Industry Briefing #1

Healthcare media highlights

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The Briefing
Published date
March 6, 2024

The Briefing keeps consultants ahead by unpacking essential trends and emerging questions they can answer through market research.

On this week’s issue: Cybersecurity breaches in healthcare are causing multi-day outages. The DOJ is intensifying its focus on healthcare regulation with several investigations. Burnout remains widespread, especially among women in the industry. New weight loss drugs in development could soon improve obesity treatment accessibility. As AI adoption in healthcare grows, regulations are evolving to keep pace.

Cybersecurity breaches continue to run rampant in the healthcare industry, with one recent breach causing multi-day outages. 

The DOJ has launched multiple notable investigations, indicating that they are highly focused on regulation in the healthcare space. 

Recent studies have indicated that burnout remains widespread in the healthcare industry, and women are disproportionately affected. 

A variety of new weight loss drugs and treatments are in development and could make obesity treatment more accessible in the near future.  

AI adoption in the healthcare industry continues to increase, and regulations are evolving to match this. 

A major cybersecurity breach leaves the healthcare industry reeling.

The healthcare industry has historically been a major target of cybersecurity threats around the world. This is due to the large volume of sensitive data that healthcare companies need to store as part of their operations. Healthcare cybersecurity breaches have been on the rise in recent years, and six large-scale data breaches have already been reported to the Department of Health and Human Services’ Office for Civil Rights in 2024. 

In the Us, 6 large-scale data breaches have already been reported in 2024.

In mid-February, Change Healthcare suffered a major cyberattack that caused outages at pharmacies, hospitals, and other healthcare facilities throughout the United States. Change Healthcare is a subsidiary of UnitedHealth Group and provides services for both payers and providers. This cyberattack caused delays throughout the entire healthcare field for over a week and was swiftly investigated by federal law enforcement agencies. 

The group behind the attack has been identified as “Blackcat”, a ransomware group known for past attacks on major casino chains like MGM and Caesars. The group claims that they’ve accessed millions of healthcare records in the data breach, including Medicare records. However, these claims have yet to be verified. 

As cyberattacks on healthcare institutions become more frequent, the industry is rethinking cybersecurity standards and best practices. The National Institute of Standards and Technology, or NIST, has recently released a new cybersecurity framework. This new framework is an update to an initial model released 10 years ago. This framework will provide important resources and support for healthcare providers as they navigate increased cybersecurity threats. The Biden administration also recently issued an executive order directing government agencies to protect citizens’ personal data.

The U.S. Department of Justice has launched investigations into multiple healthcare organizations.

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The DOJ is currently investigating UnitedHealth Group for potential antitrust violations. UHG is one of the largest healthcare organizations in the country, with involvement in many different aspects of the healthcare industry. The group runs the country’s largest private healthcare insurer and is also involved in pharmacy benefits management, billing, and data analytics. The company also has a large multi-state physician network. 

The investigation is particularly focused on UHG’s relationship with Optum, one of its major subsidiaries. Optum provides UHG’s pharmacy services, healthcare delivery services, and healthcare technology services. The DOJ is also investigating the group’s ongoing acquisitions of smaller healthcare providers around the country. 

Community Health Systems is also under investigation by the DOJ as a result of a Civil Investigative Demand. The investigation is focused on CHS’s inpatient admissions and dialysis processes. CHS has stated that they are fully cooperating with the investigation and believes that allegations were made by a former employee. 

The DOJ has also been investigating Medicare Advantage fraud at large. Recent reports indicate that there were $1.8 billion in healthcare settlements and judgements during the last fiscal year. The complexity of Medicare Advantage system is a contributing factor to the high volume of fraud cases. 

$1.8G DOJ investigates UnitedHealth amidst $1.8 billion in healthcare fraud settlements.

Burnout continues to be a significant challenge for healthcare professionals in a variety of roles.

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Healthcare professionals across a wide spectrum of roles are reporting high levels of burnout. This has made it difficult for hospitals and other healthcare providers to maintain adequate staffing levels. A recent study from Athenahealth has indicated that 93% of doctors feel burnout regularly. The survey also indicated that doctors work an average of 15 hours of overtime each week. 

Nurse leaders have also reported incredibly high levels of burnout at work. A recent study from AMN Healthcare indicated that nearly a third of nurse leaders plan to leave their roles in the next year. Many nurses cited rapidly increasing job responsibilities as a reason for the burnout. Staffing shortages have meant that nursing leaders need to take on a wider scope of responsibilities. Many are also involved in high-level strategic and financial tasks. 

Burnout rates across the healthcare sector are higher for women than for men. A recent study indicated that this trend has been persistent over the past four decades. Many factors contributed to these higher rates of burnout, including a lack of work autonomy and gender inequity in the workplace.

Burnout rates have been higher among women in healthcare for over 40 years.

New weight loss and weight management treatments are hitting the market at a rapid pace.

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Diabetes drugs like Ozempic and Wegovy made headlines last year due to their weight loss side effects. Now, competition is heating up as pharmaceutical manufacturers explore a wider variety of weight loss treatments. 

Novo Nordisk, the manufacturer of Wegovy, recently announced that they are exploring a vaccine-like version of the popular drug. Wegovy currently requires once-a-week injections, but this new approach would require shots about once per year. Although this concept is still in the early stages, it could make Wegovy accessible to a wider range of patients, should it ever reach the market. 

A weight loss drug developed by Boehringer Ingelheim and Zealand Pharma recently announced promising results in a Phase 2 trial. This trial was for patients with a serious liver condition called MASH, and 83% of trial patients saw improvements in their condition. While this drug is currently experimental, these results could have huge implications for the future. 

NodThera is also developing a drug that could induce weight loss as a side effect. While the drug is intended to treat Parkinson’s Disease, tests on mice indicate that it could induce weight loss levels that are comparable to Wegovy. Results also indicated that the drug could have additional heart health benefits. 

As a response to the high demand for weight loss drugs, insurance provider Elevance Health is launching a weight loss management program. This program will include access to medication management support as well as digital services. 

As artificial intelligence use becomes more common in the healthcare industry, federal agencies are putting regulations in place.

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AI technology is becoming increasingly widespread in the healthcare industry. Physicians and other healthcare providers have adapted to the technology quickly and are looking for new ways to implement it throughout their work. For example, researchers have recently found that AI LLMs can demonstrate proficiency in ophthalmology and could potentially predict and identify sepsis cases

AI also has the potential to help minimize burnout and reduce workloads for physicians. 83% of physicians in the recent Athenahealth study indicated that AI could eventually reduce problems in the industry, provided that the focus remains on addressing administrative tasks and inefficiencies. 

83% of physicians believe AI could reduce industry problems by targeting admin inefficiencies.

As a result of increasing AI use, the Department of Health and Human Services recently published a new final rule on “Health Data, Technology, and Interoperability”. This new ruling presents important guidelines for AI and machine learning technologies throughout the healthcare industry. This ruling requires health IT developers to apply risk management and governance practices to their technologies. 

Questions to Stay One Step Ahead

Healthcare institutions are adapting to changing governance and new technological innovations despite a variety of challenges. Cybersecurity risks and staff burnout are ongoing and can interfere with providers’ ability to offer the best possible care for patients. Implementing AI technology and adjusting to consumer trends can help healthcare providers navigate this challenging landscape. 

Areas of particular interest include: 
  • Data breaches: How do ongoing data breaches affect patient trust in providers and payers? Will these data breaches make it more difficult to access appropriate care in the future? 
  • Weight loss drugs: How can pharmaceutical companies increase access to innovative new weight loss solutions? Will widespread adoption of weight loss drugs change the way physicians address obesity? 
  • Physician burnout: How could new technologies reduce or eliminate burnout among healthcare staff? How can we reduce gender inequities currently affecting healthcare providers? 

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