ai use or development: natural intelligence will help ... · 3/7/2020 · •from watson to siri...

AI Use or Development:

Natural Intelligence will Help Identify

and Understand the Issues

Copyright 2020 Katten. All rights reserved. Do not reproduce without permission.

Katten refers to Katten Muchin Rosenman LLP and the affiliated partnership as explained at katten.com/disclaimer.

Attorney advertising. Published as a source of information only. The material contained herein is not to be construed as legal advice or an opinion.

Healthcare Law & Compliance Institute March 2, 2020

Presented by:

W. Kenneth Davis, Jr., Partner

Cheryl Camin Murray, Partner

Katten | Confidential & Proprietary

• These materials should not be considered as, or as a substitute for, legal advice; and they are not intended to nor do they create an attorney-client relationship.

• Since the materials included here are general, they may not apply to your individual legal or factual circumstances.

• You should not take (or refrain from taking) any action based on the information you obtain from these materials without first obtaining legal counsel or professional advice.

• The views expressed in this presentation do not necessarily reflect those of the firm, or it lawyers, or its professionals or clients.

Disclaimer

2


• This presentation will cover:

— AI Background and AI in Healthcare

— Statutory, Regulatory and Common Law Requirements

— Ethical Concerns

— Reimbursement Matters

— Contractual Issues

— Torts and Private Causes of Action

— Antitrust issues

— Employment, Labor and Compliance Considerations

— Privacy and Security Risks

— IP Concerns

— Compliance Programs

Overview

3


• What is Artificial Intelligence?

• Traced back to classical philosophers

• From Watson to Siri

AI Background

4


• AI is used by:

—Payors

—Providers

—Life Science Companies

AI in Healthcare

5


• Machine Learning

• Natural Language

• If-Then Rules

• Robots

• Robotic Process Automation

Types of AI in Healthcare

6


You see AI in:

• Diagnosis of blood-borne bacterial infections

• EHR systems

• Big data analysis for diagnosing and treating

• Building prediction models

• Population health machine learning

• Augmentation or provision of physician services

AI Examples in Healthcare

7


• Patient engagement and adherence

—Scheduling following-up visits, filling prescriptions, and complying with treatment plans

• Administrative applications

—Claims processing, claims audits, clinical documentation, and revenue cycle and medical records management

• Patient interactions

—Mental health, wellness, and telehealth

How AI Can Help

8


Your perspective will vary:

—If you are “merely” an AI user

—If you are involved in the development of AI

How are You Encountering AI

9


Statutory, Regulatory and

Common Law Requirements

10


• Licensure, permits, registrations (federal and state)

• Other governmental approvals

• Corporate practice

Statutory, Regulatory and Common

Law Requirements (continued)

11


• Accountability

• Transparency

• Consent

• Errors

Ethical Considerations

12


• Payment for AI Services

• Revenue Cycle Management

• Billing and Collection

• Audits

Reimbursement

13


• Expectations on services

• Representations and warranties

• Allocation of risk and indemnification

• Insurance requirements

• Changes in law

Contractual Exposure

14


- Professional liability versus product liability exposure

- Mistakes

- Informed consent

Torts and Private Causes of Action

15


• Sherman Act

• FTC Act

• Algorithmic Collusion

Antitrust

16


• Restructuring workforce and independent contractors

• Benefits

• Workforce policies

• Workforce training

• Employment and independent contractor agreement considerations

• New employment litigation claims

• Labor unions

Employment and Labor Considerations

17


• Confidential information

• HIPAA

• FTC and GDPR

• State privacy and security laws and regulations

• State medical record ownership laws

• Cybersecurity, privacy and security breaches

Privacy and Security Risks

18


• Preserve or protect your intellectual property rights

—Patents

—Trademarks

—Copyrights

• Rights to use versus own the intellectual property

• Access to applicable data

Intellectual Property

19


• Update compliance program policies and procedures

• Train

• Monitor

• Evaluate

Compliance Program

20


Katten Locations

21

CHARLOTTE

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Suite 2900

Charlotte, NC 28202-4213

+1.704.444.2000 tel

+1.704.444.2050 fax

HOUSTON

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+1.713.270.3401 fax

LOS ANGELES –DOWNTOWN

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Los Angeles, CA 90071-2212

+1.213.443.9000 tel

+1.213.443.9001 fax

SHANGHAI

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Shanghai 200040

P.R. China

+86.21.6039.3222 tel

+86.21.6039.3223 fax

CHICAGO

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Chicago, IL 60661-3693

+1.312.902.5200 tel

+1.312.902.1061 fax

LONDON

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London EC4M 8AB

United Kingdom

+44 (0) 20 7776 7620 tel

+44 (0) 20 7776 7621 fax

NEW YORK

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New York, NY 10022-2585

+1.212.940.8800 tel

+1.212.940.8776 fax

WASHINGTON, DC

2900 K Street NW

North Tower - Suite 200

Washington, DC 20007-5118

+1.202.625.3500 tel

+1.202.298.7570 fax

DALLAS

2121 North Pearl Street

Suite 1100

Dallas, TX 75201-2494

+1.214.765.3600 tel

+1.214.765.3602 fax

LOS ANGELES –CENTURY CITY

2029 Century Park East

Suite 2600

Los Angeles, CA 90067-3012

+1.310.788.4400 tel

+1.310.788.4471 fax

ORANGE COUNTY

100 Spectrum Center Drive

Suite 1050

Irvine, CA 92618-4960

+1.714.966.6819 tel

+1.714.966.6821 fax


Attorney advertising. Published as a source of information only. The material contained herein is not to be construed as legal advice or opinion.

Questions?

W. Kenneth Davis, Jr., Partner

Phone: 312.902.5573

Email: [email protected]

Cheryl Camin Murray, Partner

Phone: 214.765.3678

Email: [email protected]

Copyright 2020 Katten. All rights reserved. Do not reproduce without permission.


Attorney advertising. Published as a source of information only. The material contained herein is not to be construed as legal advice or an opinion.

ai use or development: natural intelligence will help ... · 3/7/2020 · •from watson to siri...

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