How will Healthureum eliminate fraud in healthcare?
Fraud is one of the most common problems in healthcare systems, as the medical records have more value than credit cards on the dark web. It also largely harms the economy, losing huge amounts of money due to fraud every year.
The most common sort of fraud in the healthcare is medical, drug, and insurance fraud. It is not an easy task to discover who is responsible for these frauds each time. Patients are often unwillingly exploited and being subject to unnecessary, additional procedures that can later produce some dangerous consequences to their health.
False billings are another huge problem, and they are most common among insurance companies, and it all usually goes undetected. There is an urgent need to put an end to these issues in the health sector, which would also save a large amount of money.
Offering better claim assessment
In past several years, patients were losing claims due to incomplete data or records that were misplaced. Insurance companies have often been accused of fraud and manipulation of numerous patients who suffered huge delays while filing a claim.
In some other cases, there were patients who have been denied allegations by claim assessors because the data was either incorrect or incomplete. Overbilling and billing for the procedures that were not performed are also common fraud cases within the healthcare sector.
All the challenges that lay ahead the claiming process can be easily solved with Blockchain technology through intermediation. It means that the claims would be settled through a Blockchain-based Healthureum platform, and the complaint can be issued only when all the predefined conditions are satisfied. In this model, there will be no human interference, meaning that we will avoid false claims.
Data protection improvement
Healthureum platform gives a chance to patients to control all their personal, medical, and emergency data. As all the information is stored in one decentralized system, we will have no central entity to control the storage of data.
The data on Healthureum platform will be secured through cryptography, keeping the information private and safe. Patients will possess their own data, and they will choose if they wish to share it with the other participants on the platform.
This model guarantees easier storing and sharing of patient data among the participants of the platform, while also maintaining the data integrity. It's important to mention that all the data will be stored in the chain in chronological order, and time stamp will help to display if there were any attempts to tamper with the data.
As the medical data is quite sensitive, the Healthureum platform has a solution to protect both identifiable and non-identifiable data. The Healthureum platform will simply give access only to permissioned users in the system to view and modify patient's data.
Rendered services recording improvement
On this innovative Healthureum platform, healthcare providers will have to upload and record their findings as well as the services they provided to the patients which need to be paid. This model of recording will eliminate any potential overbilling or billing for non-performed services by healthcare providers.
As the current systems of operation are pretty weak, many medical practitioners tend to take advantage of it by charging patients more than required. In Healthureum ecosystem, all locations and dates of rendered services will be recorded, so no alterations will be possible to make without the date stamp.
Healthureum token payments system
Anyone who joins the Healthureum platform will have to purchase some Healthureum HHEM tokens first. The main role of these tokens is to serve as the asset of payment for all services rendered in the platform. As the payment process will be automated, there will be no cases of fraud and human errors during paying for services.
Patients will be in a position to pay medical practitioners for treatment, consultation, and referrals with HHEM tokens. No activities will be done outside the platform, so patients can be sure that they will pay only for services that are recorded through the automated operations.
All medical infrastructure services will be purchased only with HHEM tokens. The demand and usage of the infrastructure will have to be evaluated on the platform in order to determine which equipment is specifically needed. This will prevent hospitals from purchasing low-quality tech while making the false reports with exaggerated prices, acquiring finances illegally.
Conclusion
Fraud is a huge part of the healthcare sector, and this problem needs to be addressed urgently. Almost all areas of healthcare experience some sort of fraud. Healthureum platform offers the use of Blockchain technology which gives us the automated processing of the majority of services. It means that the fraud will be significantly reduced, or to say, eliminated.
The most common sort of fraud in the healthcare is medical, drug, and insurance fraud. It is not an easy task to discover who is responsible for these frauds each time. Patients are often unwillingly exploited and being subject to unnecessary, additional procedures that can later produce some dangerous consequences to their health.
False billings are another huge problem, and they are most common among insurance companies, and it all usually goes undetected. There is an urgent need to put an end to these issues in the health sector, which would also save a large amount of money.
Offering better claim assessment
In past several years, patients were losing claims due to incomplete data or records that were misplaced. Insurance companies have often been accused of fraud and manipulation of numerous patients who suffered huge delays while filing a claim.
In some other cases, there were patients who have been denied allegations by claim assessors because the data was either incorrect or incomplete. Overbilling and billing for the procedures that were not performed are also common fraud cases within the healthcare sector.
All the challenges that lay ahead the claiming process can be easily solved with Blockchain technology through intermediation. It means that the claims would be settled through a Blockchain-based Healthureum platform, and the complaint can be issued only when all the predefined conditions are satisfied. In this model, there will be no human interference, meaning that we will avoid false claims.
Data protection improvement
Healthureum platform gives a chance to patients to control all their personal, medical, and emergency data. As all the information is stored in one decentralized system, we will have no central entity to control the storage of data.
The data on Healthureum platform will be secured through cryptography, keeping the information private and safe. Patients will possess their own data, and they will choose if they wish to share it with the other participants on the platform.
This model guarantees easier storing and sharing of patient data among the participants of the platform, while also maintaining the data integrity. It's important to mention that all the data will be stored in the chain in chronological order, and time stamp will help to display if there were any attempts to tamper with the data.
As the medical data is quite sensitive, the Healthureum platform has a solution to protect both identifiable and non-identifiable data. The Healthureum platform will simply give access only to permissioned users in the system to view and modify patient's data.
Rendered services recording improvement
On this innovative Healthureum platform, healthcare providers will have to upload and record their findings as well as the services they provided to the patients which need to be paid. This model of recording will eliminate any potential overbilling or billing for non-performed services by healthcare providers.
As the current systems of operation are pretty weak, many medical practitioners tend to take advantage of it by charging patients more than required. In Healthureum ecosystem, all locations and dates of rendered services will be recorded, so no alterations will be possible to make without the date stamp.
Healthureum token payments system
Anyone who joins the Healthureum platform will have to purchase some Healthureum HHEM tokens first. The main role of these tokens is to serve as the asset of payment for all services rendered in the platform. As the payment process will be automated, there will be no cases of fraud and human errors during paying for services.
Patients will be in a position to pay medical practitioners for treatment, consultation, and referrals with HHEM tokens. No activities will be done outside the platform, so patients can be sure that they will pay only for services that are recorded through the automated operations.
All medical infrastructure services will be purchased only with HHEM tokens. The demand and usage of the infrastructure will have to be evaluated on the platform in order to determine which equipment is specifically needed. This will prevent hospitals from purchasing low-quality tech while making the false reports with exaggerated prices, acquiring finances illegally.
Conclusion
Fraud is a huge part of the healthcare sector, and this problem needs to be addressed urgently. Almost all areas of healthcare experience some sort of fraud. Healthureum platform offers the use of Blockchain technology which gives us the automated processing of the majority of services. It means that the fraud will be significantly reduced, or to say, eliminated.
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