American Health Information CommunityDepartment of Health

1
American Health Information CommunityDepartment
of Health Human Services

• Testimony by John Casillas
• Founder and Executive Director
• The Medical Banking Project
• 320 Main Street, Suite 230
• Franklin, TN 37064
• 615-794-2009
• www.mbproject.org

2
Whats Medical Banking?

• Medical Banking
• Using banking systems to improve healthcare
• IOS
• As adjacent industry use EDI, IOS formations
  evolve
  
• B2B and B2C
• MBProject steers this industry phenomenon to
  support better healthcare
  
• Mission To convert digital savings into
  charitable resources
  
• MBIOS medical banking IOS
• Initial focus on improving payment / remittance
  systems
  
• Evolving into real time processing in between
  healthcare actors
  
• Results are very encouraging
• Increasing investment by banks in healthcare IT
• Tighter linkage between banking and healthcare
  systems

3
physicians
CONSUMERS
Banks
hospitals
55 million online banking customers
One element for consumer empowerment
health plans
nursing homes
retail healthcare
third party administrators
community healthcare centers
4
Public Trust

• 4 Phases of the Medical Banking Build Out
• Phase 1 Policy Adoption and Application
• 12 HIPAA Policy Roundtable
• 2 Telebriefings with CMS
• 5 National Medical Banking Institutes
• Phase 2 From Compliance to Interoperability
• Great American Interoperability Tour
• Targeted 10 stakeholders over 14 months
• Focus on the value proposition of medical banking

5
Public Trust

• 4 Phases of Medical Banking Build Out (contd)
• Phase 3 Reference Architecture
• C.O.M.B.A.T. Initiative
• Mission To combat rising healthcare costs using
  medical banking principles and technology
  
• Target
• Real time administrative processing in
  healthcare
  
• On demand healthcare records
• Phase 4 Common Medical Banking Platform
• BoardTrust and associated Board of Governors
• Public Trust Advisory Board w/ Accreditation
  Review Council and Consumer Protection Council
  
• Joint Taskgroup for Value In Health

6
Industry Involvement

• Members
• Large banks
• PNC, Wachovia, US Bank, Mellon, Fifth Third, ABN
  AMRO
  
• Health Plans / Providers
• IT and consulting firms
• Sun, Fiserv, McKesson, PwC, BearingPoint,
  Foresight, DMP
  
• Large employers
• Walt Disney Company, Sanofi-Aventis
• Advisory Board
• Consumers
• Family Voices, CHCC, National Health Council,
  Center for Charitable Statistics/Urban Institute
  
• Others
• HIMSS, NCHA, AHA, EHNAC, AIAG

7
The Bank-Powered Healthcare Consumer
8
Bank Infomediary
As we understand it today focuses on 4 areas
Administrative efficiency eHealth Lockbox for
specialized payment/remittance process
Card platforms improve Point of Service cash
management Credit programs that expand liquidity
A new mechanism for clinical data exchanges and
repositories E/PHR Use Case Joint Taskgroup
for Value In Health The bank as health informati
on broker for consumers Delivery system online
banking portal (branches, ATMs possible)
The bank-driven Community Care Platform
9
Recommendations

• Engage A Cross-Industry Policy Dialogue
• Public Trust above all else
• Routine online meetings to discuss this important
  issue
  
• Appoint Liaison to E / PHR Use Case
• Participate in our Annual Institute
• Help banks to understand the complex policy
  issues
  
• Gain cross-industry views

10

• Contact Information
• John Casillas
• Executive Director
• The Medical Banking Project
• 320 Main Street, Suite 230
• Franklin, TN 37064
• V 615.794.2009
• F 615.794.1481
• johnc_at_mbproject.org
• More Info www.mbproject.org
• Medical Banking Institute http//www.mbproject.or
  g/5MBI2007.php
  
• Visit MBlog www.mblog.mbproject.org