Capturing new insurance business is costly, time consuming, and end-to-end burdening. Our solution allows insurance companies to deploy specific business rules sets (decisioning) to a blockchain smart contract that determines eligibility of patients for life insurance an other insurance related products. Hospitals send depersonalized eHR data to a smart contract on the blockchain, then the contract produce a result or Super Preferred, Preferred, and Substandard clientele (decline/accept).
Millions in new business is generated using existing medical data in a safe manner while providing profitability and reducing burden for hospitals, insurers, and consumers. Additionally, the information and data is used to provide reverse analytics for accountable healthcare for the betterment of patient health. Insurers only provide upfront rule sets to automate the underwriting of a potential client.
Update on 10/3/2016 to clarify HIPAA regulations and feasibility: 45 A covered entity may condition the provision of health care solely to generate protected health information for disclosure to a third party on the individual giving authorization to disclose the information to the third party. For example, a covered entity physician may condition the provision of a physical examination to be paid for by a life insurance issuer on an individual’s authorization to disclose the results of that examination to the life insurance issuer. A health plan may condition enrollment or benefits eligibility on the individual giving authorization, requested before the individual’s enrollment, to obtain protected health information (other than psychotherapy notes) to determine the individual’s eligibility or enrollment or for underwriting or risk rating. A covered health care provider may condition treatment related to research (e.g., clinical trials) on the individual giving authorization to use or disclose the individual’s protected health information for the research. 45 C.F.R. 508(b)(4).