Download presentation
Presentation is loading. Please wait.
Published byJuliana Allison Modified over 6 years ago
1
HEALTHCARE ADMINISTRATION AND PAYMENTS DECENTRALIZED PLATFORM ON BLOCKCHAIN
Confidential | 2018
2
Redefine benefit coordination, administration and payments
SOLVE.CARE MISSION Redefine benefit coordination, administration and payments Improve consumer engagement Empower service providers Reduce administrative cost and friction Accurate and timely payments Configure plans and customize benefit packages Reduce fraud, waste and abuse Improve quality of care Wellness and Prevention of Diseases Ensuring Value for money E-Health
3
BLOCKCHAIN IN HEALTHCARE
Peer-to-peer transaction capability Decentralized processes Delegation of authority to patients and doctors While maintaining control over cost and utilization Peer-to-peer transactions Distributed ledger Smart contracts Security and access Delegated authority Verifiability 3
4
VALUE CREATION FROM PROPER USE OF BLOCKCHAIN
DELEGATED AUTHORITY TO PATIENTS Demand based appointments Eliminate administrative barriers to care TIMELY AND ACCURATE PAYMENTS Real time payments Aggregated payments via smart coin REDUCED ADMINISTRATIVE COSTS Decentralized eligibility and referrals Physician certification and credentialing VALUE BASED HEALTHCARE CONTRACTS Pay for performance Real time provider contract ability 4
5
HEALTHCARE ADMINISTRATION REDEFINED
Eligibility and Enrollment Provider Search and Scheduling Pre-authorization & Referrals Billing and Payments Provider Contract Management Care Coordination and Utilization Outcomes and Value Based Care 5
6
CARE.WALLET LINKS PATIENTS AND DOCTORS
6
7
CARE.WALLET SYNCS ALL PARTIES
PATIENT SCHEDULING ENROLLMENT DOCTOR BILLING INSURER 7
8
HEALTHCARE APPOINTMENTS ON BLOCKCHAIN
Network of wallets reviews and accepts appointment using algorithms Patient requests an appointment Requested appointment is broadcast on P2P network Transaction complete. All parties are in sync The ledger is replicated across all connected wallets Once accepted, the appointment is logged in the care ledger 8
9
CARE.CARDS ENABLE PEER-PEER TRANSACTIONS
EMPLOYERS Group enrollment Employer subsidies Cost sharing Timely access to care Wellness programs Premium collection Group utilization PROVIDERS Payments Scheduling Claims processing Reward programs Eligibility verification Referrals Prescriptions INDIVIDUALS Self-enrollment Plan comparison Eligibility Pre-authorizations Bill reconciliation ADVISORS Life event handling Benefit explanation Real time deductible Providers network Managing advisors Rewards programs 9
10
Improving Quality of Healthcare Emergency Preparedness
IMPROVING HEALTHCARE FOR CITIZENS Continuum of care Improving Quality of Healthcare Emergency Preparedness Reducing capacity gaps in healthcare services Healthcare services in rural areas Mental health programs for the community Careful monitoring of the quality of healthcare Linking it to incentives and other measures Quality outcomes and benchmarks Research and innovation to drive the improvement in healthcare delivery Emergencies and disease outbreaks preparation Information and communication infrastructure Policies to govern the sector’s response to emergencies 10
11
IMPROVING HEALTHCARE FOR CITIZENS
Wellness and Prevention of Disease Improving oral health in children Chronic Disease Management Ensuring Value for Money Injury prevention Mother and child care Occupational health Combating and preventing communicable disease Vaccine programs Reducing hereditary illnesses Lifestyle chronic diseases - Obesity, Diabetes, Cardiovascular disease. Cancer - Lymphoid & hematopoietic, breast, and colorectal cancers Cost-effectiveness and value for money Sustain healthcare spending Optimize spending on medical products 11
12
SOLVE.CARE PLATFORM HAS A MISSION
1. Reduce non-care costs from 30% to 3% Decentralize healthcare and benefit administration Engage and empower the patient Reduce administrative burden on doctor and care providers Ensure accurate and timely payments for service, or quality or both Make fraud, waste and abuse, very difficult if not impossible Bring transparency and accountability to the entire lifecycle 12
13
WHAT MAKES SOLVE.CARE DIFFERENT
Save lives Deliver better care experience for citizens around the world Reduce annual administrative cost by billions Optimize utilization and outcomes Fight fraud, waste and abuse 13
14
LEADERSHIP TEAM LOCATIONS
SOLVE.CARE OVERVIEW LEADERSHIP TEAM LOCATIONS 25 Years, 4 HCIT companies 60+ and growing 4 and growing Decades of experience with administration and payment systems Dedicated experts in healthcare and benefits US, Canada, Estonia, Ukraine 14
15
YOUR TEAM Pradeep Goel, CEO Vadym Vorobiov, CTO
Pradeep spent 25+ years working on various models of healthcare administration and payments around the world. He has witnessed the limitations of centralized systems that impede care coordination and consumer empowerment. He is applying distributed technologies in a unique way to change healthcare for the better, for everyone Vadym Vorobiov, CTO Vadym has been working with Pradeep over a decade to deliver software solutions to healthcare clients and citizens, and building and deploying enterprise systems for government and commercial organizations. Dr. David Randall, Senior Policy Advisor Dr. Randall currently serves as Executive Director and is Resident Scholar with the American Research and Policy Institute ( in Washington, DC. Dr. Randall has extensive experience as a former top insurance regulator, legislative staff member, health care lobbyist, consultant and executive with not only insurance companies, but also with several provider trade groups in Washington. Ed Odjaghian, VP Client Delivery Ed is a key member of the senior executive team specializing in delivering healthcare technology solutions to clients. Ed Odjaghian supports overall strategic plan, establishing operational vision, objectives, policies and procedures. Ed Odjaghian has 30+ years of experience delivering healthcare applications to clients. 15
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.