1. Haven Health Solutions
Pioneerism the Delaware Way
Vince Albanese
Haven Health Solutions

2. Pioneers

3. The Blockchain
Disintermediation. Blockchains enable multiple parties who do not fully trust each other to safely and directly share a single database without requiring a trusted intermediary.
Confidentiality: All participants in a blockchain see all of the transactions taking place. (Even if we use pseudonymous addresses and advanced cryptography to hide some aspects of those transactions, a blockchain will always leak more information than a centralized database.)
In other words, blockchains are ideal for shared databases in which every user is able to read everything, but no single user controls who can write what. By contrast, in traditional databases, a single entity exerts control over all read and write operations, while other users are entirely subject to that entity’s whims. To sum it up in one sentence:
Blockchains represent a trade-off in which disintermediation is gained at the cost of confidentiality.

4. Transparency with rules and data Transactional Filtered data
Why Blockchain (or a Distributed Ledger)
Creation of Markets
Producers/consumers
Rewards/costs
Collaboration
Low-trust parties
Transparency with rules and data
Transactional
Filtered data
Rules of engagement
Transparent audit trail

5. Who are you and can you prove it?
Core Use Case
Who are you and can you prove it?
Do you have permission to execute this transaction?
Can you orchestrate access to data that I need to make an informed decision?
Identify
Protect
Acquire

6. Why blockchain? The Game Behind Zero Knowledge Proofs
The Math
5 rounds - 1 in 32 chances
10 rounds - 1 in 1,024 chances
20 rounds - 1 in 1,048,576

7. Smart Prior Authorization - First in Delaware
The Living Laboratory
Smart Prior Authorization - First in Delaware

8. The risks in permanence Data leakage
Challenges
The risks in permanence
Data leakage
Lack of understanding on encryption
Who keeps the keys?
Adherence to standards
Ownership and distribution of the nodes
Rights to opt out
Identity and adherence to NIST standards
Collaborative challenges

9. A Bias to Action with Adherence to Standards
Upside
Meaningful change
Sustainable change
Data-driven decision making
Collaboration supported by technology
Re-invention
A Bias to Action with Adherence to Standards