BlockChain Healthcare Customer Centric

Who Is The Health Blockchain Customer?

In Health Blockchain Detroit, who exactly is the customer? Moving swiftly into BlockChain decisions without thinking about the ultimate customer will limit the potential of Health Blockchain.

Moving too fast will lock industries, employers, providers, and customer into systems with barriers to entry. There are two options in health Blockchain. First, continue the industry and practice silos we have today. Or, second, create a future state that is built for the customer.

Seeing the future through the eyes of the customer means challenging the silos in existence today. Silos will have the opportunity to protect and maintain their existence by using BlockChain. Is that what is needed? The alternative is to rethink the end-to-end delivery of not only healthcare but how information and health exist.

Autonomous Car Is To Blockchain

Blockchain disruption for business and customers are the same disruption everyone can see coming with automotive design. The autonomous car future for drivers and passengers of automobiles is what blockchain is to customers.

Visually, most conversations occurring around “driverless transportation” is easy to see. If you drive you can easily see the concerns and opportunities of building the future of transportation.

Keeping to the analogy of automotive disruption, I’d suggest people can not see the Blockchain disruption like they can see the future of transportation. I’m not sure most people think about what it takes to put unlimited funds on a healthcare card, just a simple example. Financial transactions are obscure, everyone uses financial transactions but the “roads” and maps connecting accounts behind the scenes are not obvious like the roads we ride on or drive on. While using a bank account and a healthcare card are familiar to people, most people don’t understand the transactions that make those cards work.

Turning left on a road when you drive will be duplicated by autonomous cars, you can immediately understand some of the complexity in doing that because it’s quite a visual event. Of course, the programming itself is another story altogether. But, anyone who has ridden in a car can appreciate and perceive the challenges ahead for automating this activity.

But, making the transactions for financial service is hard for many to perceive because they’ve not been involved in the transactional nature of the healthcare card, their ATM withdrawal, or other financial transactions.

Play It Safe?

Healthcare Blockchain is one idea, the entire Blockchain may indeed be much more inclusive of other transactions. The question is, can we use Blockchain to improve the customer experience? Or, will we simply duplicate the silos in existence today?

I suppose same-old-same-old is practical, duplicating silos because it’s safe. But, what if we can we turn upside down business practices and economics to give customers the upper hand in transactions? Blockchain will, or may, rearrange the economic advantage and redistribute leverage to the individual. That is to each of us.

Don, What Are you Talking About?

Health blockchain is simple. It proposes an internet security level never seen before, it proposes to use that security to trade money like bitcoin, but it also can include a contract that goes with the financial transaction. Simple, really simple.

Contracts are traded with the financial transaction avoiding the disconnect between financial transaction flow and contract flow. Blockchain makes ridged controls that eliminate tampering or changing contracts without others knowing.

What if you personally would benefit from blockchain? The laws of economics could be rewritten. No, I’m not kidding, economics can now be rearranged putting humans at the front of the engine riding behind the industry engine. Sounds crazy but it’s not? The point of having a Detroit Health BlockChain meeting is to demonstrate this phenomenon in a universal way. To engage the discussion across silos and examine what the future state could be.

Let’s Look At One Programmer, Developer View of Blockchain

The developer whose image is in the background (below) proposes a solution that is centric to their silo (any developer would reflect the same business idea), their way of monetizing their world, that’s what I call silo. I use this image but you will find something similar on any programming, developer, site. That’s fine for them, isn’t it? After all, what’s wrong with the way they paint the future?

The background in the image below shows how a developer perceives blockchain. They show banking and financial markets as a silo, insurance, retail and customer goods, government, and others as silos they can support and create using their Blockchain. Notice, it will be their Blockchain.

But stop a minute, ask, are they correct? Blockchain can be way more than recreating silos that match today’s business structures. The current state of business is what this tech company proposes as solutions. Even my title of Healthcare Blockchain proposes the same. But, is this the future state we want when the current state we know has flaws? You see, Blockchain has the ability to create a future, unlike our current state. But, leaders of thought, movers and shakers are going to have to understand other silos and engage in current state discussions to determine how Blockchain future will look.

Get a Glimpse of the Future By Looking at the Past

The old adage, “if you keep doing what you’ve always done, you’ll get what you’ve always gotten.” Or, Einstein’s, “Insanity is doing the same thing over and over again and expecting different results.”

The distributive nature of health Blockchain means alignment between and in silos can change to better serve customers. We know it can change, we know but is there any momentum to change? If there is momentum to change, where will it come from? Silos that exist today, or customers who have the most to gain? Change is something we have to choose, the future is ours to design. This is an economic do-over.

This is not a pie-in-the-sky notion, this is right in front of us. Answer this question, please.

Do you build the roof before the foundation?

It’s another analogy to convey we are at the beginning, and now is the time to lay the foundation, to review the current and create the future, not in a selfish way, but in a meaningful way, let’s build Blockchain as the new future.

What is starting to form around blockchain are answers before we’ve determined the questions that need the answering. Developers, like the example image above, are designing the future without public discussion on something as obvious as, who is the customer?

Is your silo even part of the discussion? What happens if you come late to the discussion?

Where are Customers and Contracts Connected?

If I had to pick the direction, I’d use my own 30 years of operational experience that spans money and contracts of all kinds: HR, payroll, taxes, government reporting, healthcare coverage, healthcare payments, provider (hospital, physician, pharma, etc.) fees, rebates, and other forms of healthcare payments, plus 401k plan payroll transactions, deferred compensation, individual IRA’s, banking, annuities and all kinds of contracts and transactions. This history (like your history) only tells me, us, there’s an opportunity to do better for customers. It doesn’t give me, or you, the answer to how.

What’s obvious is silos exist as barriers to understanding what’s possible for customer value, and at the same time, the opportunity to improve the customer value by shaping a better future.

Who is Customer?

Now that’s simple. You. Each of us. Our families, our communities, the US, the globe. No, really, this is simply the fact of Blockchain at its greatest boundary.

You will be a customer of Blockchain, so, start asking questions about what you want for yourself in retirement for instance? What financial transaction and contract would you like to see secured for your future? Medicare? Social Security?

Why, Health Blockchain Detroit?

I believe identifying the current state in healthcare will get a solid conversation going that is needed. The goal is an open forum to engage you in discussions that matter. The opportunity for changing the dynamic from a current state to a future state should not lose out to silos.

Healthcare Blockchain can rearrange economics and give us a chance to break with the status quo. Yes, this is an “eat the elephant” idea meeting.

But, as I see it, 8% of people are thought leaders, early adopters and change agents. I’m seeing this as a chance to get that group together now.

together we’ll discuss these Questions

  • Who is the Customer of health blockchain Detroit?
  • Should we join in an existing blockchain network or create our own?
  • What current business processes could most benefit from blockchain?
  • What existing technical approaches to moving and integrating data into or out of a blockchain will be relevant to our use cases?
  • Who are our technology and business partners, and how can we convince them to support a blockchain initiative to transform or even eliminate a given process?
  • What is the current state of processes and how does your silo/operation fit in?
  • What future state is possible?

Source: some questions were obtained from IBM.com, https://www-01.ibm.com/common/ssi/cgi-bin/ssialias?htmlfid=KU912407USEN, Link dated 9/11/2018.

Register your interest here for health blockchain Detroit, I will continue to develop interest and find a venue, speakers, and sponsors. Feel free to be involved in any way you please.

7 Reasons You May Never Retire

If you ran out of money at age 80 what would you do? Sobering but true, below are only 7 reasons you may never retire. These items should alarm you but it won’t. That’s because unless you study this stuff, and I do, you won’t see the problem or what it means to you.

I’m not a doomsday sayer. I’m just a guy watching this story unfold, and watch it get bigger. I do like the image of politicians, “kicking the can down the road.” But, really, aren’t we all kicking it down the road?

So, listen up, here’s the list of 7.

1) 10,000 Americans reach age 65 every day.
2) Companies offering Pensions has dropped from 112,000 to 23,000
3) 45% of workers cannot access employer-sponsored 401k or pensions.
4) Medicare and Social Security will run out of money by 2028 and 2034.
5) $300 Trillion dollars are owed for unfunded public pensions
6) Americans don’t save, in fact, Americans have a negative savings rate.
7) Politicians have too many competing interests, so they kick the can.

The earlier one starts to save, the easier it is to accumulate sufficient wealth at retirement. The corollary to this is that the longer a country (or an individual) waits to address these issues, the fewer options there will be for solutions, and the options that remain will become more and more difficult to successfully implement (source noted below).

The authors of the article I quote grade our current 401k system as a letter grade of “D+.” I’m not sure what the plus sign means, but I can tell you many individuals are not prepared to retire because so few have pensions (that’s what your Grandpa or Grandma had), and those with a 401k have put too little in it.

Work for a City or other governmental unit?

There is a combined $300 Trillion in unfunded liabilities for employees of these places of work. And, these employees are going to look for their retirement check and receive something like what Detroit retirees received, which was pennies on the dollar.

Your parents and grandparents retired with a pension. They received a check each month for as long as they lived, that, plus social security, made a very comfortable retirement for many people. With the list of 7, you can hopefully see you’re unlikely to retire the way you might be thinking.

You can save now, try closing your Amazon account. Or, find any other way to save. Whether you’re by yourself or at a company or government, the time to do something is now. Make saving and asking questions to protect retirement important to you. After all, I have a friend who says;

“What gets attention, gets done.”

I love these conversations, either to help you as an individual, or your employer. I am happy to help or steer you to better resources.

Building a Strong Retirement Program: One for the AGES, Benefits Quarterly, International Society of Certified Employee Benefit Specialists, Brookfield, Wisconsin; www.iscebs.org.

NEW – AHP, Catholic Business Owners Healthcare Relief

Catholic Business Owners

The NEW AHP regulations created to fit President Trump’s Executive Order make it possible to create a Catholic Buying Trust. This provides owners a way to control what they pay for in healthcare.

This is the biggest news in benefits since ERISA. Small business owners can keep their firmly held beliefs (respect for all Human life), follow their conscience, offer the Dignity of the Human Person in their Healthcare plan, and own the ability to choose how to lower cost. Perfect! Continue reading “NEW – AHP, Catholic Business Owners Healthcare Relief”

How is a benefit plan like a bus route?

family_schoolbusflasher
School bus flashers are for the safety of the children on and off the bus.

A benefit office is supposed to make decisions for the benefit of the beneficiaries. A bus route should be concerned first for the safety of the children.

On the main road connected to my subdivision, two different school districts have bus routes running in opposite directions. The road is a two lane semi-rural, 50 MPH road. I’d add, drivers routinely move at 60 MPH or more.

Lake Orion School District buses travel southbound. Rochester Community Schools travel northbound on the very same road; it’s Adams Rd. for those interested in the particulars. In both districts, the bus stops on the road or shoulder but does not turn into the subdivision.

Lake Orion has chosen to tell bus drivers not to use the red flashing stop safety lights when picking up the children. And, by contrast, Rochester Community Schools does instruct drivers to turn on their red safety flashers. Continue reading “How is a benefit plan like a bus route?”

An Obamacare Article Written for CPA’s is Right On

“Choosing the right plan requires the knowledge to make the right choice.” I couldn’t have said it better.

Screen Shot 2015-03-06 at 6.08.54 AMDuring the Goldman Sachs 10,000 Small Businesses classes and work I learned just how difficult it is for an owner to hear my message. It’s because when I say the word insurance, the label “insurance dude” is applied. That’s fine, except with it usually comes the connotation that I’m going to sell them insurance. It’s a logical conclusion but it would be wrong. Why?

If what I was doing was popular people wouldn’t get to that conclusion, instead they might ask, “are you selling a product or are you providing independent advice?”

The quote I found while reading an article makes my case why I’ve left the “agent/broker/consultant” world to help America do better (watch my video).

So, I’m reading an article written for CPA’s on the topic, PPACA – Obamacare. It’s a 4 page article making recommendations to CPA’s on how to advise their clients on these complicated topics: insurance markets, metal levels, pricing and benefits, government sponsored exchanges, SHOP, private exchanges, self funding, pay-or-play, employer reporting, limited networks and finally underwriting.

“numerous strategies are available to businesses as they try to make the best health insurance choices for themselves and their employees in this new regulatory environment. Choosing the right plan requires the knowledge to make the right choice.”

“Health Care Reform Essentials”, Journal of Accountancy, July 2014; Dietrich, Marks.

This statement could be the description of BenStaff’s Decoder work.

Two critique’s I have about this, first, what a great list of all the new options in healthcare, it demonstrates what I’ve been saying now since March of 2010. The very reason I built BenStaff and BenStaff’s team built the Decoder. On one hand it’s as easy as the article states. But, to optimize the right balance between taking risk (self funding) and low cost and access (limited networks) the question is, who is better suited to advise on these matters?

My team is independent, we don’t sell insurance, and we have much deeper knowledge of benefits especially healthcare. Having former underwriters we know risk and pricing in groups and individual markets, our actuarial team provides expertise to the Decoder, our CEBS specialists cover the plan in operation requirements of the DOL, HHS, CMS and the IRS. And, we encourage a businesses advisors to offer their best thinking so don’t miss something. A small businesses CPA, CFO, HR executives, attorney’s or other advisors are welcome to contribute. No one person has all the answers but we believe we’re as close to that as possible.

Our structure gives us dominance and reach into every market and option available. Overall, our Decoder is the answer to the question posed to owners and CPA’s at the end of the article, beautiful;

“Choosing the right plan requires the knowledge to make the right choice.”

I couldn’t agree more.