Health Unchained Podcast

Cyrus Maaghul has led the development of many technology companies and has worked at the Blockchain incubator at fidelity investments in Boston. In 2014, he started PointNurse to connect patients and nurses on a virtual platform. In 2017, he founded HealthCombix (HCX Pay), a next generation platform that intends to deploy autonomous business models powering financial, insurance, and healthcare solutions for unprecedented human condition improvement. He’s been involved with developing technology solutions for IBM, Deloitte, and Citibank. HCX Pay Homepage: https://www.hcxpay.io/ •Cyrus's background and various startup experiences in digital payments, international advising for Dept. of Defense •Entry into Healthcare Industry by almost buying a home health company •State of Health Insurance oHow/when/why was insurance in the healthcare system started in the USA? oWar influenced the introduction of Center of Medicare and Medicaid Services oParametric Insurance oImportance of Agency and Transparency •How did you first hear about blockchain technology? •What is the vision for HealthCombix and HCX Pay? Why did you start it? •Why is insurance a good use case for blockchain? •Smart contracts can replace traditional insurance companies •HCX company oWho are your company partners and major customers? oCan you describe your technology stack? oWhat products are currently available or being developed? oWhat are the advantages and disadvantages of basing your company in the Central American country of Belize? oPrivacy Network is derivative of Monero oProduct Roadmap •Blockchain adoption and awareness in healthcare oWhat are the biggest barriers to adoption? oWhat does it mean when people say blockchain can provide more trust? •Decentralized Technology policy discussions opublic vs. private networks oImportance of community oimportance of privacy •Were there any events or announcements in the healthcare/blockchain space that was very unexpected or surprising to you? Why? •Outlook for 2019 and beyond •Interesting blockchain projects – Dero (not “Nero” as incorrectly stated in the podcast) is a DAG-based privacy layer one network with smart contracts built in https://dero.io/ •Fire question - What is the most important technology in the past 500 years? Electricity IOT technology - If you had to have micro chip implanted in your body, where would you choose to have it implanted? •Most impactful book you've read – A New Earth by Eckhart Tolle Health Unchained New Corner: JPMorgan has recently announced its plan to acquire InstaMed, a 15 year old medical payments technology firm that makes paying for a hospital bill easier by using an InstaMed app. In Spring of 2019, InstaMed introduced a blockchain prototype for revenue cycle transactions and payments. InstaMed’s platform connects consumer, providers, and payers and it focusing on eliminating paper, improving finainical experience, and reducing costs to collect payments. The acquisition is reported to be over a whopping $500 million. Bill Marvin, CEO and cofounder of InstaMed said, “blockchain is something we’re both passionate about” when speaking about the sale to JPMorgan. InstaMed will continue its operations in Philadelphia and Newport Beach, CA. https://www.healthcarefinancenews.com/news/jpmorgan-chase-acquire-payments-technology-company-instamed Health Unchained Links Website: healthunchained.org Telegram: t.me/healthunchained Twitter: twitter.com/Healthunchaind Udemy Blockchain/Healthcare Course (Promo Code DOGUM2019): https://www.udemy.com/blockchain-and-healthcare/?couponCode=DOGUM2019 Beyond Blocks Weekly Newsletter: http://beyondblocks.bertcmiller.com/

Anthony Begando, CEO of Professional Credentials Exchange has started and ran many tech companies and has been in the credentialing solutions business for decades. Anthony ran Military Credentialing Solutions from 2008-2016, that company was awarded the Surgeon General’s Excalibur award in 2010 for work it did for the Army National Guard. In this episode, he articulately explains the benefits of an exchange for provider credentialing data. Eventually, he envisions his company will offer all industries with a marketplace to acquire professional credentialing requirements more quickly than existing traditional methods of verifying that a professional job applicants claimed credentials are in fact true and have been validated. Show Notes •Introduction of Anthony's background in healthcare Technology •Military contracts in early 2000s •Blockchains for Physician Credentialing by Intel’s John Sotos and David Houlding https://simplecore.intel.com/itpeernetwork/wp-content/uploads/sites/38/2017/05/Intel_Blockchain_Application_Note2.pdf •Vision for Professional Credentials Exchange? How did you start it? •Why is provider credentialing data a good use case for blockchain? •Traditional provider credentialing can take up to 6 months and lost opportunity costs of up to $600-900k for each hire •Why ProCredEx? oExpedite practitioner onboarding cycle time oReduce revenue forfeitures oProvide timely updates to practitioner data and accurate directory data oSimplify the credential gathering and verification process oEliminate redundant work, while improving coordination and concurrency of data •Primary and secondary verification data sources •Credentials Verification Market Pricing •Provider Credentialing for Telehealth •ProCredEx announced partners – Texas Hospital Association, Spectrum Health, Accenture (NYSE: ACN), The Hardenbergh Group, HealthLink Dimensions, WellCare Health Plans, Inc. (NYSE: WCG), Anthem’s National Government Services •Blockchain adoption and awareness in healthcare •What does it mean when people say blockchain can provide more trust? •What is ProCredEx's business model? •Transaction performance and scalability is critical for ProCredEx’s use case •Practitioner controls access to their information, securely and privately •How can ProCredEx affect the traditional credentialing workflow of a health system? •What are the biggest barriers to adoption? •What is the critical mass tipping point for mainstream adoption? •Were there any events or announcements in the healthcare/blockchain space that was very unexpected or surprising to you? Why? News Corner- Hu.manity.co acquires Betterpath On April 30, 2019, BetterPath, a 4 year old organization based in Brooklyn, NY and featured on my show (episode 23 with CEO Mat Sinderbrand) announced that it had been acquired by a company called hu-manity.co. They are planning to combine with Betterpath’s suite of health data technologies to unlock some of the 80% of healthcare data that is currently not available to patients, providers, or clinical researchers. Matt will join hu-manity.co as Senior Vice president, Chief product officer, and as a member of their board of directors. Hu-manity.co has creating buzz around the concept the 31st human right, legal ownership of personal data. The united nations’s universal declariation of human rights currently consists of a preamble and thirty articles, when do you think the right to own your own data will become the 31st? https://www.businesswire.com/news/home/20190430005283/en/Hu-manity.co-Acquires-Betterpath-Health-Empowering-Patients-Access https://en.wikipedia.org/wiki/Universal_Declaration_of_Human_Rights Health Unchained Links Website: healthunchained.org Telegram: t.me/healthunchained Twitter: twitter.com/Healthunchaind Udemy Blockchain/Healthcare Course ($125 off with HEALTHUNCHAINED coupon): www.udemy.com/blockchain-and-hea…uponCode=DOGUM2019

Pradeep Goel has a vast amount of experience in the Health IT and insurance space, leading companies like Dakota imaging, Engagepoint Inc, and now Solve.Care. Solve.Care is building a comprehensive healthcare platform with a blockchain based architecture. Solve.Care has recently announced an important partnership with Lyft which we talk about in the episode. We speak about the many different aspects of healthcare benefits administration and how blockchain can disrupt the current healthcare system. Solve.Care Links Website: https://Solve.care YouTube: https://www.youtube.com/channel/UCt75sklUcLfwYjTrn4asOBA Telegram: https://t.me/SolveCare Email: Info@solve.care Show Notes •Pradeep’s initial entry into health insurance claims working in the mailroom in the basement of Noridian Mutual Insurance company. •“Healthcare is a team sport, it is never an individual sport” •Delivering the right level of care - Balancing overutilization of healthcare services vs being too restrictive •As someone who has seen healthcare from a consumer, insurance, US government, employer, 3rd party admin, clinical, and HIE perspective, which experience influenced the founding of Solve.Care the most? •How did you first hear about blockchain technology? •What is the vision for Solve.Care? Why did you start it? •Peer-to-peer interactions between patients and providers •Can you describe your software products? oCare.wallet - Our personal healthcare administrator for individuals and providers; houses Care.Cards and Care.Coins that automatically sync in real time with other linked wallets. oCare.Cards - Purpose built applications that reside in the Care.Wallet and that are downloaded from Care.Marketplace. oCare.Coin - Intelligent programmable payment token used to pay providers. Offers incredible flexibility in managing accountability and transparency and validating proof of service. oCare.Vault - built to bridge on-chain and off-chain storage in a manner that is compliant with all applicable laws governing patient privacy, data security and consents. oCare.Protocol uses Blockchain and smart contracts to define and encapsulate relationships between any two stakeholders (e.g. patient-doctor, patient-insurer). •How can Solve.Care improve telehealth adoption? •Who are your company partners and major users? •What metrics are being measured to track the progress of the Arizona Care Network project? •Can you share the milestones you hope to reach related to the recent Lyft partnership? •Lyft ride cards will be distributed to members as a managed benefit •Scheduled transportation is an obvious use case (i.e. dialysis appointments) •Has regulation stifled or improved innovation in the blockchain/healthcare space? •What are the advantages and disadvantages of being an Estonia-based company? •Can you describe your technology stack? •Were there any events or announcements in the healthcare/blockchain space that was very unexpected or surprising to you? •If it’s not too personal, what would you consider to be your biggest mistake? •Favorite businessperson/researcher/scientist in history or now? Bill Gates and Warren Buffet •"Blockchain is a technology that can help you redefine how people interact with, rely upon, and transact with each other. It will make us rethink of how we live. " News Corner: https://blog.oceanprotocol.com/improving-diagnosis-and-treatment-for-parkinsons-sufferers-with-data-and-ai-c8a706f50739 In March 2019, a Singapore based non-profit foundation called Ocean Protocol, announced a partnership with health AI/IOT company, ConnectedLife which is collecting wearables motion data from patients as part of a clinical study with the National neuroscience institute in Singapore. Health Unchained Info Follow my twitter.com/Healthunchaind Telegram: t.me/healthunchained Udemy Blockchain/Healthcare Course ($125 off with HEALTHUNCHAINED coupon): www.udemy.com/blockchain-and-hea…de=HEALTHUNCHAINED

Dr. Steve Chung, CEO of Healthereum, is a busy urologic surgeon in Chicago but also has lots of hobbies and interests including mining. Healthereum already has a beta app and started piloting in his clinic. Healthereum is a blockchain based company that has created dapps to solve 4 specific communication problems between patient, provider, and insurance companies. Dr. Steve Chung is a Urologic surgeon in Chicago and has been involved in multiple startup ventures. He is co-owner of his urologic practice for over 13 years and has served an administrative role at seven hospitals. Website: https://healthereum.com/ Show Notes •Introduction and Dr. Chung's background •What is the vision for Healthereum? •Four patient experience problems Healthereum is solving 1.No shows – Do you think telehealth will improve the no show problem? - Patient Appointment Adherence Issues. Missed appointments cost the healthcare system $150 billion each year, this excludes the hidden costs of no-shows which Dr. Chung explains. 2.Small Survey sample size 3.Delayed claim payments – How difficult is it for a provider to get paid by insurance companies? How widespread is this problem? Lack of standardization in claims. 4.Lack of Patient messaging - The Centers for Medicare and Medicaid Services attempted to solve the problems encountered with data collection by instilling Core Quality Measures (CQM). •Solutions – 4 dapps - HELIO (Healthereum Life Portfolio) oMIDUSO oPULSE oVERIFY o HPED •Telehealth for second opinions •Have you thought that you are trying to do too much at once? •What are the biggest barriers to adoption? •Can you describe your technology stack? oBlockchain – ERC20 token oStorage oApp oWeb oHealthereum DAO - The Healthereum DAO that will be composed purely of registered and licensed providers, hospital networks, insurers and industry groups that are verified as contributing to a patient’s healthy lifestyle. The task of verifying the actors in the DAO will fall upon the foundation which collectively acts within an executive role. Potentially, the foundation itself could be voted out if the current verified providers find that the foundation is not acting in the interests of their patients. •How is the company structured? •Team background •Who are your company partners and major users? •STO - Healthereum LLC is a Title III - Regulation Crowdfunding Campaign - https://www.startengine.com/healthereum •Has government regulation affected the company's decision making process? •Steve’s most intriguing person – Edward O. Thorp - Author of “Beat the Dealer” https://en.wikipedia.org/wiki/Edward_O._Thorp News Corner In April 2019, Microsoft announced it will be shutting down its HealthVault patient record service on November 20th 2019. Microsoft started HealthVault in 2009 after two years in beta mode giving people free access to personal health record storage platform. So if you have data on Microsoft’s Healthvault, you have until nov. 20th to transfer your information. They suggest transferring data to Get Real Health or FollowMyHealth platforms. Although they are shutting down this service, Microsoft still has its sights on healthcare and has even partnered with Walgreens to improve health outcomes and lower overall costs. In my opinion, Personal health records are really valuable if you don’t own all your personal data. Although health records don’t seem to be the lowest hanging fruit in the blockchain/healthcare market now, I think the creation of good secure and self-owned health records will become an incredibly valuable way of encouraging people own their own health. https://www.engadget.com/amp/2019/04/06/microsoft-is-shutting-down-its-healthvault-patient-record-servic/ Health Unchained Links Website: healthunchained.org Telegram: t.me/healthunchained Twitter: twitter.com/Healthunchaind Udemy Blockchain/Healthcare Course ($125 off with HEALTHUNCHAINED coupon): • https://www.udemy.com/blockchain-and-healthcare/?couponCode=DOGUM2019

Kevin Cutler is head of Marketing and Operations at Bytable Inc, an Iowa based company planning to use blockchain to create a network of farmers, distributors, and retailers that can use tools to save costs on food waste and provide transparency to consumers. Website: bytablefoods.com Health, food, environment podcast: https://knowbetterlivebest.com/episodes/ Show Notes •Introduction of Kevin Cutler's background and experience with losing over 100 lbs by eating quality foods •Podcast – Know better Live Best - https://knowbetter.bytablefoods.com/episodes/ •More than 85% of Iowa’s land is farmed. https://www.lhf.org/learning-fields/crops/iowa-farm-facts/ •88,637: Number of farms in Iowa •How does food impact health and healthcare? •Top 3 Mislabeled foods •Unsafe food sickens about 600 million people every year – nearly 10% of the world's population. •Children under 5 years of age carry 40% of the foodborne disease burden, with 125 000 deaths every year. •How did you first hear about blockchain technology? •Vision for BytableFoods? Tell us about the founders. •Explain how blockchain can help with recalls. •What are the biggest barriers to adoption? •What components of tracing and tracking does blockchain help with exactly? •How can you be sure accurate information is input to the blockchain system? •Can you describe temperature monitoring and provide some examples of foods that are sensitive to temperature changes en-route to destination? •Who are your company partners and major users? •Can you describe your product/service offering? •What is the Bytable Store? •What kind of traction does the company have with customers? •What differentiates Byteable foods from other food tracking networks on blockchain, for example IBM Food Trust or OriginTrail •What does the organic food label mean? •How much waste is there from unnecessary discarding of food because of imprecise recalls? •Has government regulation affected the company's decision making process? •Favorite businessperson/researcher/scientist in history or now? •What is your favorite food? Least favorite food, why? •Recommended reading or resource to learn more •Learn about regenerative farming News Corner: World’s second largest supermarket company announcement to use IBM’s Food Trust blockchain to pilot tracking the supply chain of romaine lettuce. Albertsons has 2,300 stores across the U.S. with $57 B in sales in 2017. There are over 80 Brands including Walmart, Nestle, Dole Food, Tyson Foods, Kroger, and Unilever that are involved with IBMs Food Trust. With their blockchain, they have the ability to rapidly find the source of a bad batch of produce and specifically remove the goods from circulation. As early as 2016, IBM and Walmart did a proof of concept with China’s pork market, reducing tracking time from days to minutes. In 2018, Walmart mandated that all their leafy green produce supplier be integrated into the Food Trust blockchain by Sept 2019. https://www.coindesk.com/worlds-second-largest-grocer-joins-ibm-food-trust-blockchain https://corporate.walmart.com/media-library/document/leafy-greens-on-blockchain-press-release/_proxyDocument?id=00000166-0c4c-d96e-a3ff-8f7c09b50001 Health Unchained Info: Website: healthunchained.org Telegram: t.me/healthunchained Twitter: twitter.com/Healthunchaind Udemy Blockchain/Healthcare Course (75% off with DOGUM2019 coupon): https://www.udemy.com/blockchain-and-healthcare/?couponCode=DOGUM2019

Health Unchained Communities: Telegram: t.me/healthunchained Twitter: twitter.com/Healthunchaind ***$150 Discount with DOGUM2019 coupon- Healthcare/Blockchain Online Udemy Course*** https://www.udemy.com/blockchain-and-healthcare/?couponCode=DOGUM2019 Ep. 27: Brennan Bennett - Founder of Blockchain Healthcare review Dec 2016, HIMSS blockchain healthcare taskforce Oct 2018, Rutgers MS in biomedical Informatics, Humana analytics consultant Website: https://blockchainhealthcarereview.com/ Opu Labs: www.opu.ai Metcalfe Fundraising: https://metcalfe.fund/ •What is the vision for Blockchain Healthcare Review? Why did you start it? •How did you first hear about blockchain technology? •What drives you to the healthcare industry? •How much of the news you see end up being all bark and no bite? •Blockchain adoption and awareness in healthcare •Regulation is the biggest barriers to blockchain adoption in healthcare. •How can blockchain commoditize integrity? What does that mean? •How can blockchain improve telehealth? Telehealth spreading quickly in veterinary medicine. •Mental health delivery has a lot to gain from blockchain technology •Emerging cannabis and CBD for medical market will be a driver of blockchain technology •IoT sensors to validate origin of products •Tracking organic food throughout its supply chain •Why should healthcare organizations and leaders start experimenting with blockchain? •What are some of the Best use cases for blockchain in healthcare. Why? •Can you describe how blockchain can help the healthcare industry is adopt cannabis-based treatment? •Who are your company partners? BlockApps, R3, CureAll (NJ), FundRx •What is Blockchain Healthcare Review's business model? •Which industry verticals do you operate in? •Working with Metcalfe.fund – Unique Funding mechanism for startups •How important is education about this blockchain/healthcare? •Were there any events or announcements in the healthcare/blockchain space that was very unexpected or surprising to you? Why? •Why is community so critical for successful blockchain implementations? •Outlook for 2019 and beyond •Favorite blockchain/crypto projects – Opu Labs, SimplyVitalHealth •Favorite businessperson/researcher/scientist in history or now? Stephen Hawking •What are your thoughts about the singularity that is supposed to happen in 2045? News Corner: Solve.Care / Lyft partnership https://medcitynews.com/2019/03/lyft-solve-care/ On March 4, 2019, The Ride-sharing/hailing company, Lyft announced a partnership with a blockchain/healthcare company called Solve.Care- a global healthcare IT company that’s developed a blockchain platform for coordination, administration, and real-time payments. Solve.Care wallet holders will be able to schedule their own Lyft rides to doctors’ offices, hospitals, and pharmacies with the ability to schedule for a desired arrival time. The Solve.Care app is available already but the actually deployment of the integration is still in progress. In my next episode, # 28, I speak to Pradeep Geol, the CEO of Solve.Care about this project among other interesting things. I think this is a great use case because lack of transportation to a site of care is such a problem for many patients. Lyft has already showed much interest in getting into the healthcare space evidenced by its existing collaborations with Blue Cross Blue Shield and Humana.

David Metcalf, PhD, is Director of the Mixed Emerging Technology Integration Lab (METIL) at the University of Central Florida’s Institute for Simulation and Training. He is the lead author of a new 500 page textbook titled “Blockchain for Healthcare: Innovations that Empower Patients, connect professionals, and improve care.” About David: https://www.ist.ucf.edu/Contact/StaffDirectory/DavidMetcalf.aspx Email: dmetcalf@ist.ucf.edu Textbook: https://hashedhealth.com/blockchain-for-healthcare-book/ Book Co-authors: John Bass, Max Hooper, Vikram Dhillon, Alex Cahana Show Notes •HIMSS 2019 experience and how the book was commissioned •Demo at HIMSS conference- Thought-controlled (Neurosky or Muse) and Mircosoft HoloLens •Healthcare/Blockchain adoption and awareness leaders and laggards •Why/how is gaming an important initial use case for blockchain technology? •Using smart contracts to improve healthcare financing and payment processing •Decentralized Medical Records probably won’t be one of the initial blockchain use cases •Does blockchain threaten the business models of traditional EMR companies like Epic and Cerner? •How can organizations and leaders find the right relationship between their Business model/ technical model/ governance? •Private vs. Public blockchains for healthcare •Common improper use cases for blockchain in healthcare. Why? •What are some of the Best use cases for blockchain in healthcare. Why? •How can various stakeholders benefit in the blockchain ecosystem? •Speedy Provider credentialing during emergency situations and crisis •Future provider/patient relationships could be more hi-tech and hi-touch •Convergence of other technologies (AI, AR, IoT, VR, wearables, implantable chips, CRISPR, etc.) and blockchain •How can blockchain enable incentivization mechanisms to all healthcare stakeholders that will benefit the whole community? •What would you ask healthcare/financial regulators to do/understand about this new token economy? •Were there any events or announcements in the healthcare/blockchain space that was very unexpected or surprising to you? Why? •Why is community so critical for successful blockchain implementations? •Research and Development outlook for 2019 and beyond •Favorite blockchain/crypto projects - ProCredex •Favorite businessperson/researcher/scientist in history or now? Lunar Society - https://en.wikipedia.org/wiki/Lunar_Society_of_Birmingham News Corner: On February 13, two new companies announced that they will be joining Aetna, Anthem, Health care service corp, PNC bank and IBM in their early stage blockchain ecosystem. Cigna, one of the largest health insurance companies in the United states and Sentara Healthcare, a non-profit health system serving Virginia and North Carolina are the two organizations that will participate in this developing blockchain network to improve transparency and interoperability. The consortium is still analyzing potential first use cases . IBM and PNC are already collaborating on a way to use blockchain to develop shared efficiencies, promote bundled payments and improve the quality of care. https://www.prnewswire.com/news-releases/cigna-and-sentara-healthcare-expand-blockchain-based-ecosystem-for-healthcare-industry--along-with-aetna-anthem-health-care-service-corporation-pnc-bank-and-ibm-300794547.html Telegram: t.me/healthunchained Twitter: https://twitter.com/Healthunchaind Udemy Blockchain/Healthcare Course ($125 off with HEALTHUNCHAINED coupon): www.udemy.com/blockchain-and-hea…de=HEALTHUNCHAINED

Dr. Alex Cahana Pain management medicine. NFLPA mar 2017-pres. Veteran. Head of interventional pain. UN/CEFACT United Nations economic commission for Europe. (expert on Blockchain and Healthcare). Venture Partner at CryptoOracle Medium: https://medium.com/@alex_32199 LinkedIn: https://www.linkedin.com/in/dr-alex-cahana-282367157/ Blockchain/Healthcare Udemy Course (w/ coupon): https://www.udemy.com/blockchain-and-healthcare/?couponCode=HEALTHUNCHAINED •Introduction of Alex's background and journey to becoming the CryptoHealth Sherpa •Experience as a moderator at the First Geneva Annual Blockchain Summit, in Geneva, Switzerland. What was the focus of that event? Was there much discussion around healthcare? •During you blockchain/healthcare workshops, What is the most common misconceptions or misunderstandings about blockchain? •“Crypto community should stop talking about dis-intermediation, start talking about re-intermediation” •Coopetition (collaborative/cooperative competition) vs. Competition •Free markets can have producers, non-producers, and counter-producers. Open markets are inclusionary to everyone and restrict non-producers and counter-producers. •The importance of ecosystem/economy design and governance •Technology adoption - 5 stages of Grief: Denial-Anger-Bargaining-Depression-Acceptance •Problems in healthcare data security/privacy/sharing •Patient-centric approach vs. patient-driven approach •Importance of peer to peer transactions and community. Unpacking Alex’s statement, "the opposite of health is isolation". How does blockchain solve that problem? •The opposite of heath is not disease; the opposite of health is isolation. So the journey back to wellness is connectedness. •If you take the “i” out of “illness” and replace it with “we”, you get “wellness”! •Can cannabis be an alternative solution for people suffering from the opioid crisis? Alex answers as a doctor, economist, and father. •Adoption of cryptocurrencies in society •Alex mentioned, at the AiForGood Summit in Geneva, TODA protocol CEO, Toufi Saliba, said blockchain adoption is so low (<0.2% of population) because it is not “SECSI” enough (read sexy). Secure, Execution, Compatibility, Sustainability, and Interoperability are not there yet. (Editor’s note: After doing research on TODA.network, SECSI stands for Security, Efficiency, Confidentiality, Scalability and Interoperability) •How can various stakeholders benefit in the blockchain ecosystem? oPatients, providers, payers, pharma, and research •Competitive landscape - 200+ blockchain/healthcare startups •What factors can contribute to predicting a successful ICO/STO? •Artificial Intelligence ethics •What would you ask healthcare/financial regulators to do about this new token economy? •Perspective matters: Poop emoji or Hershey kisses •If it’s not too personal, what would you consider to be your biggest mistake? •Market outlook News Corner 150 page report by Global Market Insights, global blockchain technology in healthcare market is set to surpass $1.6B by 2025. Growing applications of the Internet of Things (IoT) in healthcare will result in huge demand and increased adoption rate. Lack of skilled workforce will be one impeding factor for blockchain in healthcare growth. This will be a skill that’s in demand. Get educated! Check out the Show notes for links to this report and a link for a Blockchain Healthcare UDemy course with a special healthunchained discount coupon. Also, In my opinion, $1.6B by 2025 seems pretty low and probably doesn’t factor in all the cost savings and improved data ownership models that give value to the health record producers. Sources: https://www.prnewswire.com/news-releases/blockchain-technology-in-healthcare-market-to-hit-1-636-7-mn-by-2025-global-market-insights-inc-300789187.html https://www.gminsights.com/industry-analysis/blockchain-technology-in-healthcare-market

Austin Jones from Niceville, FL founded Unity Health Score in Dec 2017. Incredible story trying to bring his community in northwest Florida to claim their own health data. He’s also the owner/operator of Stuff and Things Food Services LLC. Hosts the Healthcare Goals podcast. Website: www.unityhealthscore.com Udemy Course: https://www.udemy.com/blockchain-and-healthcare/?couponCode=HEALTHUNCHAINED •Austin’s journey into the healthcare industry started when he became his grandmother’s caregiver •Elderly people are prime targets for scammers •Marketing data can be purchased by these scammers from large data brokers •What problem is Unity Health Score trying to solve? •Health Insurance Risk modeling methods include raising costs like paying for gym memberships •Controllable vs. Non-Controllable health outcomes •Risk modeling should be a more transparent process by letting individuals share their data directly with insurance companies •Initial offering plans to include a DataScore that will give you a score for the amount of data you upload to the Unity Health Score PHR •Pensacola, FL interested in an autonomous data-driven city •Partnership with MyHealth (Emergency health record bank service) •Outsourcing clinical research •Austin’s biggest challenge is educating people about existing data brokers methods and making them care data privacy •Northwestern Florida Community involvement •Partnerships with BetterPath and Virtumed 360 •UnityHealthScore is aiming to get some revenue and 10,000 users before they try to get seed funding •Thoughts on the competitive/cooperative healthcare landscape •What is the hardest part about being an entrepreneur? Sidenote: Guidance Regarding Methods for De-identification of Protected Health Information in Accordance with the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule https://www.hhs.gov/hipaa/for-professionals/privacy/special-topics/de-identification/index.html News Corner: Health Insurers Are Vacuuming Up Details About You — And It Could Raise Your Rates In a ProPubica article about health insurance, Marshall Allen (award winning health care reporter), discusses the different ways insurance companies take your personal information to adjust your plan premiums. Health scores are generated from hundreds of different data points including race, home ownership, arrest record, social media activity, and TV habits. In fact, there is a way to pull a personal report about you on the LexisNexis website. LexisNexis acts as a data broker for multiple industries, including healthcare. The article also describes the biases and risks of inaccurate information in the datasets. A link to the LexisNexis page and to this article is in the show notes. Article: https://www.propublica.org/article/health-insurers-are-vacuuming-up-details-about-you-and-it-could-raise-your-rates Retrieve your personal data: https://personalreports.lexisnexis.com/access_your_full_file_disclosure.jsp Twitter: https://twitter.com/Healthunchaind Telegram: https://t.me/healthunchained

In this episode, Matt Sinderbrand, co-founder of Betterpath, describes why comprehensive longitudinal health data should be owned and managed by the individual. Betterpath was founded in 2011 and has registered a couple patents related to health data processing and management. As data inputs increase with better technology, we will be generating tons of contextual information that will affect our health and well-being. We discuss the vision for his company and the healthcare industry of the future. Website: https://www.betterpath.com/ Email: matt@betterpath.com Udemy Blockchain/Healthcare Course ($125 off with HEALTHUNCHAINED coupon): www.udemy.com/blockchain-and-hea…de=HEALTHUNCHAINED Many thanks to my guest from episode 22, Brennen Hodge of Citizen Health, for introducing me to Matt Sinderbrand. https://soundcloud.com/healthunchained/ep-22-price-transparency-brennen-hodge-ceo-citizen-health Related episode: https://soundcloud.com/healthunchained/ep-4-evolution-of-medical-records-dr-richard-gibson-health-record-banking-alliance Show Notes •Introduction of Matt's background •Personal story towards the path into healthcare •Betterpath was founded in 2011 •Matt’s Masters Thesis: “Using Structured Query Language (SQL) to Stratify a Large-scale De-identified Patient Database: Addressing the top-down versus step-up treatment debate in Inflammatory Bowel Disease (IBD)”. •Betterpath, Inc.2012. “Integrated Healthcare Systems and Methods (IHSM)”. US Patent 9,202,066. Accessed from https://www.google.com/patents/US9202066 •Betterpath, Inc. 2014. “Human and Machine Assisted Data Curation for Producing High Quality Data Sets from Medical Records.” US Patent (pending) 20160110502 A1. •“Two jobs for health providers: knowing who you are and knowing how to treat” •Optum’s Rally Health is a digital well-being tool used to incentivize improved lifestyle and health. It has paid individuals over $1B in incentives •Need for comprehensive health data •What differentiates Betterpath from other companies trying to pay people to manage their own health? •Consumer Directed Exchange •EHR compatibility and interoperability •Using Optical Character Recognition (OCR) and Natural Language Processing (NLP) to feed data into Unified Medical Language System (UMLS) •Data storage and Cloud •Data Depth vs. Volume •Consumer-directed Exchange Signal – Data buyer query to pull specific dataset and pay individuals who are part of that dataset •Pricing the value of health data in the market •dApps and Open-source platforms •Benefits of Health Savings Accounts •Product development updates •What would you consider to be your biggest mistake? •Customers - adoption challenges •Industry Partners and concept traction - existing partners and pilot projects •Betterpath team and culture •Matt’s most admired business leader: Dr. William Yasnoff, MD, PhD (Founder of Health Record Banking Alliance) •Roadmap News Corner Food and Drug Administration Commissioner Scott Gottlieb warned on Friday that if the partial government shutdown persists, it will force the FDA to make “hard decisions” on preserving key functions of the agency. This is causing many drug application submissions to be delayed. The FDA says it has five weeks of funding left before it runs out of money to approve new drugs. Do you think it’s possible for more transparent democratic systems to form that are actually in-touch with our modern data-driven world? Blockchain based networks like Bitnation and democracy.earth have already proposed the idea of decentralized voluntary borderless nation to displace or augment traditional nation-states. The safety of our consumers should not depend on federal funding or political battles. https://www.cnbc.com/2019/01/18/fdas-scott-gottlieb-warns-of-hard-decisions-if-shutdown-persists.html