Bio-IT World Keynote Highlights Collaborative Intelligence in AI-Driven Drug Discovery

BOSTONA critical part of the conversation around the use of artificial intelligence (AI) in drug discovery focuses on the development of the foundation models that underpin AI-based applications and workflows. There are also discussions about federated learning and how it provides a secure path to accessing critical training data for AI models. These two themes underpinned the keynote panel that kicked off the second day of Bio-IT World Conference 2026, which took place last month in Boston. 

Through presentations and a group discussion, the six-person panel painted a picture of the different types of foundation models and federated learning approaches, as well as ways to optimize AI’s performance for specific projects. Importantly, they discussed the AI Structural Biology (AISB) initiative, which provides a platform for pooling proprietary protein-ligand structure data to train OpenFold3, an AI model designed to precisely predict molecular interactions. In fact, several members of the panel were either directly or indirectly involved in the OpenFold consortium.   

Woody Sherman, PhD Founder and Chief Innovation Officer, PsiThera [Uduak Thomas]
Woody Sherman, PhD, founder and chief innovation officer, PsiThera [Uduak Thomas]

That group included Woody Sherman, PhD, founder and chief innovation officer at PsiThera, who serves as chair of the OpenFold executive committee. Sherman reiterated the benefits of open-source platforms and how they are making inroads into the drug discovery space.   

“We’re going to need these open platforms that we can all build on,” he said. “We can’t all be building our own foundation models from scratch. It just doesn’t make sense as an ecosystem. It is important to have these open platforms so that we can interact precompetitively, build the best foundation models, and then “we can get into federated learning.”    

From AlphaFold to OpenFold 

The non-profit OpenFold Consortium consists of scientists from over 40 technology companies, startups, pharma companies, and academic institutions. It builds on a lot of the progress made in the 2010s in terms of predicting protein structures from sequences, “a foundational problem in biochemistry.” That progress was quantified at least in part by efforts like the Critical Assessment of Structure Prediction (CAS) competitions, said Mohammed AlQuraishi, PhD, an assistant professor of systems biology at Columbia University, during his presentation.  

The image shows Mohammed AlQuraishi, PhD Assistant Professor, Systems Biology Columbia University, one of the keynote speakers at the recent Bio-IT World Conference
Mohammed AlQuraishi, PhD,
assistant professor, systems biology,
Columbia University [Uduak Thomas]

AlphaFold and later iterations of the platform “compressed decades of progress in about four years,” he said. Besides reliably predicting protein structures, AlphaFold provided “calibrated predictions” that gave biologists a sense of the accuracy of its predictions. But there were limitations.   

“It did not really have an understanding of anything other than just protein structure,” meaning it missed things like ions that were also part of the structure, he said. It also struggled to handle things like protein complexes, ligands, and cofactors. Another challenge was that although the computational models could predict targets that were closer to the training dataset used, their ability to make viable predictions dropped the further away the targets were from the training dataset. Additionally, “these models have limited ability to capture conformational changes,” AlQuraishi noted. “This becomes a major bottleneck in being able to reliably model allosteric modulators or cryptic pockets or similar types of systems.” Besides the technical limitations, there were also licensing limitations to consider.  

AlQuraishi positioned OpenFold as an open source, high-performance, and reproducible alternative to AlphaFold that serves as a common platform for innovation for the community. “Partly it’s a code base, essentially a set of tools that allow [scientists] to build these types of models and extend them and apply them,” AlQuraishi explained. “It’s also an academic-industry consortium that provides a steerable mechanism for industry to support science that is open source and that’s broadly useful, but it’s also in tune with the needs of industry.”

Federated learning and foundation models 

The next set of presentations made the argument for using federated learning to leverage proprietary biopharma datasets to train AI models. The presentation from Jonathan Gilbert, PhD, senior director, ecosystem growth and contributor partnerships at Eli Lilly, offered an example of how the pharma company has used federated learning to improve model predictions in different contexts.  

“It’s not surprising that companies are very sensitive to the proprietary data that they’ve spent incredible investments generating,” he said. With federated learning, models are trained in the environment where the data is housed, making it possible to “improve model performance while maintaining the privacy of the individual training sets.”   

Eli Lilly launched the TuneLab platform in 2025, through which it provides access to its own AI and machine learning models to biotech companies at no costalthough those that choose to use the models are expected to contribute datasets to help improve them. “These are the same models that we use every day,” he said. “These models have been trained on decades of internal data sets. That’s maybe over a billion dollars in data that have been brought into models by Lilly.” 

Jonathan Gilbert, PhD Senior Director, Ecosystem Growth and Contributor Partnerships, Eli Lilly and Company. [Uduak Thomas]
Jonathan Gilbert, PhD, senior director, Ecosystem Growth and Contributor Partnerships, Eli Lilly and Company. [Uduak Thomas]

Gilbert noted that since its launch, the appetite for TuneLab has been quite strong. At the time of the presentation, there were more than 75 partners in TuneLab, and it was being used in dozens of countries across three continents. Furthermore, during the meeting, Eli Lilly and Collaborative Drug Discovery (CDD), a provider of data management solutions for pharma and biotech, announced an agreement to integrate TuneLab into both the core and AI modules within the CDD Vault platform.  

For now, TuneLab is focused on models for small molecules and antibody development, but there are plans to release additional models in the near future. Lilly is also working on additional partnerships similar to the one with Collaborative Drug Discovery. “This is an active work in progress and [we are] thinking [about] how we can scale this,” Gilbert said. And how can “[we] build a community to improve those models such that we can create medicines faster for more people.” 

The presentation from José-Tomás Prieto, PhD, director of AI programs at Apheris, built on Gilbert’s presentation but focused on the complexities of implementing industrial federated learning setups. The key takeaway from his talk was that successfully implementing federated learning at an industrial scale is not a plug-and-play capability but rather a process that requires engineering rigor, data preparation without centralization, and enterprise-level deployment strategies. His company, Apheris, has experience with this process as they provide solutions that power federated networks for drug discovery. 

José-Tomás Prieto, PhD Director of AI Programs Apheris. [Uduak Thomas]
José-Tomás Prieto, PhD, director of AI programs, Apheris [Uduak Thomas]

One of the networks that they support is the AI Structural Biology Network, a collaboration that brings together several of the top 20 biopharma companies. Its intent is to allow AI models designed to predict the 3D structure of molecule complexes to be trained on proprietary protein structure data. The common denominator for these and other networks that Apheris supports is that the models are trained on proprietary data in a secure way, so the data never leaves the environments of any of the nodes in the network.  

“It’s obvious that there’s a lot of public data, but the public data skews toward well-characterized targets,” Prieto said. “The industry data complements that view, with more diverse data and sometimes higher quality data. And if there is something to learn about the AI world today is that you cannot necessarily model your way out of a data problem, and you can’t buy this data either.” Federated learning provides a solution to that problem. “It’s quite remarkable that a couple of years ago … it was mostly IT people making the decision of whether to use federated learning products,” he noted. “Today, we have business leaders trying to get ahold of this technology and leverage the power.” 

Prieto also discussed some important considerations for building federated networks. To provide a sense of the complexity involved, “each one of these companies have their own network constraints, their own firewall rules, their own compute window that they have to negotiate with the cloud providers to make sure that the compute comes online at the right time.”  

It is also important to consider “that data preparation without centralization is a new paradigm,” he continued. “Each company has [their] own ways of organizing the data or harmonizing your data,” as well as their own standards, but at the same time you have to have comparable training setups so that the foundation models can actually learn from this.” Furthermore, “your federated learning partner has to be able to work with your processes, has to be able to understand how to streamline the reviews, the security [and] the privacy requirements” among other things before projects can move forward. 

A key point that both Prieto and Arman Zaribafiyan, PhD, head of strategic alliances, AI simulation at SandboxAQ, emphasized was that while federated models provide broad generalizations, fine-tuning them on specific, project-level data is crucial for translating model performance into practical impact for drug programs.  

SandboxAQ has worked with the OpenFold consortium on its models and co-folding models, among other projects. “We are really living in exciting times when it comes to ML-accelerated drug discovery,” Zaribafiyan said. “There’s really an explosion of new models we see every day. And what we see at Sandbox with our partners in large pharma and biotech companies is that it’s getting a little bit overwhelming and harder to put these models into good use.” Furthermore, “a lot of these models are amazing in achieving great results on benchmarks, and it’s fascinating for publishing papers, but they fail to generalize to real drug discovery use cases.”

Arman Zaribafiyan, PhD, Head of Strategic Alliances, AI Simulation SandboxAQ. [Uduak Thomas]
Arman Zaribafiyan, PhD, head of strategic alliances, AI simulation, SandboxAQ [Uduak Thomas]

Commenting on some of the lessons SandboxAQ has learned through its partnerships, Zaribafiyan noted that “fine-tuning could help a lot to bridge this gap.” SandboxAQ and others have published data showing that “even a small fine-tuning effort can dramatically change the predictive accuracy of these models.” Over the next few years, he believes these are going to become the norm: “We’re going to see more and more of these federated platforms we use for both pooling data but also for fine-tuning these models on project-specific data.”   

Zaribafiyan closed his presentation with an announcement of a new platform from SandboxAq that connects quantitative models for drug discovery to large language models, allowing scientists to launch and run simulations and workflows using plain English, much like prompts written for ChatGPT. “No code required,” he said. 

Foundational models at work in crop science and drug development 

Christina Taylor, PhD, senior science fellow and computational molecular design lead at Bayer, focused on how her company has leveraged foundational models and AI to drive decisions in crop science and pharma.

Christina Taylor, PhD Senior Science Fellow and Computational Molecular Design Lead Bayer. [Uduak Thomas]
Christina Taylor, PhD, senior science fellow and computational molecular design lead, Bayer [Uduak Thomas]

“I think that this community-driven software has really allowed faster innovation in the field overall,” and “sharing some of these foundational architectures allows everyone to be able to drive biomolecular AI work,” and “ has driven some of the very quick advancements we’ve seen in the field over the past few years.” Community projects like this also save time and are more sustainable since “everybody doesn’t need to be training their own foundational models.”   

To date, these models have helped Taylor and her team better solve crystal structures. “One of the big problems with solving crystal structures is actually determining the phase, and by doing protein, we’re able to actually solve these structures faster and more efficiently,” she said. “Another thing is taking these foundational models and fine-tuning them … we’re using that quite regularly to improve our development of biomolecular pharmaceuticals as well as some of our crop science traits.” Other applications that Taylor and her team have used the models for include studying protein-protein interaction as well as for modeling enzyme catalysis.

The post Bio-IT World Keynote Highlights Collaborative Intelligence in AI-Driven Drug Discovery appeared first on GEN – Genetic Engineering and Biotechnology News.

GLP-1 Weight Loss Drugs Linked to Lower Breast Cancer Risk

The rapid rise of GLP-1 receptor agonists has transformed the treatment of obesity and type 2 diabetes. Now, a large observational study suggests these drugs may also play a role in cancer prevention.

Researchers from the Perelman School of Medicine reported that women taking GLP-1 medications were significantly less likely to develop breast cancer than comparable women who did not receive the drugs. The findings, presented at the 2026 American Society of Clinical Oncology Annual Meeting and simultaneously published in JCO Oncology Practice, add to a growing body of evidence linking GLP-1 therapy to reduced cancer risk.

While the study cannot establish causation, investigators say the results provide a strong rationale for prospective clinical trials evaluating whether GLP-1 drugs could become part of future breast cancer prevention strategies.

Beyond weight loss

GLP-1 receptor agonists were originally developed to improve blood glucose control in patients with type 2 diabetes. More recently, agents such as semaglutide and tirzepatide have become widely used for weight management because of their ability to produce substantial and sustained weight loss.

Interest in the drugs has expanded beyond metabolic disease as researchers have begun exploring their broader biological effects. Obesity is a well-established risk factor for postmenopausal breast cancer, and GLP-1 therapies influence several pathways implicated in cancer development, including chronic inflammation, insulin signaling, and metabolic regulation.

“While our study was observational and does not definitively confirm an association between GLP-1 medications and reduced breast cancer incidence, it does add to the growing body of evidence suggesting that it’s worth investigating these weight-loss drugs as potential cancer prevention tools,” said Elizabeth McDonald, MD, PhD, professor of radiology at Penn Medicine and lead investigator of the study.

Lower breast cancer rates across multiple analyses

The researchers analyzed electronic health records from women who underwent breast imaging at Penn Medicine between January 2022 and June 2025.

The primary analysis included nearly 95,000 women between the ages of 45 and 80 who had a body mass index above 25, placing them in the overweight or obesity categories. Approximately 15,000 women had documented exposure to a GLP-1 medication before breast imaging, while nearly 80,000 had no recorded use of the drugs.

Breast cancer was diagnosed in 1.65% of women who had received a GLP-1 prescription compared with 2.6% of women who had not.

After statistical analysis, GLP-1 use was associated with a 37% reduction in the odds of developing breast cancer.

To address potential confounding factors, investigators also performed a propensity-matched analysis pairing GLP-1 users and non-users based on age, race, ethnicity, body mass index, breast density, and diabetes status.

The association remained significant in the matched cohort, where GLP-1 exposure was linked to approximately 25% lower odds of breast cancer diagnosis.

“These findings support the need for prospective trials investigating incretin medications for breast cancer prevention,” the authors concluded in their ASCO abstract.

Why might GLP-1 drugs affect cancer risk?

The biological explanation remains uncertain, but several plausible mechanisms exist.

Weight loss itself is likely an important contributor. Excess adipose tissue promotes inflammation, alters hormone levels, and creates a metabolic environment associated with increased breast cancer risk, particularly after menopause.

However, researchers suspect the benefits may extend beyond weight reduction alone.

GLP-1 receptor agonists have been shown to reduce systemic inflammation, improve insulin sensitivity, and influence metabolic pathways that may contribute to tumor initiation and growth. Emerging laboratory studies have also suggested potential effects on cellular signaling and epigenetic regulation.

“GLP-1 medications are intriguing from a cancer research perspective because they weren’t designed for cancer therapy, but they do affect many different targets and pathways associated with cancer development, so we’re eager to study them in this context,” McDonald said.

A potential new approach to prevention

The findings arrive at a time when breast cancer prevention options remain limited.

For women at very high genetic risk, preventive mastectomy can dramatically reduce cancer incidence but is an irreversible surgical intervention. Anti-estrogen therapies such as tamoxifen can also reduce risk substantially, yet uptake has historically been low because of concerns about side effects.

In contrast, GLP-1 medications are already being used by millions of patients worldwide and have established safety profiles in obesity and diabetes management.

If future prospective studies confirm a protective effect, these agents could potentially represent a new category of pharmacologic prevention for women at elevated breast cancer risk.

Researchers at Penn are already planning a multisite clinical trial that will evaluate whether GLP-1 therapy can reduce breast cancer incidence among high-risk women, including breast cancer survivors.

Important limitations remain

Despite the encouraging findings, the study has several limitations typical of retrospective analyses.

The investigators did not evaluate individual GLP-1 agents, duration of treatment, genetic predisposition, breast cancer subtype, or stage at diagnosis. Residual confounding also remains possible despite matching analyses.

Because the study was observational, it cannot determine whether GLP-1 therapy directly lowers breast cancer risk or whether other factors associated with medication use contributed to the observed differences.

Nevertheless, the consistency of the signal across multiple analyses strengthens the case for prospective investigation.

“Ultimately, we want to find better options to prevent breast cancer,” McDonald said. “It’s been encouraging to see the survival rates for breast cancer improve over recent decades, and we’d love to see the same gains in prevention.”

As GLP-1 therapies continue to reshape obesity treatment, researchers are increasingly asking whether their benefits extend far beyond weight management. This study suggests breast cancer prevention may be one of the most important questions to answer next.

The post GLP-1 Weight Loss Drugs Linked to Lower Breast Cancer Risk appeared first on Inside Precision Medicine.

Rehumanizing global health care with agentic AI

The global health care sector is under increasing strain. 

Decades of chronic underinvestment and constraints in recruitment have coincided with a surge in demand for services for aging populations. Gaps in provision are already taking a toll, with fragmented access to care and high rates of stress and burnout among staff. And it’s getting worse. The World Health Organization has warned that current shortfalls will increase to 11 million workers by 2030. 

In their urgent hunt for a solution, many health-care providers are now pinning their hopes on agentic AI, with more than two-thirds (68%) having already adopted AI agents into their workforce, according to KPMG. 

The technology is being deployed to automate complex back-office processes, collaborate with medical teams, and even triage patients, all in a bid to reduce the cognitive load on clinicians and improve quality of care for patients as the supply of human health-care workers dwindles.

A different type of digitalization 

Until now, the benefits of digitalization within health care have been limited. 

Many staff have blamed slow or outdated technology for adding to the administrative burden rather than alleviating it. For example, U.S. patient data was migrated to electronic health records (EHRs) in the early 2000s, but this data remains fragmented and reliant on manual inputs. 

New telehealth services and digital care tools, like remote monitors, have had similar shortcomings, says Ashis Barad, MD, chief digital and technology officer at Hospital for Special Surgery (HSS), an academic medical center in New York that focuses on musculoskeletal health. Both technologies have helped improve access to health care by removing geographical barriers, he says, but they’ve failed to replicate the quality of in-person care or win trust from patients. 

Agentic AI is different from these existing technologies, he insists. 

Rather than relying on manual inputs or defaulting to human workers for any case that sits slightly outside a rigid framework, AI agents can handle nuanced, complex scenarios. They can make autonomous decisions, retrieve information from expert clinical sources, and iterate over time, freeing clinicians to focus on higher-level patient care. As Dr. Barad puts it: “Agentic AI takes your workflow and collapses it, augments it, supercharges it, and makes it more performant.” 

At HSS, AI agents have already been deployed in multiple areas. They handle complex backend processes, such as insurance claims that previously took several weeks to complete and involved both HSS staff and a third-party contractor to handle the volume. Now, says Dr. Barad, AI agents complete 1,100 claims per month. They’ve reduced the appeals stage from 45 minutes to five and improved the success rate of those appeals from 65% to 100% in the nine months since implementation. HSS now handles all claims in-house. 

Building on that success, HSS is now deploying AI agents in non-clinical patient-facing settings with an AI scheduling and triage service, as part of a collaboration with enterprise agentic AI developer Ema Unlimited. The service is accessible 24/7 via web, text, or phone. It uses conversational AI to ask patients clarifying questions about their condition and then books appointments with the most appropriate clinician, factoring in location, insurance coverage, and physician availability. “It completes the whole loop,” says Dr. Barad. The AI agent is trained on “all of our context, all of our rules, and all of our knowledge base,” he adds, providing patients with streamlined access to highly specialist knowledge from world-leading surgeons.

Given the high-stakes decisions delegated to AI agents, the triage service has built-in safeguards—sensitive, complex, or uncertain scenarios are escalated to human specialists. Every decision made by the AI agent is auditable and human staff can step in at any point. Patient data is kept secure and the system is trained on all HSS protocols, policies, and care pathways. By keeping humans in the loop, Ema says its technology strikes the balance between efficient automation, patient-first safety, and human-informed decision making. 

As the technology becomes more prolific, it will be incumbent on providers to ensure they have these sorts of guardrails embedded into systems, says Dr. Barad. At HSS all decisions around the technology are filtered through an AI subcommittee that Dr. Barad co-chairs alongside a senior nursing executive. AI agents that may touch on patient care will be scrutinized with far more rigor than, say, backend processes, he explains.

AI agents prompt systems-level change

For example, Dr. Barad has plans to create a dedicated AI lab at the HSS main campus in New York City—a move that aims to democratize access to the technology across the organization. It will be open to all staff looking to understand or build AI agents, he explains, with informative classes and one-on-one training. “We’re getting agentic AI into everybody’s hands,” he says. This echoes research by Deloitte, which found that leading agentic AI adopters in health care were far more likely to have opted for multiagent solutions, redesigning end-to-end workflows rather than sticking to narrow solutions or individual use cases.

The key, it appears, is to integrate AI agents across the entire enterprise, treating them as a general-purpose technology. As Dr. Barad puts it: “It’s wrong to think of agentic AI in use cases… It’s a general-purpose technology, analogous to electricity.”

In practice, this means health-care providers need to set the right foundation to achieve value with agentic AI. This includes creating a unified data strategy, one that integrates fragmented data sources across an organization to create a single, comprehensive source of truth. In health care, data is often split across multiple departments and providers, each with their own legacy IT system.

In systems that rely on fragmented data sources, metrics often lack standardized definitions too. For example, Dr. Barad says that each hospital he’s worked in has had a slightly different definition for “time to start surgery,” a metric commonly used to gauge operating room efficiency. This level of fragmentation impedes AI agents from retrieving information from different sources or applications and assimilating the tacit knowledge that differentiates them from other technologies.

By creating greater interoperability of data at HSS, patient-facing AI agents can draw from a patient’s clinical care history and existing recommendations from their clinician, combine this information with current symptoms, and decide whether a situation requires escalation before notifying the correct specialist and informing the patient. 

Building better outcomes

For Dr. Barad, the potential for AI agents to overhaul health care and alleviate the current pressures on resources, access, and patient care is huge. 

He envisions a future in which 90% of non-clinical health-care tasks could be administered by AI agents, freeing clinicians up for what he calls white-glove work, meaning the most complex, specialized, and sensitive cases.

Most health-care providers seem equally optimistic. According to research by KPMG, 84% of providers are already comfortable handing decision making about specific processes over to AI agents.

“We’re spending so much time on keyboards and computers right now that we’re actually not doing what we should be doing,” says Dr. Barad. “This is going to rehumanize health care.”

This content was produced by Insights, the custom content arm of MIT Technology Review. It was not written by MIT Technology Review’s editorial staff. It was researched, designed, and written by human writers, editors, analysts, and illustrators. This includes the writing of surveys and collection of data for surveys. AI tools that may have been used were limited to secondary production processes that passed thorough human review.

How small businesses can leverage AI

This article is from Making AI Work, MIT Technology Review’s limited-run newsletter examining how to apply LLMs across industries. To receive it in your inbox,sign up here.

From accounting to design to market research and product development, there’s a staggering breadth of skills needed to run a business. A large company can hire experts to handle these tasks, but small businesses don’t always have this luxury.

That’s where AI comes in. Today’s AI models do a decent job at these tasks. The trick for small businesses is to understand where AI is good enough and where it’s not.

One place where a “good enough” AI can already be quite valuable to small business owners is in providing secretarial skills and handling basic administrative matters. Let’s take a look at how one private tutor is using it to improve his recordkeeping and free up his time.

Case study

Sam Finnegan-Dehn works in fundraising for a charity, but he moonlights as a math and philosophy tutor for university students from his home in London. Through this part-time business, he can leverage his degrees in philosophy and share his love of the subject with clients.

But meeting with students is only a fraction of the work it takes to be a good tutor. He also plans lessons and finds fresh reading materials, creates assignments, sends invoices, and keeps up with new research—all on top of his regular job. Given these demands, Finnegan-Dehn doesn’t have as much time as he’d like to grow his tutoring roster.

So he’s turned to AI for some help in managing the day-to-day aspects of his business. He says AI has taken on a secretarial role across all of his digital notebooks, where he jots down reminders about his clients’ progress and new readings to keep himself up-to-date. He describes using AI as kind of like having a second memory that helps him connect ideas he’s written down in various places.

While he has experimented with different tools like Claude and ChatGPT, he’s now landed on Notion AI because it integrates better with his tutoring notes, which live across his notebook tabs in the Notion app. Finnegan-Dehn doesn’t use AI to create teaching materials, but he does let Notion AI record meetings with his clients (after getting their consent), and then uses its automated summaries to refine his teaching strategy. For example, if he notices from the AI’s summary that it seems like a certain technique was not helping a student, he may change how he approaches the subject next time.

Beyond this, Notion AI also helps him with goal-setting, drafting lesson notes, invoicing, and generating and syncing social media posts. For goal-setting, for example, Finnegan-Dehn says he understands his long-term goals for his business but not always the concrete steps to build to them. He uses AI to help fill in these gaps. He starts by writing down a “North Star” goal—say, to have a certain number of clients by the end of the year. Next, he asks his AI to generate the steps that he needs to take to get there, given the profile he has built up in the app. Then, he can reflect on the results and choose which tasks to tackle first.

The tool

Notion has been a big player in note-taking software for many years. Its AI add-on, released in late 2023, now has tools that enable it to interact with many other online productivity platforms. There’s an email client, calendar integrations, and a newly released agent. And while this level of access has raised privacy concerns, it can also make for a pretty powerful virtual assistant.

Many of the tasks targeted by Notion AI are less creative and more rote: syncing information across documents or searching through old scribbles, for example. This makes the tool especially appealing to small business owners, who have limited bandwidth, particularly for menial work.

Other companies are developing tools targeted at specific industries. For example, Grandma’s Quilt Shop in Yuma, Arizona, uses Rain, which has a software suite tailored to craft companies, to generate inventory descriptions and pricing for its stock of fabric designs. The owners claim this AI tool cuts the time it takes to list items by 60 to 80%.

There are drawbacks, though, as Finnegan-Dehn described some of Notion AI’s idiosyncrasies as “clunky” at times. And the AI add-on for Notion costs $20 per month. As with all new tools, small business owners should carefully assess how the potential gains and headaches measure up against the cost of just doing the job themselves.

User tips

Consider these points when thinking about whether AI might be able to help you run a business, or make any part of your work life just a little bit easier. 

  • Look before you leap. Since LLMs feed on the data you input to answer your queries or complete tasks, you want to give them information in a way that’s convenient for you and for the model. For many of these notebook AI services, this means, for example, using their platform for notetaking so you don’t have to input or upload notes later. Because of this, it’s a good idea to weigh your options carefully before committing to an AI-powered ecosystem.
  • Work to your strengths. Think about what skills you lack in-house, and see if AI can either help with training or take these tasks on for you. Just be aware: AI hallucinates and makes mistakes, so think about where accuracy is needed and keep humans in charge there.
  • AI isn’t always the best tool. It’s okay to use something off the shelf when that’s the better choice. It’s going to be safer, for example, to use existing payment processing platforms like Shopify or Square than to vibe-code one using AI.
  • Consider using local models for any sensitive information. Our reporting has covered the risks that online AI models have in leaking sensitive data, and there have been many reports about how AI companies collect your data when you ask their chatbots questions. Even if your business doesn’t handle personal information, there can still be some things you’d prefer not to share publicly. In these cases, using an open-source model that makes inferences on your prompts locally can be a great option, instead of ChatGPT or Claude or other proprietary models. Thankfully, some LLMs can now be run off of laptops and small desktops. Here’s how to set one up and start using it.

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STAT+: Online care is caught in the crossfire as states crack down on corporate medicine

In less than a decade, telehealth has expanded from a sideshow of health care to an industry worth tens of billions of dollars. Companies like Hims & Hers and Teladoc have become household names, their ads interrupting streaming TV and flooding social media feeds with the promise of quick, convenient care.

Despite their popularity, few patients understand who’s actually taking care of them when they click through a telehealth site. 

National telehealth brands present a unified front to patients across the country. But in more than 30 states, it’s illegal for corporations to practice medicine. So behind the scenes, telehealth companies work with distinct, independent medical groups. Owned by physicians — who often hold 50 state licenses at once — those practices are meant to act as a firewall, making sure that clinical decisions are driven by patients’ needs, not the profits of the corporations they deal with. 

Continue to STAT+ to read the full story…

Opinion: The virtual end of the doctor’s office waiting room

The word patient comes from the Latin patiens — an adjective meaning enduring, suffering. In medicine, that endurance has long meant waiting: waiting to be seen, to be diagnosed, to be treated. Over the past two decades of practicing emergency medicine, my shifts have begun the same way — walking past a room full of people waiting for care.

That room is not called a lobby or a reception area. It is called a waiting room, because the expectation of waiting is built into the architecture and culture of medicine. Triage — the systematic process of prioritizing patients by the severity of their condition — determines the length of the delay. The sickest are seen first; everyone else bears both their illness and the constraints of the system they have turned to for help.

Read the rest…

STAT+: Trump administration releases rules for new Medicaid work requirements

WASHINGTON — The Trump administration on Monday published a highly anticipated document that lays out the rules for sweeping new requirements that many adult Medicaid beneficiaries work or attend school in order to qualify for coverage.

The rule, from the Centers for Medicare and Medicaid Services, establishes standards states must use to implement Medicaid work requirements, including who is exempt from the requirements, how to verify exemptions, and state reporting requirements. The work requirements, created as part of President Trump’s 2025 tax cut bill, are popular among Republican politicians, but generally opposed by Democrats and advocates for people who are seriously ill or have lower incomes.

According to initial estimates, the work requirement policy was expected to reduce federal Medicaid spending by $326 billion and cost 5.3 million people their Medicaid coverage. On Monday, a division of the federal Department of Health and Human Services published a research brief contending that the rules may push more people to work, reducing poverty by 1.6 million to 2.9 million people. 

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Adaptation of a Smartphone-Based Mobile Health Program to Support Person-Centered Treatment of Tuberculosis in Kilimanjaro, Tanzania: Preimplementation Qualitative Needs Assessment

Background: Despite increasing smartphone penetration worldwide, personalized mHealth (mobile health) care interventions remain largely untapped for the support of people with tuberculosis. An evidence-based multifeature smartphone platform for HIV care tailored and widely implemented in the United States may enhance treatment quality and completion in the Kilimanjaro context. Objective: We aimed to evaluate contextual determinants of mHealth implementation in the Kilimanjaro region to ensure feasibility, acceptability, and effective adaptation of the platform for tuberculosis care within Kilimanjaro. Methods: We conducted semistructured in-depth interviews at Kilimanjaro Christian Medical Centre and Kibong’oto Infectious Diseases Hospital with people with tuberculosis (aged 18+ years with drug-susceptible/-resistant tuberculosis, with or without HIV, and >1 mo on treatment) and providers and staff (eg, clinicians, community health workers, or laboratory staff). Interview guides were designed using Bury’s Framework for Chronic Illness and the Consolidated Framework for Implementation Research, along with an overview of an existing smartphone-based program called PositiveLinks. Interviews were analyzed using thematic analysis, and determinants were mapped to behavior change frameworks to develop a mechanistic understanding of adaptation for the context. Results: We conducted 14 interviews with people with tuberculosis and 11 provider and staff interviews. Several unmet tuberculosis treatment needs emerged, along with suggestions for platform adaptation and implementation strategies. Findings suggest high personal smartphone access among providers and staff (11/11, 100%), less so for people with tuberculosis interviewed (5/14, 36%). High provider digital literacy and capability and usage were noted, with smartphone apps routinely used for tuberculosis care delivery independent of electronic health systems. People with tuberculosis primarily used mobile phones for communication (calls) with clinic providers and staff for care coordination (eg, reminders). Internet access and stability remain major barriers in rural clinics, along with the personal cost of data bundles for both stakeholder groups. Key assets identified within the inner setting of Kilimanjaro Christian Medical Centre and Kibong’oto Infectious Diseases Hospital include existing provider and staff commitment to treatment support outside of clinic visits, and a robust infrastructure of community outreach for support of adherence and retention for people with tuberculosis. Conclusions: Findings suggest a role for broader digital wraparound support beyond adherence monitoring for tuberculosis care in the context. Real-world considerations for the context suggest implementation of provider-facing smartphone interventions was perceived as highly feasible and acceptable, with appropriate consideration of personal cost associated with usage among stakeholders. Patient-facing or bidirectional tools would require modifications to existing mHealth implementation strategies, including more comprehensive assessment of digital literacy and related training, as well as provision of subsidized devices and data bundles.

STAT+: Eli Lilly warns hospitals to submit claims data in the next five days or lose their 340B drug discounts

Eli Lilly has told about 50 hospitals participating in a federal drug discount program to submit comprehensive claims data over the next five days or they will no longer receive the mandated price breaks.

The move comes after the company announced a policy last January demanding such data in a bid to reduce what it calls duplicate discounts paid to participating hospitals. The issue has riled the pharmaceutical industry and contributed to a long-standing clash with hospitals over the 340B drug discount program.

For the past few years, more than 2,300 hospitals have complied with the demand, but some of the larger hospitals systems around the U.S. have refused to do so, despite recent follow-up letters regarding the policy that went into effect on Feb. 1, according to Derek Asay, senior vice president for government strategy and federal accounts at Lilly. Up to 1,000 have so far not complied.

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