Blockchain In Healthcaresocal.himsschapter.org/sites/himsschapter/files...•Hybrid database...
Transcript of Blockchain In Healthcaresocal.himsschapter.org/sites/himsschapter/files...•Hybrid database...
• Built & developed a number of successful healthcare software companies and tech-enabled service businesses
• Spent last 17 years developing solutions to simplify and automate practitioner credentialing, privileging, & administration
• Pioneered the use of data science, AI, and blockchain to address complex practitioner identity & credentialing use cases
• Native Southern Californian and graduate of the University of Redlands
Anthony BegandoCEO & Founder
Professional Credentials Exchange
Blockchain In Healthcare DEVELOPING ENTERPRISE-LEVEL SOLUTIONS
Hashed Health Overview
• We Are: Global leader in healthcare blockchain innovation; expertise in healthcare, blockchain, venture capital.
• Why Blockchain: Trust, transparency, incentives, network effects
• Our Focus: Product creation, Market development & Networkorchestration
• Our Goal: An ecosystem of digital health businesses that use blockchain as digital infrastructure:
1. ProCredEx (PCX): A Credentialing Exchange
2. Bramble: Decentralized Exchange for Digital Health Assets
3. Contracting Engine: Payment Relationships
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Objective / Agenda• Objectives
• Provide a Non-Technical Introduction to Blockchain
• Explain How Blockchain Helps Solve Old Problems in New Ways
• Examine utilizing Blockchain to resolve delays in practitioner identity and credentialing
• Agenda
• Introduction / Context
• Blockchain Concepts
• Blockchain Landscape in Healthcare
• Use Cases
• How Blockchain Might Change the Industry
• Q&A
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Immutable, Chronological, Shared Ledger
• Moves trust from a third party to the software
• Becomes a market-level source of truth
• Moves application development from the relational database to the market
• Allows for the re-design of value chains
• Allows for a spectrum of trust-based transactional systems
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The world’s first Blockchain is called
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Bitcoin proved that by moving
trustto the software we change how
digital assets are transacted across value chains.
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Blockchain removes the need for a middle man
to track the
movement of value.
The software does the job of the intermediary.
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The world’s second Blockchain is called
Ethereum opened the door to digital assets & a new wave of innovation.
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Gartner: $3T by 2030
www www 2.0 www 3.0
Primary focus information reputation value
Primary unit search / links likes assets
Dominant Platform
Google Facebook ?
Blockchain: The Internet of Value
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1. Market-level, multi-constituent process2. Trust3. Transparency4. Alignment of incentives
When Do You Need A Blockchain?
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1. Immutable Shared Ledger
• Move trust to the protocol
• Overcome limitations of current infrastructure (ex. claims built for volume, fiat currency not programmable)
2. Smart Contracts: Programmable Value Transfer / Tokenization
• Reduce administrative burden
• Connect payments and benefits / incentives
• Create new applications on top of shared, market-level data structures
Two Levels of Value / Complexity
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What Success Looks Like: The Challenge & The Opportunity
Business Model
Technical Model
Network Governance
StructureFinding this is hard(but your future may depend on it)
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Healthcare: Working As Designed
18% of GDP in 2018 >$5.7T by 2023 1/3 Administrative Waste
Transaction FocusedLacks Consumer Choice
Irrational PricingLess Competition
Massive InfrastructureMassive Administrative BurdenDevelopment on Siloed Systems
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Medical RecordsClaimsProducts/SuppliesHealth ServicesPatientsDataIdentityClinical Trials
digital health assets+
enterprise businesses+
decentralized health infrastructure
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New Business ModelsExample: Decentralized Exchange / Marketplace
• “Tokenized” digital assets are created• List asset on the Exchange for consumers• Creates a rational, decentralized market for trading• Allows for innovation on the buy & sell side• Creates a foundation for smart value-exchange innovation &
automation
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CAT SCANS
MRI
BUNDLE
PAYMENTS
SECONDARY
MARKETS
PROCEDUR
E
SITUATION SOLUTION
Can only receive MRI/CAT
scan after PCP referral – that
referral restricts scan within
provider affiliate network
Bundle payment
reimbursements can be
dependent on post-operative
quality of care which is not
necessarily in their control
Currently there is no
secondary market for
healthcare services so
utilization can remain low for
specialists
Allow consumers and providers to engage
with external vendors and out of network
service providers to lower costs, open
access, and increase utilization
The creation of smart contracts introduce an
incentivization structure for patients to adhere
to post-operative care plans and thus, also
incentivize physicans to provide the highest
quality of care
With the introduction of tokenized health
services, employers can purchase services in
bulk and distribute amongst employees. When
these services are unused, they can be resold
for lowered prices
Use Case Examples
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New Pricing & Contracting Models
Programmable Value Transfer: Creating a relationship between payments & real-world activities “fundamentally reorient how Medicare and Medicaid
pay for care, and create a true competitive playing field where value is rewarded handsomely.”
Alex Azar, HHS Secretary 3/6/18
Examples:• Proof of Threshold for Contracting• Proof of Service for Payments• Proof of Outcome for Settlements• Dynamic Pricing for Pharma• Episodic Value-Based Contracting
/ Value-Based Payments for Bundles
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• Infrastructure for identity & credentialing• Goal: Reduce effort, cost, complexity• How?
- Distributed Exchange Model- Allow counterparties to supply /
acquire data according to their requirements/rules/validation checks
- Not a credentialing company
Why Blockchain? Why Now?• Complex, multi-constituent process• Trust & transparency concerns• No PHI• Centralized business models are not
working
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Board Certifications
Background Checks
Adverse EventsMalpractice Insurance
Education & Training
Professional Licenses
Practice Information
Professional References
Employment Gap Reports
Scope of PracticePrivilege History
Occupational Training
Immunization History
Identification
EmploymentHistory
Facility Affiliations
DEA / CDS Certifications
Continuing Education
Curriculum Vitae
Clinical Certifications
• Inherently Unstructured
• Non-standard
• Unique Attributes
• Unlimited Types
• Vary By Occupation
Physician
Complex Data
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Hospital Systems
✅ Rules
🔃 Processes
📝 Requirements
📑 Forms
💾 Data
Payers
✅ Rules
🔃 Processes
📝 Requirements
📑 Forms
💾 Data
Outpatient Clinics
✅ Rules
🔃 Processes
📝 Requirements
📑 Forms
💾 Data
Provider Networks
✅ Rules
🔃 Processes
📝 Requirements
📑 Forms
💾 Data
Widespread Redundancy, Failure in Trust & Transparency
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Solution Framework • Platform & rules engine residing in MS Azure and
developed in C#
• Hybrid database incorporating both MongoDB and
MS SQLServer addresses complex data model
• High performance enterprise Blockchain protocol
• All apps built in HTML-5 incorporating responsive
design
• RESTful APIs
• Current
• Relevant
• Massively Scalable
• Compliant & Secure
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• Data Market• Multi-center trials administration & provenance• Master data management• Tracking supplies / supply chain• Outcomes data collection• Patient recruitment & retention• Funding• Reimbursement models for orphan drugs
A Few Other Use Cases of Interest:
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The Healthcare Innovator’s Dream Come True!
• Create new infrastructure designed for trust, transparency & incentive alignment in healthcare
• Create new methods of building applications.• Create new business models designed for adoption • Create new economies / markets / value chains.• Create new actors & jobs in markets.
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QUESTIONS?
Anthony D. Begando
Founder & CEO
Professional Credentials Exchange LLC
Email: [email protected]
LinkedIn: https://www.linkedin.com/in/adbegando/
Find Resources & Join the Conversation at https://chat.hashedhealth.com
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