AI who will pay?

A round table discussion for the Royal College of Radiologists Informatics Committee industry workshop debating how the NHS will fund AI.

Transcript

1. The Royal College of Radiologists Informatics Committee Hosted by Dr Daniel Fascia Artificial Intelligence Who will pay for it? Industry Round Table Discussion
2. Introduction Dr Daniel Fascia Radiology Informatics Committee @ RCR Consultant Musculoskeletal Radiologist Regional Clinical Lead of Yorkshire Imaging Collaborative AI research with Leeds University partnership No commercial conflicts of interest
3. Background
4. Where we are with AI in the NHS Setting the scene • AI has promised to revolutionise radiological practise • Claims range from human replacement to smart adjunct tools • Unavoidable hype cycle sweeping radiology • Limited examples of deployment to active care setting outside of research • Evidence yet lacking on fi nancial solvency and standard of care bene fi ts
 (early days…)
5. Where we are with AI in the NHS National Vision • Lots going on in the NHS for AI • NHS priority to invest in AI via exemplar networks • NHSx facilitating industrial partnerships • NHSx driving forwards national R&D processes (cf COVID-19 database) • NIHR regional imaging champions
6. Dilemmas
7. AI cannot deliver radiologist’s work May improve safety, speed, accuracy
8. AI does not fulfil the end-to-end process Single task outcomes improved
9. AI does not increase the workforce It may speed up or remove some tasks
10. AI will not communicate and consult 40% radiologist time is non-clinical tasks Clinical radiology workload: guidance on radiologists reporting fi gures (RCR, October 2012)
11. Who Will Pay for AI? Melissa M. Chen, Lauren Parks Golding, and Gregory N. Nicola Radiology: Arti fi cial Intelligence 2021 3:3 “In 2020, the largest U.S. health care payer, the Centers for Medicare & Medicaid Services (CMS), established payment for artificial intelligence (AI) through two different systems in the Medicare Physician Fee Schedule (MPFS) and the Inpatient Prospective Payment System (IPPS)”
12. Is the NHS ready to pay for AI?
13. Feeder Topics You might like to cover • Cost of AI based on location (on site, regional hub, cloud) • Charging models (per study, volume tiers, by deployment cost) • How to measure ROI • How to charge for activity by AI vs human • Who will pay for the mistakes?