Top 10 Blockchain Predictions for the (Near) Future of Healthcare

To review blockchain lessons learned in 2018 and near-future predictions for blockchain in healthcare, Blockchain in Healthcare Today (BHTY) asked the world's blockchain in healthcare experts to share their insights. Here, our internationally-renowned BHTY peer-review board discusses their major predictions.Based on their responses, presented in detail below, ten major themes (Table ) for the future of blockchain in healthcare will emerge over the 12 months. CORRIGENDUM: This following paragraph has been corrected (page 3, first paragraph) from: "Fourth, with over 1000 insurance companies in the country, filling out paperwork to documentprovider training and licensure is a nightmare. The Synaptic Health Alliance aims to simplifythis process by putting all credentialing information on a distributed public ledger for all stakeholders to access.1" To: "Fourth, keeping health care provider directories maintained by health plans up-to-date is a critical, complex issue facing organizations across the health care system. The first project of the Synaptic Health Alliance aims to simplify this process by putting provider demographic information on a permissioned blockchain for Alliance members to access and maintain.1"

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Factors Associated with Health Care Utilization by Members of Qualified Health Plans: Emergency Room Versus Primary Care Provider Visits

Value in Health ◽

10.1016/j.jval.2016.03.354 ◽

2016 ◽

Vol 19 (3) ◽

pp. A30

Author(s):

Z Pulungan ◽

C Teigland ◽

A Parente ◽

K Kilgore ◽

M McClellan

Keyword(s):

Primary Care ◽

Health Care ◽

Health Care Utilization ◽

Emergency Room ◽

Care Provider ◽

Primary Care Provider ◽

Care Utilization ◽

Health Plans ◽

Factors Associated

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Effect of the Accountable Care Act of 2010 on Clinical Trial Insurance Coverage

Journal of Clinical Oncology ◽

10.1200/jco.2011.37.8190 ◽

2012 ◽

Vol 30 (5) ◽

pp. 548-553 ◽

Cited By ~ 11

Author(s):

Sheetal M. Kircher ◽

Al B. Benson ◽

Matthew Farber ◽

Halla S. Nimeiri

Keyword(s):

Health Care ◽

Clinical Trial ◽

Clinical Trials ◽

Affordable Care Act ◽

Insurance Coverage ◽

Insurance Companies ◽

Health Plans ◽

State Governments ◽

Accountable Care ◽

Common Deficiency

Purpose The Affordable Care Act (ACA) of 2010 implemented dramatic changes in our health care system. The new law requires that insurers and health plans provide coverage for individuals participating in clinical trials. Currently, there are states that already have laws or agreements requiring clinical trial coverage, but there remain deficiencies that will need to be addressed to achieve compliance with the new law. Methods State mandates were reviewed to determine current laws and agreements. The ACA was reviewed to outline its provisions, and these were compared with current mandates to identify deficiencies. Results Eighteen states meet the requirements set forth by the ACA either through a state law or agreement; 33 states do not meet the requirements. Of these 33 states, 15 do not have any existing laws or agreements in place regarding clinical trials. In states that have deficient policies in place, the most common deficiency is the lack of phase I coverage. The second most common deficiency in policy is coverage of only therapeutic studies. Conclusion Most states currently do not meet the requirements of the ACA and will be required to make changes by 2014. The implications of the ACA with regard to insurance coverage of clinical trials remain unclear as implementation of the legislation unfolds. State governments can take steps to ensure insurance coverage by creating and expanding agreements with insurance companies.

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Managed Competition: An Analysis of Consumer Concerns

International Journal of Health Services ◽

10.2190/4pl1-hrrk-laf0-31ey ◽

1994 ◽

Vol 24 (1) ◽

pp. 11-24 ◽

Cited By ~ 4

Author(s):

◽

Gail Shearer

Keyword(s):

Health Care ◽

Cost Containment ◽

Insurance Companies ◽

American People ◽

Health Plans ◽

Managed Competition ◽

Health Care Needs ◽

Care Needs ◽

Tax Subsidies ◽

Consumer Concerns

Advocates for health care reform (representing a broad range of constituencies) raise serious concerns about the ability of managed competition to meet the health care needs of the American people. Similarities in managed competition proposals include establishment of a collective purchasing authority, creation of health plans, standardization of rules and requirements, and limitation on tax subsidies. Managed competition proposals vary as to whether they call for true universality, meaningful cost containment, and fair financing. The article raises questions about managed competition, including the technical feasibility; the link to employment; the role for insurance companies; severing the link between insurance and income, age, or health status; comprehensive benefits; cost containment; the role for managed care; universality of coverage; and the role for insurance companies to make treatment decisions.

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From health plan companies to international insurance companies: changes in the accumulation regime and repercussions on the healthcare system in Brazil

Cadernos de Saúde Pública ◽

10.1590/0102-311x00154015 ◽

2016 ◽

Vol 32 (suppl 2) ◽

Cited By ~ 3

Author(s):

Ligia Bahia ◽

Mario Scheffer ◽

Leandro Reis Tavares ◽

Iale Falleiros Braga

Keyword(s):

Health Care ◽

Health Plan ◽

Capital Accumulation ◽

Supply And Demand ◽

Insurance Companies ◽

Health Plans ◽

Early 21St Century ◽

Public Subsidies ◽

The 1960S

Abstract: The concentration and internationalization of health plan companies in Brazil gave them a clearly financial face. Based on the need to understand the health care industry's capital accumulation patterns, the current study examines health plan companies' expansion strategies through the classification of their supply and demand characteristics by recent historical periods and an analysis of recent shareholding trends in one of the leading corporations in the Brazilian health care industry. The 1960s to 2000s witnessed changes in the scale of demands for health plans and adherence by companies to long-term accumulation strategies. Beginning in the early 21st century, changes in the shareholding structures of the largest Brazilian company, consistent with the financialization of its accumulation regime, resulted in the rapid multiplication of its capital. Deepening segmentation of the health care system in a context marked by the downturn in the national economy challenges the preservation of public subsidies for private health plans.

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Emergency Preparedness in Dietetics during a Pandemic: Lessons Learned from an ICU Dietitian during Covid-19

Internet Journal of Allied Health Sciences and Practice ◽

10.46743/1540-580x/2021.2031 ◽

2021 ◽

Author(s):

Pamela Rothpletz-Puglia ◽

Michelle Mena

Keyword(s):

Health Care ◽

New York ◽

Health Care Provider ◽

Health Care Providers ◽

Care Provider ◽

Emergency Preparedness ◽

Critical Incident ◽

Lessons Learned ◽

Care Providers ◽

High Degree

Purpose: The incidence, prevalence, and chaos of the Covid-19 disease sequelae is an adverse event akin to a natural disaster or wartime creating a high degree of uncertainty and vulnerability for health care providers. This is an account of a Registered Dietitian Nutritionist’s (RDN) experience on the frontlines during an epidemic providing care to patients with Covid-19. The purpose of the series of discussions was to create a live account of a frontline RDN’s experience during the pandemic to develop recommendations for emergency preparedness in dietetics during Covid-19. Methods: Since the Covid-19 pandemic is causing significant hardship, loss of life, and changes in health care provider roles, particularly in the intensive care unit (ICU), we conducted a real-time job analysis of an ICU RDN in New York during the height of the pandemic in that region. Critical Incident Technique (CIT) has been gradually refined and is used for curriculum development, performance evaluation, and for the creation of professional standards in health professions jobs. To gain an in-depth understanding of the job of an ICU RDN on the frontlines during Covid-19, CIT was used an information-gathering strategy in a series of 7, hour-long meetings via Zoom, an online meeting platform. These meetings occurred during the apex of the Covid-19 pandemic in NYC from March 2020 - June 2020. Results: Covid-19 resulted in RDN decision-making that involved circumstances with a high degree of variability and uncertainty. There were several mediators that enabled the RDN to be resilient and adapt to the adversity of Covid-19 in this hospital. Conclusions: The RDN’s account of her experience during Covid-19 resulted in several recommendations for ICU emergency preparedness. This account also elucidates the trauma and resilience experienced by a health care provider during Covid-19.

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Antitrust Implications of Chiropractic Peer Review Committees

American Journal of Law & Medicine ◽

10.1017/s0098858800008029 ◽

1982 ◽

Vol 8 (1) ◽

pp. 45-68

Author(s):

Vicki Volper

Keyword(s):

Health Care ◽

Peer Review ◽

Insurance Companies ◽

Health Care Market ◽

Rule Of Reason ◽

Health Care Practices ◽

Unique Nature ◽

Per Se ◽

Antitrust Regulation ◽

Care Costs

AbstractPeer Review Committees (PRCs) that aid insurance companies in evaluating chiropractic treatments and fees have been the focus of recent court challenges. Some practitioners have argued that PRC activities constitute price fixing in violation of the Sherman Antitrust Act. PRCs have been successful thus far in claiming an exemption from antitrust scrutiny as a “business of insurance” within the meaning of the McCarran-Ferguson Act. This Note contends that PRCs are not exempt from antitrust regulation; since PRCs do not spread risks and are involved in inter-rather than intra-industry agreements, their activities do not fall within the narrowly defined “business of insurance” exemption.The Note then analyzes the merits of the price fixing allegations under both the “per se” standard and the “rule of reason.” First, the Note concludes that the unique nature of the health care market and the legitimate functions served by peer review make the application of a per se standard inappropriate. Second, under the rule of reason, the Note indicates that peer review encourages efficient and innovative health care practices while it deters the escalation of health care costs. The Note concludes that the net effect of peer review is not anticompetitive, especially since PRCs lack the coercive power to compel compliance with the recommendations.

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