Change Healthcare’s Intelligent Healthcare Network and TIBCO’s smart contract developer project designed to enable payers to automate processes across the healthcare transaction lifecycle
Change Healthcare and TIBCO Software announced a collaboration to build the first smart contract system for healthcare, using the Change Healthcare Intelligent Healthcare Network blockchain technology and TIBCO’s smart contract developer project, Project Dovetail. The platform will aim to enable health plans and their financial partners to easily develop and deploy smart contract-based processes that automate events across the healthcare transaction processing lifecycle.
Today, payers must use myriad commercial and custom systems to automate various aspects of healthcare transaction processing that have gaps and require manual intervention or additional coding. Smart contracts present a simpler, more efficient, and lower-cost solution because they enable self-executing business rules that payers embed on a blockchain and trigger automatically based on events that occur in a transaction. When any event in the healthcare transaction lifecycle is completed, the blockchain ledger is updated.
It is intended that payers will be able to use this new platform to build healthcare transaction-related smart contracts on the Intelligent Healthcare Network to increase the efficiency of healthcare transaction processing (including claims adjudication and payment processes) and improve providers’ revenue cycle performance with faster resolution and remittance. Change Healthcare and TIBCO also plan to provide a developer environment aimed at creating the next generation of healthcare transaction applications that utilize blockchain and smart contracts.
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“This collaboration with TIBCO is part of our larger initiative to simplify and standardize healthcare transaction processing and help move the industry to real-time adjudication on the Intelligent Healthcare Network,” said Aaron Symanski, chief technology officer, Change Healthcare. “By bringing smart contracts to claims processing, payers can share a standardized approach that lets them easily write, visualize, test, audit, and implement smart contracts for automating healthcare transaction processes.”
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In addition to the Change Healthcare Intelligent Healthcare Network blockchain capabilities, this collaboration will aim to leverage Dovetail, TIBCO’s project for making smart contracts smarter. Project Dovetail, which is slated for public availability in the near future, will provide a development framework to allow payers and financial institutions to build smart contracts governing healthcare transaction processing. With Dovetail, users will gain access to a model-driven environment that promotes the creation of smart contracts that can run on any blockchain or cloud platform, and thus increases agility, flexibility, and time to market.
“We’re excited to be collaborating with Change Healthcare, a company that is driving innovation in healthcare transaction automation,” said Nelson Petracek, global chief technology officer, TIBCO. “The powerful combination of our smart contract development project and Change Healthcare’s Intelligent Healthcare Network incorporating blockchain technology will empower payers to move aggressively toward the goal of real-time adjudication, while ensuring compliance and helping streamline healthcare transaction processing for all stakeholders.”
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