from pilot to process implementing blockchain into the ... · 1 from pilot to process...

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From Pilot to Process – Implementing Blockchain into the Episode and Economics of Care - Part 2

Session BC5, Blockchain Symposium

• Jim St.Clair, CTO, The Dinocrates Group LLC (Moderator)

• Anthony Begando, CEO, Professional Credentials Exchange LLC

• Robert Chu, Founder, Embleema

• Pradeep Goel, Chief Executive Officer, Solve.Care Foundation

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Neither the Moderator nor panelists have real or apparent conflicts of interest to report.

Conflict of Interest

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• While there is no shortage of blockchain use cases for healthcare, working applications, pilots and deployments are still hard to find. This session look past whitepapers to projects that are actively being piloted or deployed - real word use cases.

• To truly fulfill the idea of blockchain as a force for change, we need to see solutions that could not have exist in a world without it.

• This session will give the stage to companies who have embraced this new technology and are using it to change a broken system.

Agenda

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• Outline a systemic healthcare problem and present a new solution

• Discuss why blockchain is core to the solution

• Provide an overview of a future state and how things will be

different with widespread adoption

• Outline some of the design/platform decisions made and

challenges overcome

Learning Objectives

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Anthony Begando, CEO, Professional Credentials Exchange LLC

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• Mandated, perpetual process to confirm clinical competency of healthcare professionals

• Must be performed by any organization delivering or paying for patient care

• Applies to virtually all 13.6 million care delivery personnel

• Physician / Hospital / Payer Use Case

o 4 - 6+ month process

o Costs $300 - $1,500+ / episode

o $7,500 daily net revenue forfeitures*

o 200MM+ annual artifact transactions

• Payers spending $2.2BN annually to maintain provider data

The Credentialing Problem

* Source: Merritt Hawkins 2016 Inpatient/Outpatient Revenue Survey

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• We are developing the Professional Credentials

Exchange (ProCredEx) as a marketplace for

verified professional identity and credentials

information

• Goals:

Connect disparate sources and consumers of

verified credential information across the

industry

Substantially reduce the effort, cost,

redundancy, and complexity of clinical

credentialing practices

Create incentives for market constituents for

collaboration and information sharing

Capture and monetize the value associated

with gathering and verifying this data

• Automates existing network of transactional

counterparties

Our Solution

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• Reduced Onboarding Cycle Time

• Simplified Practitioner

Engagement

• Significant Reduction in Revenue

Forfeitures

• Lowered Administrative Costs

• Monetization of Digital Assets

• Continuous Maintenance &

Risk Mitigation

• Occupationally Agnostic

Value Proposition

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Simplifying Complexity

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• Confirms the origin, data, and history of an asset

with exceptionally high reliability

• Moves trust to the software and disambiguates

centralized control of information

• Maturing into purpose-built, enterprise level

solutions

– Generation 1 -- BitCoin

– Generation 2 – Ethereum, Hyperledger et al.

– Generation 3 – R3/Corda, Digital Asset

• Practitioner identity and credentialing represent

an ideal early adoption use case for the industry

Why Blockchain / DLT?

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• Privacy

– Transactions must be visible only between authorized counterparties

– Participants must control access to their data

• Security

– HIPAA / HITECH

• Performance

– Must support significant, market-level throughput

• Tokenization vs. Fiat Currency Transactions

– Market leery of crypto-based business models

DLT Considerations

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Thank You

Anthony D. Begando

CEO

678-575-4495

abegando@procredex.com

@AnthonyBegando

https://www.linkedin.com/in/adbegando/

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Alexis Normand, Head of EmbleemaConsortium

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Pradeep Goel, Chief Executive Officer, Solve.CareFoundation

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Care.Wallet- personalized healthcare

Care.WalletPersonal benefits and administrative wallet

Care.CardDecentralized benefits app that link and sync across wallets

Care.CoinProgrammable benefit currency issued by network sponsor

Care.ProtocolMaps all healthcare relationships into protocol pairs

Care.VaultSecurity, access and control over data

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Large scale deployment

ACN Care Administration Network

PROVIDER

CARE.WALLET5,500+ Physicians

BILLING

PAYMENTS

REFERRALS

REWARDS

MEMBER

CARE.WALLET250,000+ Members

HAYFT

PAYMENTS

REWARDS

SCHEDULING

ACCESS

CARE.COINS

GOVERNANCE

REPORTS

ADMIN

CARE.WALLET

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Use case: Payments

Value based payments

• Real time payments• Automatic reconciliation• At will redemption• Eliminate collections• Close the loop between patient-provider-payer

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Use case: How are you feeling today

• Care.Ledger holds patient, clinical and wellness data

• All care events become a part of the Care.Ledger

• Innovative approach to care coordination & chronic diseases

• Allows sharing with doctor, family and friends, and others

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Use case: Prescription management

Care.Ledger

Patient Pharmaceutical company

Doctor

Allows to share and manage orders, refills, dosage,

drug interactions, formulations and share prescription

journey with doctor, specialist, and family

Pharmacy

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Questions?