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Healthcare IT Trends to Watch in 2. Status: Nailed It Mid- Year Review of our 2. Predictions. The blockchain buzz continues to hum seven months into 2. With countless conferences, Internet memes, and startups to boot, it’s safe to say we’re at the peak of the blockchain hype cycle. In the absence of many real world blockchain applications within healthcare last year, we predicted that would all change in 2. And.. we hit the nail on the head.
Lots of working demos have been unveiled this year. We’ve been busy on Dok. Chain, our implementation of healthcare on blockchain, including our recent partnership with Intel. There has been considerable activity elsewhere too. Forbes reported Hyperledger Foundation’s recent projects, and Guardtime, a data- centric security company, and the Estonian e. Health Foundation have shown progress in their goal to secure health records. While we may not see healthcare on the blockchain at scale in production for a while, this year has shown amazing, promising progress and a massive surge in support for healthcare initiatives on the blockchain.
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The buzz surrounding blockchain hit a fever pitch in 2. That will change in 2. In our regular interactions with innovators from healthcare systems, healthcare device and wearable companies, to finance and professional services firms, we’re seeing that the groundwork for healthcare on the blockchain has already begun. As context, blockchain is a highly secure network coupled with a distributed database, also known as a distributed ledger. This ledger is used to record the network's transactions with reliable time stamps and standardized rules for all participants on the network to verify and access information. There's one more lesson to draw from the early days of the internet. If you had understood in 1.
That is where we are with blockchain today.” - Ginni Rometty, President and CIO of IBMWhy will the shift from talk to action take place this year? Changes to Value- Based Economics Necessitate Changes in Technologies. The shift to value- based care isn't just a shift in economics; it is also a shift in the kinds of technologies required to deliver those economics. Costs are increasingly the responsibility of the consumer, as well as the providers with whom they share financial risk. This shift in financial responsibility requires new patient access models with real- time, up- front accumulator (deductible) adjudication and payment calculations that the current infrastructure isn't designed to support.
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In addition, the move to value- based care includes a move to reimbursement based on "episodes of care" which necessitate changes to billing, data collection, and reimbursement rules, along with the technologies that support those models. Further, a typical episode of care, for example, a Type 2 diabetic's exam, will likely have many services that occur outside the hospital setting requiring technologies that can record all relevant transactions, from device data to nutritionists, and attach them to the correct episode and patient, regardless of whether or not the transaction is recorded in a centralized EHR. We believe that blockchain technology is a powerful tool for creating global prosperity.”. Alex Tapscott, author of Blockchain Revolution. In addition, to efficiently deliver patient care, this diverse network must now exchange data in real time, around the clock.
Add to that the explosion in device and user- generated data that can be analyzed for relevant information and we have completely surpassed what legacy manual processes and 1. IT architecture was designed to handle. Insert blockchain. Watch The Lesser Blessed Online The Lesser Blessed Full Movie Online there. Many of the technologies that make up blockchain have existed for some time and part of blockchain's value is in organizing those technologies into a single system to address the fundamental business problems and processes in healthcare and other industries.
Blockchain offers a distributed, secure system that enables a diverse network of healthcare providers, including payers, providers, device makers, and acute care facilities to work together, seamlessly, with the patient at the center of the healthcare experience for the first time. Blockchain Delivers Interoperability and Automation to the Business of Health. Realizing the immense value from a real- time, distributed network like blockchain requires a new class of artificially intelligent (AI) agents, called “smart contracts.” These agents can orchestrate automated business, analytical, and contractual processes on the blockchain at a scale only recently made possible through advances in processing power and efficiency. Blockchain will be the new CPU, and it will be everywhere, running all the time.”- Ted Tanner, CTO Pokit. Dok. Participants in a blockchain network can encode and host their most common business processes and contracts as smart contracts.
Whether for a business associate agreement (BAA) or a patient on- boarding process, the blockchain acts as a safe, auditable, always- on coordination mechanism for executing smart contracts. To date, interoperability has been addressed as an afterthought between legacy EMRs, since they were never designed to be truly interoperable. This approach won't scale in an always- on world. And it certainly won't connect to the machine learning and artificial intelligence technologies Pokit. Dok and others are applying to deliver value- based care. Blockchain offers interoperability, support for current and emerging data standards, and strong encryption, all baked into a transactional architecture. It is accessible to ALL healthcare stakeholders; from physicians and their EMRs, to sensors and devices, putting the patient at the center of care.
As an example, Pokit. Dok now runs real- time eligibility checks through our APIs on Dok. Chain, for a fully transparent, private, and encrypted transaction that compliant healthcare businesses require today. While this is an undeniable first for the business of health, in order to have a fully operational blockchain solution, many more parties need to be involved.
This is only the beginning. Soon billions of smart things in the physical world will be sensing, responding, communicating, buying their own electricity, and sharing important data, doing everything from protecting our environment to managing our health. This Internet of Everything needs a Ledger of Everything." - Alex Tapscott, author of Blockchain Revolution.
Big Players are Involved and Invested. Powerful influencers, like cardiologist and author, Eric Topol; blockchain expert and author, Alex Tapscott; President and CEO of Humana, Bruce Broussard; President and CEO of IBM, Ginni Rometty; and Pokit. Dok CTO, Ted Tanner, predict that blockchain will become the latest healthcare technology innovation; the new CPU, running everywhere, all the time. For example, when a patient has a simple procedure, like an MRI, the blockchain can review, verify, and authorize information and process the claim in real- time for immediate reimbursement to the provider or payment by the patient, if they haven't met their deductible.“Back- and- forth haggling with the health plan about what was paid, why it was paid or whether it should have been paid [will be a thing of the past]. With transparency and automation, greater efficiencies will lead to lower administration costs, faster claims and less money wasted," noted Humana’s Broussard.