Change Healthcare: 50 million transactions a day using Hyperledger Fabric – Hyperledger Foundation 2025 Update: Off to a Fast Start! Read on → Search Join About About Explore membership Members Technical Advisory Council Governing Board Speakers Bureau Staff FAQ Store Contact us Technologies Ledger technologies Interoperability Integration & implementation Decentralized identity Cryptographic tools & protocols Project matrix Labs All projects Deploy Certified service providers Vendor directory Training partners Participate Why get involved? How to contribute Contribute to code Host your project with us Regional chapters Special interest groups Job board Resources Linux Foundation ID Logos & guidelines Trademarks & guidelines Charter Code of conduct Github repos Discord Wiki Mailing lists Report a security bug Learn Case studies Training & certifications Use case tracker Member webinars Insights News Blog Announcements Newsletters Events Events Meetups Meeting calendar Join Follow Us Blog | Health and Public Sector Change Healthcare: 50 million transactions a day using Hyperledger Fabric Hyperledger | Jun 24, 2019 Change Healthcare is on a mission to modernize the American healthcare system. A central part of that plan is extending its Intelligent Healthcare Network with blockchain technology to provide a faster, better experience for all.   Change Healthcare operates the largest healthcare network in the country. Formed through years of mergers and acquisition, the healthcare infrastructure company links 900,000 healthcare providers and 5,500 hospitals with 2,200 government and commercial payers. A network of this scale, built from a mix of companies, means a very complex back end with lots of systems that are working independently. To unite information and give customers faster, better access to data, Change Healthcare turned to Hyperledger Fabric to begin blockchain-enabling its Intelligent Healthcare Network. The starting point was modeling an existing network linking providers to payers with a blockchain and then seeing if it could stand up to real-world traffic. After testing and assessing options, Change Healthcare’s launched this initial Hyperledger Fabric-powered network in January 2018. It’s been running as a parallel network since, processing as many as 50 million transactions a day—with throughput up to 550 transactions a second. That’s enough to handle all the healthcare claims activity that Change Healthcare handles across its full network. The Hyperledger team has worked closely with Change Healthcare to document this large-scale network deployment and its performance in a detailed case study. Highlights include system criteria and planning, details on the supported workflow and transactions and future directions, including plans for ensuring interoperability, boosting throughput even further and migrating more business partners to the network. CLICK HERE TO READ THE CASE STUDY View previous blog post Back to all blog posts View next blog post The latest community news in your inbox Select the checkboxes below for the monthly decentralized digest and dev/weekly newsletters About LF Decentralized Trust The Linux Foundation's flagship organization for the development and deployment of decentralized systems and technologies. About Members TAC Governing board Speakers bureau Staff FAQ Contact us Technologies Ledger technologies Interoperability Integration & implementation Decentralized identity Cryptographic tools & protocols Project matrix Labs Participate Why get involved? How to contribute Contribute to code Host your project with us Regional chapters Special interest groups Job board Deploy Certified service providers Vendor directory Training partners Resources Linux Foundation ID Logos & guidelines Trademarks & guidelines Charter Code of conduct Github repos Discord Wiki Mailing lists Report a security bug Learn Case studies Training & certifications Use case tracker Member webinars Insights Events Events Meetups Meeting calendar News Blog Announcements Newsletters Meeting Calendar Copyright © 2025 The Linux Foundation®. All rights reserved. LF Decentralized Trust is a trademark of The Linux Foundation. For a list of LF Decentralized Trust's trademarks, please see our Trademark Usage page. Linux is a registered trademark of Linus Torvalds. Privacy Policy and Terms of Use.