CMS has inadvertently sown some confusion around what are now in my experience mostly being called 'Trusted Payer Exchanges' – the things that MA plans, Medicaid managed care plans, CHIP managed care entities, and QHPs in the FFEs will be required to join. (‘QHPs in the FFEs’ begs to be rapped – somebody give me … Continue reading Join a Trusted Payer Exchange Network Framework. What?
Month: July 2019
The Value of Blockchain
In my previous post I argued that the core problem blockchain addresses is disagreement among the interested parties about the historical states of an object - a rental car, an order for granola, the price of pork belly futures. That was sufficient to let us rule blockchain out as a viable technology for large class … Continue reading The Value of Blockchain
The Fundamental Problem Blockchain Addresses
The possible role of blockchain in an interoperability scenario has come up at work, as it has and will for many of you in various contexts. So I thought I would share a perspective on blockchain that might help you cut through the hype and determine its fit for a given solution design. Blockchain solves … Continue reading The Fundamental Problem Blockchain Addresses
The Nature of Knowledge Work
I was writing a generational history of electronic data exchange yesterday, and in the description of the first generation explained why we call batch files 'batch' files. They are produced by batch jobs. Batch jobs are one of the three classic methods of production that antedated the computer age: job or 'one-off' production, batch production, … Continue reading The Nature of Knowledge Work
We don’t need Unique Patient Identifiers, we need ‘proof of healthcare identity’ credentials
In my last post, I maintained that individual identifiers, such as a username or user ID, as used in Informational Identity Management - legal, transactional and digital identity management - are fundamentally a kind of credential. With the advent of "…a standard unique identifier for an individual…", commonly referred to as a Unique Patient Identifier, … Continue reading We don’t need Unique Patient Identifiers, we need ‘proof of healthcare identity’ credentials
Identity, Credential and Access Management Isn’t Exactly About Identity
This post is one in an ongoing series (starting here) in which I am developing the concept of 'Informational Identity'. Your name, your legal identities, your digital identities, are all the same kind of thing: information tools created to pick you out of a crowd, to refer to you when you are not present, to … Continue reading Identity, Credential and Access Management Isn’t Exactly About Identity
Health IT Architect 