its range of projects and therapeutic
areas.

#Drug discovery #Drug development #Clinical test #Rare diseases

Artificial Intelligence in Healthcare: Supply Chain
Management

13
Value Chain and Use Cases – Supply Chain
Management (1/3)

“The only way to solve the supply-and-

demand issues so many health services
face is to leverage artificial intelligence or
AI.”
Ali Parsa, Chief Executive of Babylon
“AI offers the opportunity to free physicians
and other clinicians from tedious work
analyzing data, giving them time to apply
their knowledge in a more focused,
informed way.”
Lisa Suennen, Managing Director at GE Ventures

“Healthcare systems are under enormous

pressure to improve productivity; together
we will be diving into specific use cases to
turn the power of medical imaging data and
validate specific workflow improvements in “AI is a means, not an end. In our case, we
productivity by leveraging Artificial see Max as a way to solve the training and
Intelligence.” process problem that we have not been
James Jay, President Imaging IT at Agfa able to solve yet.”
HealthCare Kevin Louie, Sales Systems Manager, Twilio
Value Chain and Use Cases – Supply Chain Management (2/3)
Supply Chain Management
The healthcare supply chain uses AI for a pivotal role in hospital purchasing and inventory management which reduces operational and
administrative expenses. Supply chain planning and optimization, including demand forecasting, are among the key areas where AI is
already beginning to be deployed. Some companies are already applying AI to automatically analyze vast amounts of supply-chain
management data, identify trends, and generate predictive analytics — the ability to predict problems and outcomes to improve SCM
performance and forecast supply chain outcomes

Use Cases AI + Use cases/Definition Innovation Examples Company

AI has the ability to cover the entire
 Smart Supply gamut of the supply chain starting from
Chain manufacturing, procuring and
transportation of medical products
AI enables to autonomously analyse
 Cognitive
sourcing data and proactively
Sourcing
recommend logical actions
 Supplier
AI helps to systematically identify the
Selection and
right supplier to maximize output from
Relationship
the available resource
Management
AI can perform research to estimate or
 Demand
analyze the customer demand for a
Analysis
product or service
AI uses its machine learning technology
 Smart to track the process of ordering and
Inventories storing inventory for increasing ROI
over the long term
WeDoctor and idsMED together form an AI-backed smart medical supply
chain & procurement joint venture. WeDoctor leverages AI to deliver
digital and mobile healthcare services to their registered patients. The
partnership’s primary goal is to deliver quality and make healthcare
accessible to the public.
Mayo Clinic Supply Chain Management provides its facilities and staff
with access to any healthcare service and technology that offers patient
care, safety benefits and cost reduction, even if the supplier does not
have a contract with Mayo Clinic.
Cohealo is a technology company that helps health systems share
medical equipment across facilities, optimize spend, accelerate cash
flow, and improve access to care. It is a centralized platform for
connecting people, facilities and equipment.
Sante Media aids healthcare institutions and medical businesses
integrate AI solutions to improve their efficiency at managing key
processes and delivering superior products and services. It facilitates
real-time customer demand and creates sustainable sales channels.
Sutter Health collaborates with Qventus to use its AI platform for
improving inpatient care and pharmacy inventory management. The
platform helps support pharmacy technicians to streamline pharmacy
workflows, inventory, and quality practices in real-time.

15
 Value Chain and Use Cases – Supply Chain Management (3/3)

Use Cases AI + Use cases/Definition Innovation Examples Company

Swisslog applies the methods of AI to automate decision-making and
AI supports healthcare companies to
 Warehouse optimize avenues related to warehouse management. It tracks daily
control and administer warehouse or
Management timely deliveries and optimizes inventory levels for enhancing the supply
distribution center operations
chain experience.
CrossChx’s Olive is an AI platform that allows healthcare organizations to
AI can automate administrative
automate a variety of tasks, including order management, eligibility,
 Workflow workflow, prioritize urgent matters and
prior authorizations, claims processing, and more. It automates tasks to
Management help doctors, nurses, and assistants by
allow organization's focus on important initiatives that require human
automating repetitive tasks saving time
touch.

16
Artificial Intelligence: Success Stories in SCM

UPMC Partnership with IBM Watson Brings Cognitive Supply Chain Services
to Healthcare

Company: UPMC (University of Pittsburgh Medical Center) |

Partner: IBM Corporation

• UPMC has formed Pensiamo, an independent company, that aims to help

hospitals improve supply chain performance through a comprehensive source-
to-pay offering, including cognitive analytics with IBM Watson Health
technologies.
• The venture to help hospitals save costs, get smarter about ordering supplies,
targeting the estimated one-third of healthcare spending that is wasted.
Pensiamo aims to offer providers a supply chain management approach
tailored to each institution’s specialties and patient population needs.
• IBM Watson will provide advanced analytics to inform and automate a
number of processes, including purchasing. The system will grab from
structured data like electronic medical records, published clinical research and
even unstructured data such as physician notes.

#Cognitive Computing #Supply Chain #Source-to-Pay #Analytic solutions

Artificial Intelligence in Healthcare: Sales & Marketing

18
Value Chain and Use Cases – Sales & Marketing
(1/3)

“Health care manpower, augmented with A.I. tools, could better

address increased health care demands in the future.”
Bruce Liang, Chief Information Officer of Singapore's Ministry of
Health

“Recent successes, such as mining social

“Digital health transformation is
happening now. Machine learning and AI
are already demonstrating its potential to
drive efficiencies and improve the quality
of care and will continue to be significant
in the next 20 years.”
Charles Koontz, Chief Digital Officer of
GE Healthcare
media to infer possible health risks,
machine learning to predict patients at risk,
and robotics to support surgery, have
expanded a sense of possibility for AI in
healthcare.”
Stanford’s AI100 study
“The way artificial intelligence starts to
really impact what’s going on in health care
is to be able to start cloning all the expert
knowledge, so now all of a sudden you get
access to all types of care, anywhere.”
Steve Harvey, VP of Watson Health at IBM
Value Chain and Use Cases – Sales & Marketing (2/3)
Sales & Marketing
Sales & Marketing (S&M) focuses on improving customer response rates, customer communications or increasing customer acquisition.
AI transforms the sales & marketing process eliminating repetitive tasks of finding and sorting leads, monitoring orders, and
communicating with customers. It can also collect, structure, and interpret data, which can allow effective content and ad placement
compared to traditional methods. AI provides additional opportunities to engage with customers through predictive customer service

Use Cases AI + Use cases/Definition Innovation Examples Company

 Brand AI helps develop an optimal marketing Healint introduces Migraine Buddy that records terabytes of data to help
Management strategy for the brand based on market patients, doctors and researchers to understand the real-world causes
and Marketing perception and target segment and effects of neurological disorders.

MD Analytics introduces ‘Rapid Insight Market Assessment ‘ to assess

AI can assess the market and prepare
 Market market potential for new treatments or indications. The tool utilizes a
competitive intelligence data useful for
Research proven and standardized questionnaire to speed up time to field, and
the hospitals or clinics
allows ample time for analysis.
 Content AI can identify and scan the posts and Facebook leverages AI for identifying users with suicidal thoughts based
Distribution videos on the social media as well as on social media posts . The new AI based algorithm automatically scans
on Social translate them into other foreign posts and videos posted by users and flag the content with expressions
Media languages of suicidal thoughts.
Edifecs introduces Smart Decisions, an AI platform. Smart Decisions is
 Product AI enables better product marketing by
available to health plans and provider organizations, which brings
Information developing product stories that
analytics capabilities to legacy healthcare applications and combines
Management increase the customer experience
existing data flows and predictive data gap analysis.
AI helps to automatically sync calendar, Chorus.AI handles the work to capture, summarize and enter call notes
 Sales Data
emails and phone calls to create better into CRM, enabling sales personnel to build client relationships. It is
Input
sales visibility and analytics, giving sales developed to securely capture, store and analyze team’s calls and
Automation
personnel more sales time meetings across various industries.

20
Value Chain and Use Cases – Sales & Marketing (3/3)

Use Cases AI + Use cases/Definition Innovation Examples Company

Babylon teams up with Tencent to deploy its AI app on WeChat, the
AI can analyze all customer contacts,
Chinese company’s social media messaging platform, to target patients in
 Call Tracking including phone calls or emails to
the growing Chinese health industry. The AI healthcare mobile app
and Analytics analyze and understand the behavior
allows patients to self-assess their symptoms prior to contacting a
that drive sales
physical health body.

AI ensures pricing optimization that iMedX performs medical market price analysis through AI to its clients.
 Pricing AI allows companies to achieve dynamic iMedX compares online item pricing to like market entities, while
pricing while maximizing revenues ensuring fair prices , to enable clients maximize their ROI.

AI offers personalized advertisements Truth Nutraceuticals uses ReSci’s AI to optimize their campaigns across
 Personalized via email, site search or social media different channels. It leverages ReSci’s proprietary Customer Lifetime
Advertising that help the client s find their right Value (CLV), to create lookalike audiences which are used in multiple
customers Facebook ad campaigns.

21
Artificial Intelligence: Success Stories in
Sales & Marketing
Allergan Uses Amazon Web Services (AWS) to Support New Websites or
Online Marketing Campaigns

Company: Allergan plc | Partner: Amazon Web Services Inc.

• Allergan operates many product marketing websites used by millions of

consumers and healthcare providers every year. By using AWS machine
learning technologies, Allergan can support its websites and applications.
• Allergan supports 10 percent annual business growth and launches new
websites and online campaigns in one day instead of several weeks using
AWS. Allergan saves additional money by using AWS global footprint and
reduces its operating costs.
• The Allergan IT digital marketing services team also needed more agility in
order to respond to the marketing team’s increasing requests to launch new
online campaigns and product websites.

#Market insights #Sales & Marketing #Customer engagement #Data management

Artificial Intelligence in Healthcare: Providers & Payers

23
Value Chain and Use Cases – Providers & Payers
(1/3)
“AI-based applications could improve
health outcomes and quality of life for
millions of people in the coming years—but
only if they gain the trust of doctors, nurses
and patients, and if policy, regulatory and
commercial obstacles are removed.” “Electronic health records [are] like large
Stanford’s AI100 study quarries where there’s lots of gold, and
we’re just beginning to mine them.”
Dr.Eric Horvitz, Managing Director of Microsoft
Research, Specializing in Applying AI in
Healthcare

“Doctors are realizing that if they want to

make sense of massive amounts of data,
“AI will become so ubiquitous that it will
machine learning is a way of allowing them
essentially become invisible and, as a
to learn from that data.”
result, will permeate all of the
applications and devices that we engage Francesca Dominici, Biostatistics
with both inside and outside the hospital.” Professor, Harvard University

Jonathan Symonds, CMO of Ayasdi

Value Chain and Use Cases – Providers & Payers (2/3)

Providers & Payers

AI enables medical practitioner to provide insights and predict the medical outcomes. AI helps to analyze chronic conditions leveraging
lab data and other medical data to enable early diagnosis. AI can also mine medical records of patients, so they can be retrieved and
assessed quickly to speed diagnosis and treatment. Additionally, AI can analyze integrated claims and clinical data to understand
queries and determine a member’s eligible services. These actions can help increase efficiency and reduce the overall cost of care

Use Cases AI + Use cases/Definition Innovation Examples Company

Enlitic announces deep learning medical natural language processing
 Automated AI provides diagnostic solutions that
(NLP) solution for its imaging diagnostic platform. It provides meaningful
Image empower physicians to make faster,
comprehension of medical texts and images, enabling organizations to
Diagnosis better-informed treatment decisions
operationalize and commercialize their data assets.
AI manages the operational tasks of Qventus is a real-time decision management platform to optimize
 Hospital hospitals, doctors and nurses, resulting decisions in hospitals. The platform improves efficiency, patient
Management in cost reduction and advanced patient experience and clinician satisfaction. The company helps healthcare
experience teams turn data into action and action into results.
Sensely offers a mobile app-based virtual nurse assistant “Molly” that
AI provides virtual care by monitoring
 Virtual communicates with patients providing clinical advice and services. The AI
patient’s condition and following up
Assistants powered assistant understands patient queries related to multiple
with treatments, between doctor visits
diseases and delivers responses through speech or text.
AI and predictive analysis on patient Jvion Predictive Analytics is a software that provides crucial insights for
 Clinical
data provide accurate real-time case enabling care providers to target high risk patients and derive better
Predictive
prioritization and faster medical health outcomes. The platform features data pods that provide
Analytics
solutions caregivers with customized insights on possible clinical interventions.
 Clinical AI provides clinicians, staff and patients Clew Medical’s AI predictive analytics platform prevents life-threatening
Decision with person-specific information at complications for patients in high acuity care. It uses real-time data to
Support appropriate times, to guide the generate patient-specific risk predictions and then lays out the
System (CDSS) clinicians’ decision-making process information in a regular dashboard app.

25
Value Chain and Use Cases – Providers & Payers (3/3)

Use Cases AI + Use cases/Definition Innovation Examples Company

Tagnos provides an AI powered clinical logistics automation platform for
 Clinical Care AI uses data from real-time location
streamlining patient flow in clinics, hospitals, and specialty labs. The
Logistics systems to improve the flow of patients
platform is used to track patients, assets, and workforce anywhere
Automation within a healthcare facility
within the hospital to ensure the safety of patients.
MedAware launches MedAware Alerting System (MedAS), a patient-
AI can help place control mechanisms
 Prescription specific Clinical Decision Support System (CDSS), which identifies and
that detect and prevent prescription
Error Alerts alerts on prescription errors in real-time by improving patient safety,
errors against that specific patient
outcomes and experience while reducing healthcare costs.
AI helps in compiling and analyzing
Medal is an electronic medical records sharing platform for providers,
 Medical information (such as medical records
health insurers, and individuals. Its software enables secure, HIPAA
Records and other data management) to
compliant sharing and cataloguing of clinical information from any
Management provide faster and more consistent
electronic medical records system.
access
AI can strengthen claims management Zurich Insurance leverages AI to improve the accuracy of claims
 Claims
by systematically identifying and management process. It reduces the processing time of claims from
Management
correcting errors hours to seconds and delivers error-free services.
AI can monitor and escalate instances Optum, the health services and analytics arm of UnitedHealthcare,
 Payment
of redundant or inaccurate payments performs end-to-end claims processing performance by simplifying the
Integrity
and maintain payment integrity payment system, improving accuracy and reducing costs.

26
Artificial Intelligence: Success Stories in
Healthcare Providers
Nuance and Epic Team to Deliver AI powered Healthcare Virtual Assistants
and Computer-Assisted Physician Documentation (CAPD)

Company: Epic Systems Corporation| Partner: Nuance Communications Inc.

• Nuance Communications partners with Epic to integrate its artificial

intelligence based virtual assistant platform with Epic’s electronic health
records (EHR).
• Epic aims to increase care provider’s efficiency and productivity across
different hospital verticals. The AI powered virtual assistants help physicians
to capture, store, and retrieve patient’s information whenever required
instantly.
• Nuance CAPD enables clients to effectively deploy AI powered technology to
supplement their Clinical Documentation Specialist team to more efficiently
analyze 100% of patient cases for documentation improvement
opportunities, look across all payers, and provide support on a 24x7 basis.

#Virtual assistant #Smart speaker #Electronic health records #Patient management

Artificial Intelligence in Healthcare: End User

28
Value Chain and Use Cases – End User (1/3)

“People will get really intelligent triage

that’s personalised to them from their
phones, or be empowered to look after their
own chronic conditions, like diabetes, via
home monitoring.”

Keith McNeil, Former chief clinical

information officer, NHS
“There’s a huge turn now in personalized
consumer-based healthcare where patients
are going to be able to do most of the
things that doctors can do on demand.”
Dean Sawyer, CEO of Sentrian

“We believe this new digital medicine could

revolutionize the way adherence is measured
and fulfill a serious unmet medical need in this
population.”

Dr. William H. Carson, President and CEO, Otsuka “We have emergency rooms today where

Pharmaceutical Development and every bit of data captured about a patient is

Commercialization automatically evaluated by AI agents

looking for missed diagnoses and potential
disease outbreaks.”
Greg Kuhnen. Senior Director of Research at
Advisory Board (Washington, D.C.)
Value Chain and Use Cases – End User (2/3)
End User
AI solutions focus on serving the ongoing needs of the patients and improving the user experience by enhancing the value provided to
patients/customers. AI can monitor the use of medication by a patient and send instantaneous alerts on serious medical conditions to
the caregiver or doctor. AI can also help in lifestyle monitoring, calculate heart rate and activity levels through wearable health
trackers – like those from FitBit, Apple, Garmin and others
Use Cases AI + Use cases/Definition
AI manages complex drug regimens or
 Medication self-directed exercises for patients,
Adherence allowing them to correctly follow
medical advice as prescribed
AI recommends the best treatment
 Automated
options based on the patient complaint
Diagnosis &
and other data, preventing possible
Prescription
diagnosis errors
AI technology platform can analyze
 Disease
data to identify and assess specific
Prediction &
diseases to improve overall patient
Prevention
care
AI provides custom-tailored solutions
 Personalized and care plans for patients by using
Healthcare their medical history and genetic
profile
AI helps analyze patient or third-party
 Patient Data data to discover insights and
Analytics recommend actions to enhance patient
satisfaction
Innovation Examples Company
QuiO Technologies introduced a smart injection devices and connected
software for monitoring, engaging and supporting patients taking
injectable therapies. The devices are designed to improve medication
adherence particularly in case of chronic disease patients.
Rythm has developed Morpheo, an AI platform that helps in diagnosing
sleep disorders. Morpheo collects the data and performs analysis which
helps save clinicians hundreds of hours by automating diagnostic sleep
data analysis.
Amiko’s Respiro platform is a digital respiratory disease management
using sensors and AI technologies. The sensors are bundled with a mobile
application, which receives this data via Bluetooth and offers simple
metrics and personalized support to improve disease control.
Your.MD launches OneStop Health app to offer personalized,
trustworthy and free health advice . Through chatbots, allow people to
take full control of each stage of their health issues, from understanding
their symptoms to offering the best treatment.
Zakipoint Health displays all the relevant healthcare data at a member
level on a dashboard to understand risk and cost, provide tailored
programs and improve patient engagement. The platform tracks the
member participation and displays the ROI of the program.
30
Value Chain and Use Cases – End User (3/3)
Use Cases AI + Use cases/Definition
AI helps to screen and evaluate
 Mental Health patients to undergo mental health
through instant messaging service
AI remotely provides clinical services
to patients for follow-up visits,
 TeleHealth
medication management and other
consultations
 Robotics AI in combination with RPA can
Process augment human capabilities, support
Automation decision making, and automate
(RPA) tedious tasks
 Smart AI ensures that the messages target
Connected customers at their smart device at the
Devices time providing care or service
 Advanced AI helps customers to authenticate
Biometrics information through biometrics and
Authentication reduce issues related to passwords
AI can assess and recognize the
 Pattern
patterns through voice data and other
Recognition
forms to optimize patient care
Innovation Examples Company
Ginger.io provides comprehensive and personalized mental healthcare
solutions. It offers around-the-clock emotional support therapy,
coaching, and psychiatry to anyone using chat and messages.
InTouch Health released Vici, a telehealth cart that enables connection of
physicians to patients at every point of care between hospital and home.
It improves communication clarity by connecting with skilled nursing
facility or a check-up on a post-acute patient recovering at home.
Stryker launched a robotic-arm assisted total knee arthroplasty
application to be used with Mako System. The Mako System provides
CT-based 3D modeling of a patient’s bone anatomy, allowing the surgeon
to create a personalized surgical plan for each patient.
BioBeats launches Hear and Now, a mental health app on smart phone to
tackle stress levels by using heartbeat. The app provides effective stress
management solution through its biometric monitoring, artificial
intelligence and algorithms by tracking mind, body stress and heart rate.
CrossChx, an AI platform partners with RightPatient, to enable CrossChx
customers to leverage RightPatient’s biometric patient identification
service and photo biometrics capabilities. The platform ensures patient
safety and also prevents patient misidentifications.
Neurotrack has developed a brain health app for predicting and
preventing Alzheimer’s. The web browser based app lets users take a five
to 30 minutes test in front of their computers, where the app tracks eye
movements for predicting cognitive decline function.
31
Artificial Intelligence: Success Stories in Patient
Management
BD Leverages BERG’s AI Platform to Reduce Medication Non-Adherence for
Patients

Company: Becton, Dickinson and Company| Partner: BERG LLC.

• BD (Becton, Dickinson and Company) will use BERG‘s artificial intelligence

platform to improve patient health by minimizing challenges associated with
medication adherence for patients.
• The partnership will leverage BD’s healthcare IT expertise and BERG’s AI
platform, which will help healthcare workers identify certain patient
populations that are at the highest risk for non-adherence post-discharge.
• Through this innovative solution, clinicians will be able to better prioritize
patient interventions and engage the most appropriate ancillary staff to
improve patient outcomes once they leave the hospital. This will improve
patient health and reduce costs from unnecessary re-admissions and doctor
visits.

#Medication Non-Adherence #Patient Management #Disease Prediction & Prevention

Artificial Intelligence in Healthcare: Regulatory, Risk,
Compliance & Strategy

33
Value Chain and Use Cases – Regulatory, Risk,
Compliance & Strategy (1/2)

“AI holds enormous promise for the future of medicine,

and we’re actively developing a new regulatory
framework to promote innovation in this space and
support the use of AI-based technologies.”
Dr. Scott Gottlieb , FDA Commissioner

“So tomorrow, if AI can shape healthcare, it has to work through the

regulations of healthcare … In fact, I see that as one of the biggest
areas is where the benefits will play out for the next 10 – 20 years.”
Sundar Pichai, CEO of Google

“We have to figure out how we can use technology, big data and artificial
intelligence to improve the quality of care. And we need to see how it can
minimize unnecessary services and detect error and fraud. There’s a
tremendous opportunity.”
Jay Rajda, Aetna’s chief clinical transformation officer
Value Chain and Use Cases – Regulatory, Risk, Compliance & Strategy
(2/2)
Regulatory, Risk, Compliance & Strategy
AI helps to monitor and uphold the legal/regulatory requirements, regulatory reporting and fraud reduction. The process of identifying
and mapping regulatory requirements across the business can be automated using AI. It also enables understanding of the entire risk
gamut by identifying the risks that could impact the organisations strategy or operations. Additionally, AI offers the potential to
improve existing business activities by developing data-driven business strategies

Use Cases AI + Use cases/Definition Innovation Examples Company

DeepMind partners with the U.S. Department of Veterans Affairs to
 Risk AI can precisely foresee risk and
predict patient risks during hospital stay using AI. DeepMind’s algorithm
Management suggest recommended course of
uses over 700K historical health records of patients to identify risk
actions
factors related to deteriorating health conditions of patients.
Apixio applies its cognitive computing platform to tackle risk adjustment,
 Regulatory AI can monitor and scan legal and
the fundamental basis for value-based health. Apixio’s HCC Validation
Compliance regulatory compliance issues without
solution helps organizations achieve accuracy for Medicare Advantage
Monitoring any human intervention
and commercial risk adjustment.
WhiteHatAI’s Centaur System tracks the entire claims process and
AI can detect fraudulent and
 Fraud identifies fraudulent medical claims irrespective of their complexity using
anomalous activities in the healthcare
Detection AI. The platform helps organizations prevent errors and fraud in claims
system
before they happen, maintaining integrity in medical billing.
BurstIQ uses AI to design individualized wellness plans and benefits,
AI functions 24/7 to identify, track, and
 Smart Security works on distributed data integrity, security and collaborative
disrupt security threats such as
Systems intelligence to secure patient health data. The platform stores them in a
malware and cybersecurity attacks
single unified data repository which can be shared easily.
AI allows organisations to automate KenSci has developed an AI based risk prediction platform to decrease
 Strategy business processes and focus on readmission into hospitals and improve population health outcomes. The
Optimization optimizing customer experience and platform has the ability to optimize care coordination at every level –
health benefits home care, in patient, and outpatient.

35
 Artificial Intelligence: Success Stories in Risk
M Management
Johns Hopkins Hospital Partners with GE Healthcare to Use Predictive
Analytics to Support Efficient Operational Flow

Company: Johns Hopkins Hospital | Partner: GE Healthcare

• Johns Hopkins Hospital introduces a hospital command center that uses

predictive analytics to support a more efficient operational flow in partnership
with GE Healthcare. The hospital teamed up to receive “500 messages per
minute” and integrate data from “14 different Johns Hopkins IT systems”
across 22 high-resolution, touch-screen enabled computer monitors.
• A team of 24 command center staff is able to identify and mitigate risk,
prioritize activity for the benefit of all patients, and trigger interventions to
accelerate patient flow.
• Since the launch of the command center, Johns Hopkins reports a 60 percent
improvement in the ability to admit patients with complex medical conditions
from the surrounding region and country at large.

#Predictive analytics #Risk management #Chronic diseases #Patient records

 AI in Healthcare: Future Outlook
“Artificial intelligence will reach human levels by around 2029. Follow that out further to, say, 2045, we will have
multiplied the intelligence, the human biological machine intelligence of our civilization a billion-fold.”
- Ray Kurzweil, American author & Computer scientist

• AI can significantly transform how healthcare systems operate, connect with

patients, and provide care. AI is the next step following the implementation of
sophisticated big data & analytics (BDA) approaches, and can unlock large
volumes of data if it can be accessed in an automated way in real time without
any human effort.

• Healthcare companies that implement AI are entering a new era that is

anticipated to revolutionize the industry by making various tasks more efficient
such as drug discovery, clinical trials, robotic surgery, and patient
management.

• Various healthcare and AI-driven companies have entered into partnerships and
collaborations over the past few years, which are either driven by existing AI
solutions, or can have an impact on their potential for future deployments.

37
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