使用 Hyperledger Fabric 改变医疗保健，提高索赔生命周期的吞吐量和透明度
公司规模
Large Corporate
地区
- America
国家
- United States
产品
- Hyperledger Fabric
- Change Healthcare Intelligent Healthcare Network
- Assurance Reimbursement Management
技术栈
- Blockchain
- APIs
- Cloud Computing
实施规模
- Enterprise-wide Deployment
影响指标
- Productivity Improvements
- Cost Savings
- Digital Expertise
技术
- 应用基础设施与中间件 - 区块链
- 基础设施即服务 (IaaS) - 云计算
适用行业
- 医疗保健和医院
适用功能
- 商业运营
- 采购
用例
- 过程控制与优化
- 资产跟踪
- 网络安全
服务
- 系统集成
- 软件设计与工程服务
关于客户
Change Healthcare 是美国最大的独立医疗技术公司之一。该公司提供软件和分析、网络解决方案和技术支持服务，帮助客户获得切实可行的见解、交换关键任务信息、控制成本、优化收入机会、增加现金流并有效引导向基于价值的医疗保健的转变。该公司运营着美国最大的医疗保健网络之一，将 900,000 名医生和 5,500 家医院与 2,200 家付款人联系起来。2017/18 年，该网络处理了近 140 亿笔医疗保健交易和价值 1 万亿美元的索赔。Change Healthcare 是基于价值的医疗保健系统的关键催化剂——与我们的客户和合作伙伴一起努力，加速改善生活和建立更健康的社区。
挑战
Change Healthcare 是美国最大的独立医疗技术公司之一，运营着美国最大的医疗网络之一，将 90 万名医生、5,500 家医院与 2,200 家付款人连接起来。2017/18 年，该网络处理了近 140 亿笔医疗交易和价值 1 万亿美元的索赔。然而，Change Healthcare 所属的美国医疗体系却饱受效率低下、欺诈和浪费的困扰。患者、提供者和付款人很少能看到完整、最新的医疗记录。不兼容的文件格式、数据孤岛和隐私问题都阻碍了信息的自由流动。咨询公司麦肯锡估计，通过使用更新的流程和技术，美国医疗保健每年可以节省高达 4500 亿美元。Change Healthcare 希望在这一转型中发挥主导作用，通过使用区块链技术扩展其智能医疗网络，为所有人提供更快、更好的体验。
解决方案
Change Healthcare 决定测试区块链 Hyperledger Fabric，看看它是否有助于提高医疗保健系统的效率。该公司从一个连接提供商和付款人的现有网络开始，并希望用区块链建模其现有系统，然后看看它是否能够经受住现实世界的流量。新系统通过 API 使所有索赔对授权用户透明。例如，这使医院管理员能够在系统中移动时查看医院所有索赔的实时状态和汇款。索赔生命周期的每一笔交易，包括对索赔的任何更改，都与谁在何时进行交易一起安全地记录在区块链上。区块链网络旨在支持收入周期管理软件，目前已与面向医疗保健提供商的 Assurance Reimbursement Management™1 索赔提交解决方案集成。
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