# Presentation: 693469

## American Health Information CommunityDepartment 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

- AHIC Testimony Medical Banking Project  May 2, 2007

## What’s Medical Banking?

**“****Medical Banking”TM**
- 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

- AHIC Testimony Medical Banking Project  May 2, 2007

## Banks

- hospitals

- physicians

- health plans

**CONSUMERS**

- nursing homes

- retail healthcare

- third party administrators

- community healthcare centers

* **55 million online banking customers*
* **One element for consumer empowerment*

- AHIC Testimony Medical Banking Project  May 2, 2007

## 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

- AHIC Testimony Medical Banking Project  May 2, 2007

## Public Trust

- 4 Phases of Medical Banking Build Out (cont’d)
**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**
- BoardTrustTM and associated “Board of Governors”
- Public Trust Advisory Board w/ Accreditation Review Council and Consumer Protection Council
- Joint Taskgroup for Value In Health

- AHIC Testimony Medical Banking Project  May 2, 2007

## 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

- AHIC Testimony Medical Banking Project  May 2, 2007

## The “Bank-Powered” Healthcare Consumer

- AHIC Testimony Medical Banking Project  May 2, 2007

## 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 information broker** for consumers:
-  Delivery system: online banking portal (branches, ATMs possible)
-  The bank-driven **Community Care Platform**

- AHIC Testimony Medical Banking Project  May 2, 2007

## 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

- AHIC Testimony Medical Banking Project  May 2, 2007

## 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@mbproject.org

More Info: www.mbproject.org 
Medical Banking Institute: http://www.mbproject.org/5MBI2007.php
Visit MBlog: www.mblog.mbproject.org

**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@mbproject.org](mailto:johnc@mbproject.org)_
- More Info: _[www.mbproject.org](http://www.mbproject.org/)_
- Medical Banking Institute: _[http://www.mbproject.org/5MBI2007.php](http://www.mbproject.org/5MBI2007.php)_
- Visit MBlog: _[www.mblog.mbproject.org](http://www.mblog.mbproject.org/)_

- AHIC Testimony Medical Banking Project  May 2, 2007