PaperSubmittedforCallforPaperinAugustbyONC1Abstract—TherecenttrendsinAccountableCarebasedpaymentmodelshavenecessitatedtheadoptionofnewprocessforcaredeliverythatrequirestheco-ordinationofa“network”ofcareproviderswhocanengageinsharedriskcontracts.Inaddition,theneedforsharinginthesavingsgeneratedequitablyiskeytoencouragethenetworkproviderstoinvestinimprovedcareparadigms.Currentapproachestodigitizehealthcarefocusonimprovementofoperationalefficiency,likeelectronicrecordsaswellascarecollaborationsoftware.However,theseapproachesarestillbasedontheclassicalcentralizedauthorizationmodel,thatresultsinsignificantexpenseinimplementation.Theseapproachesarefundamentallylimitedintheirabilitytofullycapitalizeonthepeer-to-peerdigitalwork-flowrevolutionthatissweepingothersegmentsofindustrylikemedia,e-retailetc.Inthispaperweformulateanewdigitalhealthcaredeliverymodelthatusesblockchainasthefoundationtoenablepeer-to-peerauthorizationandauthentication.Wewillalsodiscusshowthisfoundationwouldtransformthescalabilityofthecaredeliverynetworkaswellasenablepaymentprocessviasmartcontracts,resultinginsignificantreductioninoperationalcostandimprovementincaredelivery.Inaddition,thisblock-chainbasedframeworkcanbeappliedtoenableanewclassofaccountabletele-monitoringandtele-medicationdevicesthatwoulddramaticallyimprovepatientcareadherenceandwellness.Finally,theadoptionofblockchainbaseddigital-healthwouldenablethecreationofvarifiable“personalizedlongitudinalcare”recordthatcanformthebasisofpersonalizedmedicine.IndexTerms—BlockChain;Telemonitoring;Telemedication;HealthcareAsset;AuthenticationandAuthorization;DeepDataCreation;PersonalizedDataControl;HealthcareMarketplace;HealthcareSecurity&Reliability;PersonalizedHealthcare;Two-wayDataAuthentication;ComprehensiveDataRepository.I.THEHEALTHCARELANDSCAPEHElastdecadehasseenasignificantchangeinhealthcarerangingfromadramaticshiftinthepaymentmethodfroma“pay-for-service”modelto“outcomebased”modeltoafocusonpopulation“wellness”fromafocuson“specialized...