Supply chain and beyond: Blockchain in healthcare

Topics

- Why healthcare

- Learnings from implementations in Pharmaceutical supply chain

- Addressing the challenges of value-based healthcare

- Patient data sharing and regulatory considerations

- Challenges

Problems facing healthcare

Aging Populations Rise in chronic disease Rising cost of provision

Inefficiency & wastage

Incentives?

Pharmaceutical supply chain

- Counterfeit medicine – 1 million deaths per year (WHO)

- $200 billion lost revenue annually

- Regulatory burden

- Fragmented communications

Track & trace

Visibility

Administrative burden

Consumer confidence

Logistical information

Utilising blockchain for supply chain

Chronological view & immutable

transaction history/inventory control

Confidentiality via encryption eg. ZK-

proof

Intelligent processing

Patient interaction and elimination of

counterfeit medicines

Shared throughout supply chain

X

X

X

X

X

X Data silos and legacy systems Overcome interoperability concerns

Implementation challenges

- Packaging

- Adoption across whole supply chain

- Human economics/politics

- A to B not A to Z

- Cost

- Commercial uncertainty - Bullwhip effect

75%of payments for healthcare to be

value-based by 2020

(Deloitte)

Healthcare is moving to value based approach

Payer Manufacturer/ provider

Therapy Metrics

Cigna & Aetna Merck & Co. Januvia & Janumet Diabetes

Blood Glucose levels

Express Scripts AbbVie Viekira Pak (Hep. C)

Adherence

Cigna & Aetna Novartis Entresto Hospitalisation

Harvard Pilgrim & Cigna

Amgen Repatha (Cholesterol)

Cholesterol levels

Outcomes + experiences that matter to patients

Cost to achieve outcomes

= Value

Trust & Transparency of data

Privacy & Security

Administrative burden

Patient tracking &

fragmented data

Time delays & tied up funds

Utilising blockchain

Data integrity, immutability and

auditability

Private permissioned blockchain

Automation via ‘smart contracts’

Digital identities & bespoke integration

Real-time reimbursement and

settlement mechanisms

X

X

X

X

X

X Many platforms and systems One platform for all stakeholders

Transfer of data in healthcare

- One version of the truth: payment audit prior authorizationclinical trialsAE reporting

- Patient data ownership – monetisation

- Identity management

- GDPR

General challenges

- Stakeholders are apprehensive

- Supporting nodes

- Computational efficiency vs value gained

- On-line – emerging markets

- Costs of uprooting legacy systems

- Education

The Opportunities

Collaborating towards a common goal

Pilots/testbeds

Scalable delivery partnership

Product development

Market pioneer

The future

Viable solution Who takes the

lead?

Lack of support

services

Lack of standards

T h a n k y o u !