from pilot to process implementing blockchain into the ... · 1 from pilot to process...
TRANSCRIPT
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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
@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?