First smart contract system in healthcare

Change Healthcare and TIBCO Software have collaborated to build the first smart contract system for healthcare. They will be using the Change Healthcare Intelligent Healthcare Network blockchain technology and TIBCO's smart contract developer project, Project Dovetail. This platform will help health plans to develop and deploy smart contract-based processes that will automate the events across the healthcare transaction processing lifecycle.

Company

Change Healthcare

TIBCO

Status

In process

Tags
  • Healthcare Research
  • Health tech
  • Tech
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Problem statement

At present, payers use multiple systems to automate healthcare transaction/claims processing. Therefore, there is a need to simplify and standardize transaction processing in healthcare and progress the industry to real-time adjudication.

Approach

Smart contracts are simple, more efficient, and lower-cost solution as they allow self-executing rules that payers implant on a blockchain and are triggered automatically based on events that occur in a transaction.

Technical details

The partnership combines the scale of Change and TIBCO’s smart contract development project, Project Dovetail, to build open-source healthcare transaction-related smart contracts for payers on Change’s Intelligent Healthcare Network (IHN). The IHN, which is running in production, provides claims management transparency and provides an appropriate platform for a scalable blockchain application.

By using the distributed ledger technology, hospitals, physician practices and payers can longitudinally track the real-time status of claims submission and remittance using its Intelligent Healthcare Network.

The platform will aim to enable health plans and their financial partners to easily develop and deploy smart contract-based processes that automate events across the healthcare transaction processing lifecycle.

Healthcare Information and Management Systems Society (HIMSS), 2018

Presented

Radiological Society of North America Annual Meeting, 2018

Presented

Distributed Health, Nashville, 2018

Presented

INSPIRE conference, 2018

Presented

TIBCO NOW 2018

Presented