Digital Mission

Value-Based Health

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Operationalizing Data and Information Contract and Network Management

Smart Claims Payments (Blockchain)

Current Situation

Smart claims payments built using blockchain technology is in the nascent stage with only a few innovative healthcare organizations initiating proof-of-concept projects.

Goals and Objectives

Create new transaction models to improve provider contracting and claims adjudication. Reduce costs and improve transaction security. Achieve real-time adjudication.

Technology Deployed

Distributed ledger technology; Private ledgers; Smart contracts (which are a combination of blockchain DLT, legal code, and programming code)

Use Case Summary

Smart claims payments using blockchain technology will ultimately evolve from proof-of-concept projects developed by healthcare organizations to being incorporated into solutions provided by independent software vendors (ISVs) to provide more robust payment and payment reconciliation capabilities.

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