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CMS offers $1.65 million in AI Health Outcomes Challenge

By Jodi G. Daniel & Amber Mulcare on April 23, 2019
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On March 27, 2019, the Centers for Medicare & Medicaid Services (CMS) announced a $1.65 million competition to accelerate development of AI solutions in health care. The Artificial Intelligence (AI) Health Outcomes challenge seeks innovative, AI-driven solutions that can predict unplanned hospital and skilled nursing facility (SNF) admissions and adverse events.

The challenge is a 1-year, three stage competition; the Launch State is open to the public and seeks to attract a wide range of ideas and solutions.

Stage 1 will be comprised of 20 participants and will focus on the development of algorithms that predict health outcomes using Medicare fee-for-service data as well as strategies for building clinician trust in the solutions. 5 participants will be awarded $80,000 and will advance to Stage 2.

Stage 2 will ask for finalists to refine their algorithm and run a number of analyses on more than 5 years of CMS claims data to demonstrate proof-of-concept. The grand prize winner will be awarded up to $1 million.

Economists have debated the use of prize systems for technological innovation. While some argue that the use of medical prize funds will lower prices and widen the availability of research results, others are skeptical of claims regarding the role of prize funds in inducing technological innovation. CMS is in a unique position to offer prizes for innovative solutions; as the country’s single largest payer for health care, it may be the one of the best entities to evaluate the efficacy of the proposals and can offer innovators with the data needed to develop their algorithms

Photo of Jodi G. Daniel Jodi G. Daniel

Jodi Daniel is a partner in Crowell & Moring’s Health Care Group and a member of the group’s Steering Committee. She is also a director at C&M International (CMI), an international policy and regulatory affairs consulting firm affiliated with Crowell & Moring. She…

Jodi Daniel is a partner in Crowell & Moring’s Health Care Group and a member of the group’s Steering Committee. She is also a director at C&M International (CMI), an international policy and regulatory affairs consulting firm affiliated with Crowell & Moring. She leads the firm’s Digital Health Practice and provides strategic, legal, and policy advice to all types of health care and technology clients navigating the dynamic regulatory environment related to technology in the health care sector to help them achieve their business goals. Jodi is a contributor to the Uniform Law Commission Telehealth Committee, which drafts and proposes uniform state laws related to telehealth services, including the definition of telehealth, formation of the doctor-patient relationship via telehealth, creation of a registry for out-of-state physicians, insurance coverage and payment parity, and administrative barriers to entity formation.

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Photo of Amber Mulcare Amber Mulcare

Amber Mulcare (CIPP-US) is an associate in Crowell & Moring’s Washington, D.C. office and a member of the firm’s Health Care and Privacy & Cybersecurity groups. She represents health insurance plans, health systems, major technology companies, government contractors, and other clients on a…

Amber Mulcare (CIPP-US) is an associate in Crowell & Moring’s Washington, D.C. office and a member of the firm’s Health Care and Privacy & Cybersecurity groups. She represents health insurance plans, health systems, major technology companies, government contractors, and other clients on a variety of digital health, privacy, and security matters.

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  • Posted in:
    Health Care
  • Blog:
    Health Law
  • Organization:
    Crowell & Moring LLP
  • Article: View Original Source

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