Des Schwaben Lust an der Blöckleskette. Norbert Schädler

Transcription

1 Des Schwaben Lust an der Blöckleskette Norbert Schädler

2 Ökosysteme gewinnen an Bedeutung Source: [1] 2013 Global Digital Disruption Executive Study Q18. To what extent do you agree with the following statements about customer behavior and expectations today, and in five years? Rate on a scale of 1 to 5, where 1 = Strongly disagree and 5 = Strongly agree. [2] 2013 Global Digital Disruption Executive Study Q12: Please rate the extent to which the following trends will have an impact on your business (n = 1089) 16 March 2017

3 Unser Ökosystem Radiology Lab Specialist Patient Payer (s) Research PCP Hospital Regulator / Auditor / Govt. Page 3

4 Zusammenfassung für Entscheider Basierend auf unserer Erfahrung nach Gesprächen mit >100 Kunden in 2016 und Motivation - Digitalisierung 1 zwingenden Grund - Fehlendes Vertrauen im Ökosystem 1 Usecase - Mehrere Unternehmen / ein Asset 2017 IBM Corporation 4

5 Essentielle Eigenschaften userer Blockchain Secure and immutable Distributed and Sustainable Transparent and Auditable Consensus based Transactions ü ü ü ü ü ü Smart Contracts IBM Corporation 5

6 Warum nennen wir es Blockchain? Block 1574 Block Hash: ec2fda71 Previous Block Hash: d68b2f0a3b Transaction: Hash: feb359ad27c907d Transaction: Hash: 8d0df86ffc15cd62 Block 1575 Block Hash: ea2ffe94 Previous Block Hash ec2fda71 Transaction: Hash: 76f0ec56ce04423 Block 1576 Block Hash: bf2efe32 Previous Block Hash ea2ffe94 Made up of a series of blocks added in chronological order ade c03bfe26e073296aba04b05e69e98c8f cc41781a IBM Corporation 6

7 Blockchain Anwendung und das Ledger Blockchain developer D develops Application 1SDK develops Invokes/queries 2 Smart Contract emits get put, event each put or invoke recorded emits Ledger World/Ledger state block txn txn txn txn Blockchain 1 Client Application in JavaScript using Hyperledger Fabric Client (HFC) SDK 2 Smart Contract implemented using chain code 7

8 Blockchain so warden wir es evtl. betreiben Architektur Node.js Server Frankfurt: REST Hyperledger Blockchain SDK Port:8080 REST Dashboard Port:5000 HTTP/REST MobileApp GRPC IOS/Android Member service Validating Peer 0 Chain code Validating Peer 1 Chain code Blockchain Cloud Frankfurt: Cloud Sydney: GRPC Validating Peer 2 Chain code Validating Peer 3 Chain code Cloud Chicago : Cloud Houston :

9 Use Case Unser Healthcare Beispiel

10 Blockchain and EHR Streamline processing Direct visibility from all parties Accessibility All EHRs in one place Provenance All records can be traced back to origin Control EHRs can not be accessed without patient s consent Security Security in Blockchain is hardened from ground up Accountability Patients know who has access to their EHRs, and keep them accountable Transparency EHRs are not for sale as a commodity. Regulators can detect abusive practices Privacy Only authorized parties can see EHRs and only what they are supposed to see Page 10

11 Blockchain and Health Insurance Claim Improved visibility across network participants Smart Contract between Provider / Patient / Payer Faster coordination of benefits Faster underwriting process Reduces claim disputes Patients have visibility into claim processing Patients have visibility into available benefits Faster billing resolution Eliminates EHR Inconsistency Page 11

12 Benefit Accumulator Member record ecosystem current state Employers HR Systems Creators Payer Core Membership & Claim Systems Deductibles Contributors Payer Medical Claims Individuals Paper & Portal Coinsurance Individual Max. Limit Pharmacy Claims Brokers Paper & Portal Government MMIS Family Max. Limit Users Banks HSA Contributions HSA Deductions Dental Claims Vision Claims Individuals Employers Trend Reports Providers Billing Systems Employers Individuals Payers Page 12 Pharmacy Dental Vendors Vision Vendors

13 Blockchain Benefit Accumulator HSA FSA Pharmacy Vision Vendors Dental vendors Employers Individuals Brokers MMIS (government) Benefit Accumulator Asset Payer (s) Auditor Providers Page 13

14 Patient in Blockchain Patient Access to complete medical history Access to near real time benefits determination Ability to add self-reported info Page 14

15 Payers in Blockchain Access to clinical information needed to adjudicate a claim Coordination of benefits with less paperwork Payer (s) Page 15

16 Providers in Blockchain Specialist Access to clinical and demographic data from other providers Quicker payments PCP Hospital Page 16

17 Medical Research in Blockchain Access to clinical and demographic data which is not exposing PII without loss of valuable information / insights Research Page 17

18 Regulators in Blockchain View into clinical data for population health View into cost versus benefit information for pricing public healthcare decisions such as premiums Detect abusive practices Regulator / Auditor / Govt. Page 18