Not All MFA is Equal, and the Differences Matter a Lot: Why FIDO2 and WebAuthN are so much better than SMS and app-based auth

“People are starting to get the message that text/SMS is a weak form of multi-factor authentication (MFA). Fewer people know that there’s a big gap between the post-SMS MFA options as well. [..] it doesn’t really matter how you got that MFA code. It might have been a text, or it could have been something “strong”, like a mobile authenticator app like Google Authenticator or Authy. However you got it, you now have it, which means you can now type it into a text field owned by a bad guy. [..] FIDO stands for Fast Identity Online, and it uses … Read More

Preventing Delayed and Missed Care by Applying Artificial Intelligence to Trigger Radiology Imaging Follow-up

“[..] artificial intelligence (AI) is well suited to the detection and reporting of follow-up recommendations because of the large volume of imaging studies requiring screening and the relatively standardized language employed by radiologists in preparing reports. Natural language processing (NLP) methods, including text pattern-matching and traditional machine-learning techniques, have been developed for this task. In this article, we use the term traditional machine learning to refer to all machine-learning methods that are not deep learning, and these terms will be defined in detail in the sections that follow. More recently, novel deep-learning methods for NLP have shown great promise for … Read More

Experiences of Health Centers in Implementing Telehealth Visits for Underserved Patients During the COVID-19 Pandemic

“Before the pandemic, most health centers did not offer telehealth visits for primary care or behavioral health, in large part because of reimbursement policy. In spring 2020, dramatic policy changes removed many of the restrictions on telehealth delivery, and health centers responded by standing up large telehealth programs. This sudden and dramatic change in health care delivery posed numerous challenges. Health centers had to quickly make changes to technology, workflows, and staffing to accommodate telehealth visits. To support health centers in these efforts, the California Health Care Foundation established the Connected Care Accelerator (CCA) program, a quality improvement initiative that … Read More

My Father, The Fool: I’d run out of sympathy for COVID skeptics. Then I remembered my father’s stiff neck.

“One of the problems with screaming “How could you be so stupid?” at people who behave stupidly is that we too often think of the question as rhetorical when it isn’t. Though vaccine hesitancy is often seen as purely political, that’s not necessarily the case. It also correlates to lack of health care, which means that when public-health officials urge the unvaccinated to consult their family doctors (on the assumption that they might be more persuasive than government agencies), they’re assuming facts not in evidence. If you can’t afford health insurance, you probably can’t afford a doctor either, and if … Read More

Where Americans Die – Is There Really “No Place Like Home”?

“In 2017, a total of 31% of Americans died at home, making it the most common site of death for the first time in decades. In the United States, we tend to believe that someone who died “peacefully at home, surrounded by family” (as the obituaries put it) has had a good death. Yet reality frequently diverges from this scenario. Unprepared family caregivers are routinely tasked with managing distressing symptoms (including pain, agitation, and dyspnea), administering medications, and providing intimate personal care (including bathing and toileting assistance) to bedbound patients. In other care settings, these tasks are performed by trained … Read More

The Pandemic After the Pandemic: Long COVID isn’t going away, and we still do not have a way to fully prevent it, cure it, or really to quantify it.

“But for all we know now about long COVID, it is still not enough. Researchers still don’t know who’s most at risk, or how long the condition might last; whether certain variants might cause it more frequently, or the extent to which vaccines might sweep it away. We do not have a way to fully prevent it. We do not have a way to cure it. We don’t even have a way to really quantify it: There still isn’t consensus on how common long COVID actually is. Its danger feels both amorphous and unavoidable. People already struggle to deal with … Read More

Can Big Tech Be Disrupted? A conversation with Columbia Business School professor Jonathan Knee

“These companies [Meta (Facebook), Alphabet (Google), Amazon, Apple, and Microsoft] are so successful—and generate so much consumer data and cash—that it sometimes feels as if they can’t be stopped. Not only have they been on the cutting edge of technology, but now they also have the power of incumbency. Yet according to Jonathan Knee—who is a veteran investment banker specializing in media and tech, a Columbia Business School professor, and the author of The Platform Delusion: Who Wins and Who Loses in the Age of Tech Titans—even digital superpowers face threats, from start-ups as well as seasoned competitors. In this … Read More

How Did This Many Deaths Become Normal?

“The United States reported more deaths from COVID-19 last Friday than deaths from Hurricane Katrina, more on any two recent weekdays than deaths during the 9/11 terrorist attacks, more last month than deaths from flu in a bad season, and more in two years than deaths from HIV during the four decades of the AIDS epidemic. At least 953,000 Americans have died from COVID, and the true toll is likely even higher because many deaths went uncounted. COVID is now the third leading cause of death in the U.S., after only heart disease and cancer, which are both catchall terms … Read More

Learning from Real-World Implementation of Daily Home-Based Symptom Monitoring in Patients with Cancer

“Routine use of home-based symptom monitoring and management using electronic patient-reported outcomes (ePRO) to improve care delivery is on the horizon. Randomized clinical trials demonstrate that use of patient-reported symptoms can have marked impact on patient outcomes, including minimizing symptom burden, enhancing quality of life, reducing hospitalizations, increasing time receiving cancer treatments, and, in some studies, improving survival. [..] few health systems have successfully, fully integrated ePRO. [..] In the study by Daly and colleagues, the authors begin to tackle an important question of frequency of assessment administration in ePRO. This study used daily symptom assessment in contrast to the … Read More

Dr. Venture Capital: Insurance companies are supposed to cover high-quality care for patients. What happens when they dabble in investing?

“The insurance companies [Cigna and Kaiser Permanente] provided Ginger with access to millions of potential users. After its financial investments in Ginger, Cigna began offering no-cost access to Ginger’s behavioral health services in order to improve customers’ overall health and well-being, according to leadership from both organizations. Yes, it is possible that those customers will benefit from the platform. But given that Ginger’s valuation grew in multiples around the same time—at least in part because of the massive influx of customers from Cigna and Kaiser—it’s reasonable to suggest that the insurance company was double dipping. By sending its customers to … Read More