Aspen Policy Academy

Improving Medication Access with Better Prior Authorization

by Lucy He and Christine Keung

Prior authorization (PA) refers to the process of getting an insurer’s approval before a physician provides a treatment, and can dangerously delay access to medication and care. Real-time benefit tools (RTBTs), a software product physicians consult before finalizing a prescription, can decrease the burden of PAs or help physicians avoid them altogether. This project proposes that the the New York State Department of Health (DOH) adopt a statewide standard to make RTBTs more usable and reliable and therefore decrease the burden of PAs. 

“Smart” but Insecure: Improving Medical Device Cybersecurity

by Daniel Bardenstein

As “smart” medical devices continue to proliferate across the healthcare sector, healthcare organizations have been increasingly targeted by ransomware and other debilitating cyber attacks. These devices are often vulnerable to attacks, potentially allowing malicious hackers to steal patient data, modify medical exam results, or disrupt life-supporting machines. This project proposes that the Food and Drug Administration establish a clear list of cybersecurity requirements for medical devices to receive FDA approval, including the use of Device Query interfaces.

Mitigating Algorithmic Bias in Government Healthcare AI Procurement

by Matthew Zhou

As digital tools become more common in medical decision-making, healthcare providers may risk exposing patient data or inadvertently using a tool that leads to racially biased outcomes. By building language into contracts that mandates data transparency, privacy protection, and bias prevention, government procurement offices can set their own responsible AI standards for private sector vendors. This project recommends a procurement request for proposal (RFP) generator tool that government procurement officials can use to incorporate and customize best practices for health tech governance into their RFPs and contractors.