HealthCare for the People

Hi everyone, I just joined and I cannot seem to find anyone interested in developing for healthcare?
Is there anyone out there?
I want to help build a truly patient-centric platform of healthcare delivery that eliminates the need for insurance companies.
Reply here and let’s talk.
Patients need a cost-effective solution that takes back healthcare from insurance company lobbyists and back in the hands of you, the people.
My patients are tired of denials and delays in pre-authorizations and authorizations for needed surgery and procedures and medications and injections.
Healthcare is not a socialist democracy - it is simply a right of the people - all people equally, whatever race, ethnicity, gender, socioeconomic status, region, nation, employment.
How do insurance companies make $Billions and CEOs of those very companies make tens of $Millions in bonuses and yet patients have less coverage and providers are reimbursed less?
Does that make sense?
I believe we can do better.
Please help me help you.

As background, I have worked in academics, public, county, VA and private hospitals, facilities, corporations and industry.
There is too much bureaucracy.
The number of times and hours my staff spend dealing with insurance denials, appeals and prior authorizations and documentation shuffles is beyond ridiculous.
The system is not broken for insurance companies - they are making wonderful profits.
The healthcare system is no longer sustainable for the common people like you and me.

Let’s build a better healthcare model.
If a HIPAA-secure medical record contains everything that defines patient diagnoses and health as well as identifying the pre-existing treatments and conditions, and the patient’s desire for care and identification and privacy rights are confirmed, then is that not a smart contract?
Why do we need a phone call to anyone to authorize treatment?
No faxes, no phone calls or further paperwork.
Healthcare in seconds rather than days or weeks.
Why wait.
We need this now.

-Faisal.

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I believe the problem is zero transparency in the pricing. On a basic level, yearly physicals, blood work and regular maintenance the pricing should posted like a restaurant posts cost for a meal. The lack of pricing results in a back and forth with insurance companies and health care providers as each tries to get the most money they can for a piece of gauze wrapped around a cut or something simple.
Now, maybe I am healthy and rather than paying for pricey insurance I would rather pay the posted price for a check up and antibiotics if I need it. Then maybe pay for insurance that covers large procedures or hospitals stays…which hopefully never gets used, this the cost should be more affordable.
The system in the USA is broken, even with insurance wait times are too long, procedures take forever, messages are confusing. I once called ahead to get approval from my insurance company for a Covid antibody test. They told me on the phone they would cover it. Then after the test they denied the claim. I had to call again make them go back to the recorded conversation to get it approved. Another time my wife argued against a bill of $1500 that her insurance should have covered, for over 6 months because the doctor failed to submit the procedure request properly.

Ok I’m done,
Good day all!

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Healthcare is one of the biggest problems of humanity I would say. Today we have everything, but tomorrow we have everything plus big queues. And what about older generations?

Yesterday I went to the doctor but spent almost 1.5 hours in a queue. Hopefully, I had a book A MIRROR ABOVE THE ABYSS my grandfather recommended to me. Now we both are sitting in queues and reading. Well, this is the only advantage in situations like this…

But I hope that the healthcare model will be changed in one day. Especially by people who are really interested in these changes.

Great comments. I believe that Global Health is a problem we can face together with enough people driving interest. A people first application that will not only save everyone money but make healthcare delivery faster and affordable globally. Let’s do it.

Hi @findingtomorrow Nice e-meeting you. I am researching on similar lines as well. There are a number of things we can do but how can we make it foolproof is a big question that needs to be answered. Let me give you a simple example.

I have gone through the Atala PRISM demo and it looks sleek and amazing. As a user it would definitely help me to have all these on a single account such as government id. Lets say if the user is being admitted in the hospital for becomgin unconscious, How does this system help the patient when doctors cant access patient records without the permission?

There are few more questions from me, lets tick them one by one.

Great question but straightforward.
There should always be emergency authorization access that the patient agrees to, or assigns a POA or family member to make decisions about access and treatment. It would be no different than if a homeless unconscious patient arrives into the ER - emergency care given until family/guardian/POA/next of kin/ etc contacted.

You are right. Implementing such kind of alternate mechanism to providing access to data is straight against the block chains trust mechanism. Don’t you think?

Keep in mind, that I am not solely interested in blockchain use for medical information and history and identity. It must be connected to a cryptocurrency as well. I ultimately want to eliminate insurance companies. The bottleneck and cataclysmic failure of healthcare is in the inefficient delivery of healthcare through payors and insurance companies, even government-based. I am in the US, so, this is highly controversial and I suspect will receive significant backlash of comments; however, my goal is to do what’s best for the patient. If a company that optimizes care delivery by eliminating payors and make a small profit but still makes HC delivery 1000% cheaper to the patient and allows better reimbursement for the physician, allowing them to spend more time with the patient and offer quality care, rather than streaming patients in and out like an assembly line, everyone wins - it is about cost-conscientious HC delivery direct to consumer to improve the physician-patient relationship.
The way reimbursement is constructed currently by payors is to reduce reimbursement to doctors so that they are forced to see more patients per minute and do more procedures to get paid; and for patients, they are offered fewer benefits, with higher premiums and increased co-pays.
The problem is the system. If United or Anthem CEO’s are making $Millions in bonuses and yet the patient’s are paying more for less benefits, there is a huge gap which I say is opportunity for the world of crypto-blockchain HC delivery.
Every chain, or para-chain can be a smart contract or DeFi application related to the patient care, cost, benefits, delivery, authorization, procedure. Everything has a timestamp. Why does a highschool graduate working for a $Billion company need to determine whether the patient failed treatment of several drugs prior to being approved for a more expensive (yet more optimal) medication or procedure? You can include QALYs into the process.
It’s all relatively simple but I know the coding and construction is complex.
Let’s pierce the veil of mediocrity of insurers and payors and do what’s right for the patient.
Happy to give free advice all day long but at some point, somebody has to build it, and I am challenging all of you out there to realize that there are $Billions and $Trillions being wasted in HC and the opportunity to salvage healthcare should be in the hands of the people.

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Well explained. I can see your point on patient centered health care will be the future.

One of the reasons why I want to build such a system on cardano is because of the monetary benefits.

Keep it going.

I may be out of my blockchain competence to understand your comment about trust. However, if there is a mechanism built into the BC to allow qualified medical facilities and hospitals access, then the trust is verified, no?
I see what you mean about access to someone’s funds; but in this case, it is PHI, which is accessbile once you enter a medical facility anyway based on the paperwork you sign; or in the case of emergencies, emergency use authorization - if the BC does not allow access - then the patient still gets emergency use authorization for care and treatment until a POA is contacted for clarification of health and decisions.

Lol. I can keep it going but I have to get back to patient care right now.

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MHMD - My health my data from Europe is working on similar thing as per their documents.

According to my understanding, MHMD is all about data sharing and consent for research and collaborative data utilization. Not about healthcare delivery tied to a cryptocurrency assigned value-based HC delivery. Very different from what I am envisioning; however, they are on the right track but different focus. However, MHMD has the backbone to implement value-based HC delivery - the question is, if value-based care is not a foundational participle in the model, do you have to start from scratch or simply interconnect or create a parachain? (keep in mind, my understanding of chains and parachains is limited, so excuse my ignorance on that topic).
I almost see MHMD as a bitcoin, whereas, a value-based-crypto-BC-HC delivery platform to be more akin to an ICP/SOL/ADA type of environment - an advancing wave of evolution in HC delivery - But, I could be completely wrong and admit my ignorance.
But, I know we cannot stay in this stasis of HC delivery right now.

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You are right about MHMD. They have built their system on a block chain environment named hyperledger but on its own it does have any value.

That’s the prime reason why we are here I believe. While cardano provides the monetary framework, building a system on top of it either through a token system would help us realise the payer payee connection in a better way.

Talking about token, I found a token named Ask token based on cardano for health care but limited to learning programs at the moment.

Talk about a wide open field for innovation. The best opportunity is often where nobody cares to tread due to fear of complexity and regulation. Lol!
Are you @PraveenPandu or anybody out there willing to take the plunge deeper ‘where no one has gone before’?

Did you mean ‘it does NOT have value’ on its own?

Yes. It’s just a framework to store data and delegation mechanisms.

I am up for the challenge. Let’s brainstorm more on this. Would be happy to collaborate on this.

Great.
Let me know how you want to start.