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Ethics Forum: Regarding Chatbots in Rheumatology

Biana Modilevsky, DO, & Kabita Nanda, MD  |  Issue: June 2024  |  June 10, 2024

The bottom line: ChatGPT can be your assistant, but not a trustworthy enough one to keep a secret. So make sure specific personal information is withheld and HIPAA security is maintained.


Biana Modilevsky, DO, is a rheumatology fellow at the University of Arizona Arthritis Center, Tucson.

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Kabita Nanda, MD, is an associate professor of pediatrics at Seattle Children’s Hospital and University of Washington School of Medicine.

References

  1. Marr B. A short history of ChatGPT: How we got to where we are today. Forbes. 2023 May 19. https://www.forbes.com/sites/bernardmarr/2023/05/19/a-short-history-of-chatgpt-how-we-got-to-where-we-are-today/?sh=311bcfc0674f.
  2. Summary of the HIPAA privacy rule. U.S. Department of Health and Human Services. 2022 Oct 19. https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html.
  3. Loyola University Chicago. The 18 HIPAA identifiers. Information Technology Services. 2024. https://www.luc.edu/its/aboutus/itspoliciesguidelines/hipaainformation/the18hipaaidentifiers/.
  4. What are the penalties for HIPAA violations? The HIPAA Journal. https://www.hipaajournal.com/what-are-the-penalties-for-hipaa-violations-7096/#whatconstitutesahipaaviolation.
  5. Kanter GP, Packel EA. Health care privacy risks of AI chatbots. JAMA. 2023 Jul 25;330(4):311–312.
  6. Lopez I. UnitedHealthcare accused of AI use to wrongfully deny claims (1). Bloomberg Law. 2023 Nov 14. https://news.bloomberglaw.com/health-law-and-business/unitedhealthcareaccused-of-using-ai-to-wrongfully-deny-claims.
  7. CASE 0:23-cv-03514. United States District Court District of Minnesota. 2023 Nov 14. https://aboutblaw.com/bbs8.
  8. Rucker P. How Cigna saves millions by having its doctors reject claims without reading them. Propublica. 2023 Mar 25. https://www.propublica.org/article/cigna-pxdx-medical-health-insurance-rejection-claims.

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Filed under:EthicsInsuranceTechnology Tagged with:artificial intelligencechatbotsEthics ForumHIPAA

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