id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
biht-131	Gaur, Nitin; Curbera, Francisco	Design Principles Of The Blockchain Network: Security, Scalability, And Sustainability By Design	2019	25	.pdf	application/pdf	1290	20	-21	My focus for 2019 wrt to Blockchain $ 23 What would enterprise chain infrastructure look like? Integrated enterprise will need more than one specialized use case • Driving synergies between blockchains • Invisible blockchain infrastructure • Inter- and Intra-enterprise connections • Concept introduction – Interledger – Intraledger • Cross the trust systems for transactions • Fractal visibility of ledger data • Enterprise visibility – control systems Enterprise Chain Infrastructure Payments Mortgage Initiation Securitization Trade Finance Crowdfunding Identity Partner Enterprise / DAO Interledger / ILP Conditional Contracts Conditional Contracts 24 Vision – ‘Interprise Synergy’ Enterprise chain infrastructure Design that enables new business models • Invisible enterprise chain infrastructure will provide foundation • Use of connectors, APIs to enable incumbent systems chain aware • Conditional contracts between chains – ‘Interprise Synergy’ • New business (e.g., P2P lending, crowdfunding) solely on blockchain Enterprise Systems BI / Data Enterprise Systems BI / Data Enterprise Chain Infrastructure Payments Mortgage Initiation Securitization Trade Finance Crowdfunding Identity Partner Enterprise / DAO Interledger / ILP Conditional Contracts Conditional Contracts Enterprise Systems BI / Data Enterprise Systems BI / Data Enterprise Systems 25 Separating blockchain from cryptocurrencies • Cryptocurrencies are one specific usage of Blockchain technology • Blockchain can be used to solve many more real-life business challenges without the fallacies of cryptocurrency • Exchange of digital currencies using cryptography • First crypto currency = Bitcoin • Fully decentralized • Anonymous participation, Transparent activity Cryptocurrency Blockchain Key Attributes • Distributed and Sustainable (Finality) • Secure and Un-editable (Immutability) • Research Billing & Payment Resolution Revenue Cycle Management Alternative Payment Models Provider Onboarding Coordination of Benefits Shared Accumulators Utilization Transparency Longitudinal Health Data Blockchain-based solutions can streamline and transform processes in the healthcare industry 5 Bundled Payments: fastest growing Alternative Payment Model “All-in” reimbursement price for an episode of care • Goal is to reduce cost of care while improving patient outcomes • Payers shift risk toward providers Common Bundled Episodes of Care • orthopedic surgery, hip/knee joint replacement, cardiac procedures Program Structure • Two levels of contracts among stakeholders – bundle program & risk-share agreements • Coordination of care across multiple healthcare providers • Information exchange – claim, quality and other data shared across stakeholders • Two primary models – Retrospective, Prospective Source: Forbes (fastest growing APM)	cache/biht-131.pdf	txt/biht-131.txt