文档介绍:Blockchain Technologies: A whitepaper discussing how the claims process can be improved
Abstract
The healthcare industry suffers from an inability to clearly communicate costs in a timely and
easy-to-understand format. This problem is a symptom of interoperability issues and complex
agreements between providers, patients, health plans/payers and government regulators. These
agreements are encoded in legal language with the intent of being defensible in court. However,
the focus on legal enforceability, instead of understandability, creates problems resulting in
hundreds of billions of dollars spent annually to administer an inefficient, outdated and complex
process for adjudicating and paying health plan claims. The process results in errors and often
leaves the patient unclear on how much they need to pay. If these agreements were instead
translated into computer code (smart contracts) leveraging Blockchain technologies, the claim
process would not only be interoperable, but also drive standardization, research and innovation.
Transparency and trust can be injected into the process when both the logic and the data driving
these decisions is stored permanently and made available to all stakeholders through a peer-to-
peer distributed database like blockchain. The result will be a paradigm sh