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

Transcription

1 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 1

2 Conflict of Interest Neither the Moderator nor panelists have real or apparent conflicts of interest to report. 2

3 Agenda 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. 3

4 Learning Objectives 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 4

5 Anthony Begando, CEO, Professional Credentials Exchange LLC 5

6 The Credentialing Problem 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 o o o 4-6+ month process Costs $300 - $1,500+ / episode $7,500 daily net revenue forfeitures* 200MM+ annual artifact transactions Payers spending $2.2BN annually to maintain provider data * Source: Merritt Hawkins 2016 Inpatient/Outpatient Revenue Survey 6

7 Our Solution 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 7

8 Value Proposition 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 8

9 Simplifying Complexity 9

10 Why Blockchain / DLT? 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 10

11 DLT Considerations 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 11

12 Thank You Anthony D. Begando CEO 12

13 Alexis Normand, Head of Embleema Consortium 13

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19 Pradeep Goel, Chief Executive Officer, Solve.Care Foundation 19

20 Care.Wallet- personalized healthcare Care.Wallet Personal benefits and administrative wallet Care.Card Decentralized benefits app that link and sync across wallets Care.Coin Programmable benefit currency issued by network sponsor Care.Protocol Maps all healthcare relationships into protocol pairs Care.Vault Security, access and control over data 20

21 Large scale deployment ACN Care Administration Network PROVIDER CARE.WALLET 5,500+ Physicians MEMBER CARE.WALLET 250,000+ Members ADMIN CARE.WALLET BILLING PAYMENTS REFERRALS REWARDS HAYFT PAYMENTS REWARDS SCHEDULING ACCESS CARE.COINS GOVERNANCE REPORTS 21

22 Use case: Payments Value based payments Real time payments Automatic reconciliation At will redemption Eliminate collections Close the loop between patient-provider-payer 22

23 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 23

24 Use case: Prescription management Allows to share and manage orders, refills, dosage, drug interactions, formulations and share prescription journey with doctor, specialist, and family Care.Ledger Patient Doctor Pharmacy Pharmaceutical company 24

25 Questions? 25