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Blockchain & it's Benefits

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1. Introduction

A blockchain is a chain of records, called blocks, used to maintain a cumulatively growing list of digital transactions, such as electronic healthcare records (EHR) or electronic medical records (EMR) in the healthcare industry. Each block contains a timestamp and a digital signature, and links to a previous block. The blocks also contain a nonce, which is an integer used during the mining process. The nonce fortifies the block from hackers or unwanted users by making the integer as unique as possible and extremely difficult to re-run or reuse.
Blockchain is poised to make our digital transactions more efficient by removing intermediaries from the process. Forrester’s “Top 10 Technology Trends to Watch: 2018 to 2020” report predicts that by 2019 “a viable blockchain-based market will be commercialized.”

2. Why blockchain matters

Industry disruptor

No central authority or third-party transaction verifiers such as auditors, legal services, payment processors, brokerages and other similar organizations needed to verify trust and the transfer of value

Less oversight and fewer intermediaries save costs

All participants have access to a copy of the ledger, eliminating the duplication of effort

A smaller number of participants can use it privately by deploying a “permissioned blockchain” to control who participates in transaction activity

3. How can blockchain help healthcare?

In a recent survey by PwC, financial services is a leader in blockchain development, at 46%, compared to energy and utilities (12%), industrial products (12%) and healthcare (11%).2 Although the benefits of blockchain are multifold, we still need to evaluate and identify transactions that are a natural fit for this technology. Because blockchain is immutable, trustless, decentralized and distributed, it holds the potential to disintermediate processes, optimize workflows, cut operational costs, eliminate duplication of work and fight fraud. All of this improves transparency in the healthcare industry, saving billions of dollars.
Blockchain can benefit healthcare in the following ways:

Claims and billing managementransfer of value
Blockchain implemented in the claims adjudication and billing management process will help all parties be aware of their share of the projected cost for a service. It can further reduce administrative costs by automating the billing and insurance related (BIR) activities.

Medical data management.
Blockchain can improve interoperability and secure the exchange of healthcare information. The ability to track patients in real time improves care coordination, which is also a fundamental requirement for value-based and cost-effective care.

Reducing fraud.
Fraud costs the insurance industry more than $80 billion annually.3 Blockchain can help determine if a submission is valid, mitigating fraudulent activities by securely pulling data from multiple sources at any point in a transaction.

Health research and clinical trials
An estimated 50% of clinical trials go unreported.4 Using time-stamped records and results, blockchain advancements can address selective reporting and the manipulation of results, which will reduce fraud and errors in clinical trial records.

Tracking counterfeit drugs.
Pharmaceutical companies incur an estimated annual loss of $200 billion due to counterfeit drugs.5 Blockchain could create a “single source of truth” surrounding the movement of goods and help maintain integrity by tracking each step of the drug supply chain at the individual drug/product level.

Securing protected health information (PHI).
From 2015 through 2016, 140 million patient records were breached, affecting more than 27 million patient records.6 Apart from hacking and ransomware, 43% of such breaches (192 incidents) were internal due to insider error or wrongdoing.6 The existing healthcare IT architecture may not be sufficient to monitor and secure connected devices (internet of medical things, or IoMT). Using blockchain can alleviate privacy and reliability concerns.

Reducing healthcare costs and improving transparency with blockchain
Today, the healthcare industry is using automation and artificial intelligence (AI) across the payer and provider landscape. While payers can significantly reduce costs and improve efficiencies with robotic process automation (RPA), providers are using AI-powered systems to improve the accuracy of diagnostics and create seamless patient experiences. As the healthcare industry gets smarter about the use of data analytics and starts adopting automation and AI-powered solutions, many innovative and expedient solutions will be implemented across the industry. But the real benefit will come from adding blockchain technology to this AI-powered system, what MAH HEALTH 8 Estonia, Europe. I PASSPORT calls AI-blended blockchain. Let’s put this into context. Although the healthcare industry has been adopting electronic transaction systems over the last 20 years, manual transaction processes still account for roughly $10 billion USD and Eligibility and Benefit verification accounts for more than half of this spend.7 Several factors contribute to this, including convoluted rules that actually decrease efficiency, complex administration costs primarily associated with BIR, gaps in care coordination such as fragmented care delivery processes, and loss of continuity of both patient data and provider assessments. Other challenges include recent changes in the legislative landscape, namely the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Patient Protection and Affordable Care Act (ACA). Introducing blockchain solutions and weaving in RPA across the provider, agent and payer landscape can have a tremendous impact on the healthcare industry. The blockchain solutions can bring much-needed efficiency and transparency by making every transaction unique, immutable and accessible in real time, while automation can bring in speed and cost efficiencies. Such a system can ensure patients are better informed of projected costs, because payers and providers will have all the data (both historical and current) at hand. It will also enable accurate reporting, hitherto a difficult task, because all data will be available and processed in near real time. Together, blockchain and AI-powered systems can drive down overall costs, significantly reduce BIR and, most importantly, root out fraudulent transactions. This can improve the customer experience by expediting overall system performance from days or weeks to minutes and even seconds.

Medical records also prove critical for research. The ONC's report emphasizes that biomedical and public health researchers “require the ability to analyze information from many sources in order to identify public health risks, develop new treatments and cures, and enable precision medicine”. Though some data trickles through to researchers from clinical studies, surveys, and teaching hospitals, we note a growing interest among patients, care providers and regulatory bodies to responsibly share more data, and thus enable better care for others. In this work, we explore a blockchain structure applied to EHRs. We build on this distributed ledger protocol originally associated with Bitcoin. The blockchain uses public key cryptography to create an append-only, immutable, timestamped chain of content. Copies of the blockchain are distributed on each participating node in the network. The Proof of Work algorithm used to secure the content from tampering depends on a “trustless” model, where individual nodes must compete to solve computationally intensive “puzzles” (hashing exercises) before the next block of content can be appended to the chain. These worker nodes are known as “miners,” and the work required of miners to append blocks ensures that it is difficult to rewrite history on the blockchain. Our MAH Health passport blockchain implementation addresses the four major issues highlighted above: fragmented, slow access to medical data; system interoperability; patient agency; improved data quality and quantity for medical research.

Healthcare Sector Challenges

Healthcare Sector is facing a lot of challenges and currently after pandemic challenges increased due to the huge impact of Healthcare Sector in the world. Highlighted below few of the major challenges which MAH Technologies already invested time and effort to study and analyze these challenges in order to provide proper solution serving the Health Sector to overcome the current challenges and achieving all the expected needs.

Information Security

Mandatory requirement now to maintain proper security and keep all the records Safe and Secure for all Patients medical history, Doctors details, Laboratory and Radiology center records. All these records considered as condential information and restricted to specic persons working in health Sector only and have the required access level to reach and view these records Hackers and ransom malware attacks makes everyone in danger and under threats.

Identity Verification

One of the major challenges for medical Sector now to Identify and Verify the huge bulk of information transferred daily over the internet, many people pretending to be someone else either patients or doctors in order to acquire restricted information.
Blockchain providing the best authentication and verification tools for healthcare sector

Movement Restrictions & Health Status

Currently with the exist pandemic all the world facing huge movement restrictions which is affecting the whole world economic and human needs.
Movements inside the same city require showing the current health status and the last updates if infected before or vaccinated.

Countries Closed Borders

In 2020 All countries almost closed the borders and traveling was totally restricted, in 2021 and in next few years borders will be opened only for vaccinated persons and expected to take vaccination regularly every year. World really require Digital Health Passport as mandatory need to make raveling more easily and safety.

Emergency Health Support

Most of patients or even regular persons suddenly will face a health problem and will require immediate support from a health professional. Currently the fastest emergency support will be available after few minutes average response time between 7 to 14 minutes. With the new technologies and communication revolution patient require immediate communication solution to reach and contact doctors quickly.

Consultation Difficulties & Availability

Patients sometimes facing difficulties for the consultation for many reasons like distance or walking difficulties or clinic location. Currently after pandemic visiting hospitals and clinics comes more difficult and not safe for all participants, old patients will be afraid of getting infected from anyone and consultation comes complex for doctors as they need to reduce the physical interaction with patients. here comes the important to use technology to support Online TeleConsultation.

Emergency health support consultation difficulties & lack of diabetes monitoring sudden diabetics core challenges

MAH Healthcare Solutions for the Challenges

1. MAH Healthcare information system - HIS

Seamless administration and control.

Advanced MIS reporting both in graphics and printed form.

Parameterization: Easy Customizable features.

Increases profits and reduces costs considerably by handling information in an efficient and effective way.

Automatic calculated payment generation to Consultants, Outsourced Facilities etc.

Profitability Analysis and Growth Analysis at Department level, Service Level based on patient category.

Tracking of patient outstanding based on unique PID, even after a patient visits after many years, or if a patient has multiple policies.

Handles incorrect bills, client rate adjustments through administration control

OP, IP, Day-Care, Surgery – different billing and payment procedures configurable to multiple locations and categories

Rate determination based on multiple parameters – days, time, service type, eligibility

2. MAH Telehealth Consultation

The purpose is to give layout of Tele-Health Application to ensure seamlessly smooth and secure communication between Patient and Health Practitioners. It provides norms and protocols relating to physician-patient relationship; issues of liability and negligence; evaluation, management and treatment; informed consent; continuity of care; referrals for emergency services; medical records; privacy and security of the patient records and exchange of information; prescribing; and reimbursement; health education and counseling.

Telemedicine applications can be classified into four basic types:

Mode of communication (Video, Audio, Text),

Timing of the information transmitted,

Purpose of the consultation

Interaction between the individuals involved RMP-to-patient/caregiver, or RMP to RMP. (RMP is registered medical practitioner)

3. Digital Health Passport

The pandemic of corona virus infection in 2020 has triggered the importance of fast response to health issues. Now that the companies slowly return to pre-epidemic life, employees’ health checkup has become crucial to prevent a disease outbreak followed by business collapse.

MAH Technologies, A software R&D and developer, has created Digital Health Passport, or DHP, a blockchain based application for verifying and storing personal health history with no need for multilevel validation of information.

Digital Health Passport by is a digital profile with user’s disease status such as infection with HIV, COVID-19, tuberculosis and others.

Medical institutions can use the DHP platform for national and regional control over the nation’s health.

4. MAH Digital Diabetes

Online platform for all type of customers providing medical consultancy and advices, Platform will work as a personal health advisor and will maintain all the customer health history in order to allow health professional / manager to provide the best medical advice. The platform will be connected directly with nearest Hospital and will provide the differences in the cost and service for each hospital so customer can know all the details before booking appointment with doctors, (Future scope to include auto booking throw the platform). The platform also will provide list of all the pharmacies and nearest Pharmacies and labs so customer can dispatch the medicine request or the prescription online if required to automate the full process.