Innova Solutions > Perspectives > Healthcare Ecosystem

Expectations of Healthcare Users

Currently, patients or users expect a quick and appropriate stream of information. Numerous businesses have adopted, or are starting to adopt, the necessary technologies to guarantee their patients’ instant communication expectations. Unfortunately, the medicinal services industry has lagged. Legacy systems are troublesome, slow, regularly prone to attacks, and are less useful for the patient.

Broken Health Service System

Health data contained in legacy systems are stored offline and hard to share with others.

In short, the present medicinal services information scene is divided and ill-suited to the immediate needs of current patients. Therefore, partners (Hospitals, labs, etc.) are encouraged to keep their very own records. Moreover, no single source of truth exists in reality.

Lack of Patient Centricity

The association among healthcare specialists and patients has long been a patronizing one. It is a reasonable decision to explore a second opinion (in terms of doctor), and patients are demanded to commit to judgments made about their medication preferences.

Careless and ill-informed clinical decision-making

Clinics and doctors depend on medical examinations and health records to make informed judgments about a patient’s diagnosis and the viable treatment procedure.

Generally, an examination or test must be done if it points to another potential diagnosis or an alternative medication plan.

Patient Data is at RISK!

  • At present, electronic health records (EHRs) are stored on centralized databases in which medicinal information remains, mostly as non-movable.
  • A centralized ecosystem enhances the security risk trail and demands faith in individual authority.
  • Centralized databases cannot be leveraged and will not guarantee protection and data integrity, regardless of controlled access specifications.
  • Centralized health database systems need to be legitimate, as the information stored in them needs to be shared globally. Hence, trust is required among the data sharing providers.
  • Globally, as cyber-crime is increasing exponentially, healthcare systems are no exemption, as confirmed by fresh high-profile ransomware hacking. The healthcare enterprise witnesses a lot more data crimes than any other sector. Medical documents are stolen and passed on.
  • According to Reuters, “Your medical information is worth ten times more than your credit card number on the black market.”

Lack of Transparency - Increasing Insurance Costs

For patients, clinics, and specialists, the existing practice is incredibly sluggish. When a patient demands services (from a provider such as a general physician, a pharmacy, or a nursing home), health insurance policies are referred to decide how much payment the insurance provider will make.

To approve this cost, the health insurance policy must authorize services obtained from the provider (hospitals, labs, etc.) as agreed in the agreement with the patient, and then convey their final decisions to the provider.

Lack of Transparency - Increasing Healthcare Costs

For a service provider to be recognized in-network, a complicated contract needs to be settled, which defines a significant cost to the provider’s treatment prices. One component of these charges is Billing and Insurance-Related (BIR) charges which involve actions such as managing databases and preserving accounts of the services provided. BIR prices are predicted to touch $350 billion by 2022 and would take up to minimum 3.8 hours for any concerned average physician to validate.

Lack of Transparency - Insurance Fraud

“The total cost of insurance fraud is estimated to be more than $40 billion per year.” – as per FBI gov data.

Whether you hold employer-sponsored health insurance or buy your insurance policy, health care scams unavoidably result in higher premiums and out-of-pocket charges for customers, as well as decreased advantages and coverage. For companies, this raises the price of giving insurance perks to employees, increasing the business’s overall expenses. The truth is that increased costs could affect their decision to purchase health insurance due to fraud.

Lack of Transparency – Record Tampering

Medical documents are to be recognized not only as medical records but also as legal certificates. Modifying existing medical documents, deleting records, or affixing fake records places a healthcare specialist in danger of medicolegal consequences. Declaration of genuine and original clinical records is necessary when a claim is submitted, and failure to furnish these records could hold the claim unjustifiable.

Lack of Transparency – Telemedicine Market

The global telehealth and telemedicine market are expected to grow at a CAGR of 37.7% during the forecast period, to reach USD 191.7 billion by 2025 from an estimated USD 38.7 billion in 2020 – Source

Healthcare expenses are increasing globally as communities strive to deal with growing populations and improve chronic disorder load.6tytDigital health systems, such as Telemedicine, are crucial for operating productivity and decreasing expenses.

Deaths in United States due to Medical Errors

Johns Hopkins University researchers conclude that medical error is the third principal element of death.

What is Blockchain?

Based on a peer-to-peer (P2P) topology, blockchain is a distributed ledger technology (DLT) that allows data to be stored globally on thousands of servers – while letting anyone on the network see everyone else’s entries in near real-time. That makes it difficult for one user to gain control of, or game, the web.


What is Enterprise grade Blockchain?

Enterprise Blockchain is defined as that grade of Blockchain that enables partners of the business ecosystem to

  • interact seamlessly with allowed parties, based on a pre-defined set of rules
  • have an immutable record of the business transactions, accessible as per privacy norms
  • view dealings with transparency, near real-time visibility, and lesser turnaround time
  • settle transaction legs based on the single shared truth for all parties
  • Why is Blockchain a Better System for Healthcare?

The medicine industry is currently centralized, but due to technological advancements, patients are getting empowered. The two main difficulties of data security and interoperability are resolved by blockchain, by decentralizing Electronic Health Records and setting power in the patient’s hands.

By providing EHR control to the patient, blockchain guarantees easy access to critical medical documents. Patients can instantly access any approved healthcare provider, guaranteeing that the accurate information is with the proper authorities when needed


Blockchain as a Healthcare Platform

Advanced technologies like Smart Contracts, cryptocurrency, and blockchain make foundation for digital health applications and services infrastructure. These apps and features seamlessly integrate with the patient’s health data and devices.

Identity Management in Healthcare

  • Hackers hijack individualities and impersonate users to provoke enormous costs on both users and businesses.
  • To avoid this, blockchain-based Identity Management user authentication services can be used to maintain users’ identities efficiently and securely in a decentralized way.
  • With plenty of distinct actors, identity management and access to data are essential to the blockchain-based solution. A dynamic system needs to be built to identify actors and give them the relevant access over a health record, restricted to the patient’s permission.
  • Blockchain-based Identity Management validates users using biometrics, ensuring a secure and straightforward way of guaranteeing user’s privacy.

Anticipated User Roles

Transaction Flow

Any communications with health documents are registered as transactions on the network. Transactions are visible only to the participants connected with the network.

Patient Authorizing the Access

  • Patient A grants access to EHR to Practitioner A.
  • Practitioner A’s ID is attached to Patient A’s approved asset on the ledger.
  • Patient A’s ID is attached to Practitioner A’s approved asset on the ledger.
  • The hash key for the EHR is decrypted with Patient A’s private key.
  • The hash key is now encrypted with Practitioner A’s public key.

Patient Withdrawing Access

  • Patient A invalidates access from Practitioner A.
  • Practitioner A’s ID is withdrawn from Patient A’s approved asset.
  • Patient A’s ID is removed from Practitioner A’s approved asset.
  • Patient A’s private key is then utilized to decrypt the hash key for EHR to solve the EHR.
  • The EHR is encrypted with a new hash key.
  • The new hash key is encrypted with Patient A’s public key and the public keys of all the remaining IDs that possess the permission.

Technical Architecture


Benefits of Blockchain based EHR

User Centric Model

  • In the present healthcare system, patients have their health data spread over various hospitals and clinics.
  • There are numerous fragmented records of an individual patient held at multiple locations—for example, blood tests, imaging, and reports.
  • Blockchain will request and channel these records into a sequential order and the classifications to help information handling and easy access.

Health Data Revolution

  • Today, we have access to anatomic, organic, natural, genomics, phenomics, and physiological patient information.
  • New ideas and technologies will only push this frontier further.
  • Ultimately, this will lead to lower costs, improved patient outcomes, and better research.
  • Companies like 23andMe, Fitbit, Apple, Nest, and Qardio are quickly trying to innovate and expand in the frontier of collectible data.

Patient Safety

  • Blockchain can form a backup access system for emergencies, always ensuring patient safety.
  • Patients utilizing the blockchain will choose ahead of time which part of their records can be seen in a crisis.
  • In case a patient is unconscious and unable to give access to their records, the emergency bracelet or IoT device the patient is wearing would be scanned to unlock his/her data.

Clinical Communication

  • Along with increased access to emergency information, blockchain can allow clinicians to interact with each other with faith and trust.
  • When an approved healthcare professional updates a patient’s health record, the blockchain framework will refresh that record on the ledger. Any clinician with access to that record can see the update in real-time.
  • Any specialist with web or app access will have the option to get to the patient’s records presented to them.

Health Insurance and Transparency

  • Patients accidentally or, in some instances, intentionally do not reveal their health conditions to insurance agencies.
  • Health records’ audibility on a blockchain-based system permits insurance agencies to precisely evaluate a patient’s health and accordingly fix the insurance premium.
  • By providing health insurers access to the patient’s health records, patients can be rewarded for their transparency in the form of lower premiums, which will eventually reduce costs.

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