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Applications of blockchain in healthcare

Applications of blockchain in healthcare

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Since 2016, interest in blockchain has emerged across all sectors of healthcare. This interest has been expressed in the form of collaborative initiatives led by notable organizations within the healthcare industry. Some showed promising results, but none has yet achieved scale in adoption and economic sustainability to be considered an unqualified success. After reading this chapter, the reader will be able to describe what blockchain is and the new business models it can enable. In addition, the reader will have a framework to consider blockchain for a use case and to understand the potential barriers to adoption. Finally, the chapter will review multiple use cases being considered across diverse healthcare sectors, the early industry experiments exploring how blockchain can be used, and what ideal end states could look like. Please note that this chapter has been authored with a focus on healthcare in the United States, and as a result, most examples will be presented with a US perspective.

Chapter Contents:

  • 10.1 Introduction to blockchain
  • 10.1.1 How blockchain works
  • 10.1.2 Reducing the need for intermediaries
  • 10.1.3 Enabling improved interactions in healthcare
  • 10.1.4 Reducing administrative costs in healthcare
  • 10.1.5 Barriers to adoption
  • 10.2 When is it appropriate to use blockchain?
  • 10.2.1 Industries are searching for the "killer app" for blockchain
  • 10.2.2 Framework for determining the fit of blockchain to a specific problem
  • 10.2.2.1 Multiple sources of truth
  • 10.2.2.2 Distrust of centralized authority
  • 10.2.2.3 Willingness to collaborate
  • 10.2.2.4 Verifiability, traceability of transactions is important
  • 10.2.2.5 Market-level business case
  • 10.3 Introduction to blockchain solution models
  • 10.3.1 Shared audit trail
  • 10.3.2 Public data exchange
  • 10.3.3 Multiparty workflow
  • 10.3.4 Protected data exchange
  • 10.4 Healthcare provider data use cases
  • 10.4.1 Industry focus on provider data use cases
  • 10.4.2 What is healthcare provider data?
  • 10.4.3 What are the current challenges with provider data?
  • 10.4.4 How blockchain could be a good fit for provider data use cases
  • 10.5 Healthcare provider directories
  • 10.5.1 Provider directory use case
  • 10.5.2 Proposed solution
  • 10.5.3 Incentive alignment
  • 10.5.4 Why this makes sense for blockchain
  • 10.6 Healthcare provider credentialing
  • 10.6.1 What is healthcare provider credentialing?
  • 10.6.2 What are the challenges in healthcare provider credentialing?
  • 10.6.3 Blockchain solution concepts for provider credentialing
  • 10.6.4 Early entrepreneurial activity and proofs-of-concept
  • 10.6.5 Minimal viable network
  • 10.6.6 Primary source economic incentives
  • 10.6.7 Accreditation and regulatory acceptance
  • 10.7 Walmart supply chain: one non-healthcare example
  • 10.7.1 Why are we talking about food supply chains in a healthcare book?
  • 10.7.2 Issues with supply chain management
  • 10.7.3 Walmart and IBM using blockchain to address supply chain issues
  • 10.7.4 Walmart initiative could be the first widespread noncryptocurrency blockchain use case
  • 10.8 Pharmaceutical supply chain management
  • 10.8.1 What is the pharmaceutical supply chain?
  • 10.8.2 Issues with the pharmaceutical supply chain
  • 10.8.3 How could blockchain be used to address these issues?
  • 10.8.4 Early initiatives to leverage blockchain to address
  • 10.8.5 Barriers to overcome to scale these solutions
  • 10.9 Patient identity and consent management
  • 10.9.1 Administrative costs associated with patient identity
  • 10.9.2 Privacy issues related to patient identity
  • 10.9.3 Blockchain solutions for patient identity issues
  • 10.10 Electronic health record exchange
  • 10.10.1 Current issues with medical record exchange
  • 10.10.2 Leveraging blockchain to solve medical record exchange issues
  • 10.10.3 Early start-up activity and proofs-of-concept
  • 10.10.4 Barriers to overcome to scale blockchain-based medical record solutions
  • 10.11 Real-time claims adjudication
  • 10.11.1 Costs and issues related to claims adjudication
  • 10.11.2 Blockchain-based solutions for claims
  • 10.11.3 Anticipated barriers to establishing a blockchainbased claims solution
  • 10.12 Reducing of fraud, waste, and abuse in healthcare
  • 10.12.1 Understanding fraud, waste, and abuse in healthcare
  • 10.12.2 How blockchain fits the fraud, waste, and abuse problem
  • 10.13 Conclusion
  • References
  • Further Reading

Inspec keywords: health care; organisational aspects; cryptography

Other keywords: diverse healthcare sectors; healthcare industry; notable organizations; collaborative initiatives; blockchain

Subjects: Data security; Medical administration; Biology and medical computing

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