Reducing Healthcare costs leveraging Standards and Identity Management

1
Reducing Healthcare costsleveragingStandards
and Identity Management

2
Reducing the cost of healthcare

• Beam me up Scotty
• Why do I have to re-enter all this information?
• How do we utilize current technology and
  standards to reduce costs?

3
Standards and Innovation
4
Industry Needs

• Current state
• Large B to Large B standards
• Portals
• Company mycompany.com
• Coalition clearing houses
• Consumer Amazon, eBay
• Social networking Facebook, Twitter
• Where we need to be
• Small business to small business
• Consumer to small business
• Consumer to consumer
• Challenges
• Better, consolidated standards
• Identity

5
Standards landscape

• Meta-data (semantic meaning)
• X12, NACHA
• Character
• Morse Code, ASCII, EBCDIC, double-byte
• Communication
• Asynch, TCP-IP
• Enumeration
• Social Security Number, UPC, SNOMED
• Identity
• Something you know, you have, you are

6
How does identity management reduce costs?

• Fraud reduction
• Fake identities, illegitimate businesses
• Ease of use/connectivity
• Secure peer to peer connections (doctor to
  doctor)
• AS1, AS2, AS3, Outlook email, others
• Electronic delegation of authority/grant access
• Who gets to see your medical information?
• Who can use your checking account?

7
Identity technology

• Photo ID, Smart card, ATM card
• Digital certificates X.509
• Public and Private Key sign and encrypt
• Certificates are stored
• Your certificate
• Java Store
• Windows Store
• Devices
• Trading partner
• Outlook

8
Challenges with certificates

• Who assigns the certificate?
• Keeping certificates current
• Linking certificates with the rest or your
  trading partner information (customer, supplier,
  peer)
• No X12 standard for delegation of authority/grant
  access

9
More challenges

• Mobile devices makers did not envision storing
  trading partner certificates
• Everyone wants to own enumeration/certificate
  linkage

10
Overcoming the challenges

• Innovations
• Directories
• Social
• Network
• Standards, standards, standards.
• and

11
PatIence