问题 1: WELL token如何在平台起到作用？为什么它是必须的？
解决方案：我们认为在医疗领域建立一个简单可靠的全栈平台（full stack platform）的方法就是通过区块链技术。去中心化既消除了潜在的故障点，又通过智能合约来保证事务的顺利开展、记录、以及不可更改。
解决方案：WELL区块链记录工作证明（POW），实际护理的时间/地点以及给患者的服务内容（从推荐到开取发票）。这个问题消除了欺诈，以及触犯Stark and Anti-Kickback(注：反对医生推荐病人给有相关利益的其他机构)的行为。
这还不是事情的全部，因为Alex通过网络购买了这个医疗，WELL的”Buy a Visit, Give a visit”计划，全球其他的人，可以通过WELL的合作伙伴来获得一次免费的医疗。Alex从而通过自己的参与，帮助了他人(Do good by doing WELL)。
回答：有几种不同的方式。1. 购买WELL token，作为奖励提供他们的客户国外医疗机会，这也是一种营销策略。2. 保险公司可以利用购买的WELL token，来获取WELL平台患者的健康数据，患者资源提供此数据以获得保险折扣。
1. How does the WELL token function within the platform and why is it needed?
WELL token is an integral part of WELL ecosystem and is used inside it in different ways. The token serves as the fuel of the WELL ecosystem and has been designed so that our customers will want to use it frequently.
WELL tokens will assist patients to improve their health, clinicians to provide better care, and providers, insurance companies and governments to lower costs by rewarding desired behaviors and outcomes. Since WELL network is blockchain driven (WELL’s own blockchain will be created), all behaviors and outcomes are recorded there and automatically trigger token rewards, creating an immediate feedback loop encouraging positive behavior.
2. Can you give us an estimation of how large the global health care industry is at its current state? What is the prediction for future growth in the sector especially globalization?
The global home healthcare market is growing fast, with a compound annual growth rate (CAGR) of 8%, and will exceed 517 billion USD by 2025. A growing geriatric population and the rapid rise of conditions requiring long-term care are driving this growth. We here at WELL hope the adoption of emerging technologies such as telehealth can alleviate the financial burdens this growth places on the market.
3. What are some of the major issues currently facing the Health care industry? How is WELL solving these issues?
Problem: Access to medical services – either very expensive or physically inaccessible
Solution: WELL clients receive access to healthcare service 24/7, 3645 days a year, wherever they are. WELL’s services transcend boundaries because of its developed global network of doctors (therapists, psychologists, surgeons, etc.) who speak many common world languages. WELL aggregates and develops medical professionals in regions with high medical demands.
Problem: Cross-border payment for healthcare services
Solution: By using WELL tokens, WELL allows users to send and receive payment in minutes, eliminating risk of non-payment and costing a tiny fraction of the total.
Problem: Insurance verification and payment or denial
Solution: WELL blockchain will facilitate immediate fund transfer into escrow accounts. All constituents can manage escrow accounts through smart contracts, immutably releasing payments upon completion and approval of milestones such as visits, paperwork completion, invoicing, etc.
Problem: Access to highest quality care and medical opinion
Solution: WELL removes these barriers by connecting patients in any country to healthcare specialists in any country via global telemedicine and local concierge service.
Problem: Recordkeeping and security
Solution: The WELL recordkeeping app will allow for simplified electronic record creation and store this data on a decentralized anonymized network that is significantly harder to hack and leak.
Solution: We think that the way to build a simple yet reliable full stack platform in healthcare is through blockchain. The WELL system will eliminate points of potential breakdown. WELL smart contracts will (a) ensure that transitions occur smoothly and (b) keep immutable records of actions taken by all constituents.
Solution: WELL requires proof-of-work, time/location stamping of actual care, and undisputed hash records of all steps of a given patient’s service, from referral to billing. This documentation eliminates fraud as well as Stark and Anti-Kickback Law violations and abuses.
4. Health care needs face to face talking/medical diagnosis with Machines, how can this achieved by remoting?
While we recognize there are certain aspects of healthcare that need to be done in person such as surgery and other procedures, there are many aspects of healthcare that can be efficiently remotely. The key features and capabilities of the platform include remote monitoring, connectivity with patient devices, video and conference capabilities, and integrations with various records systems.
Remote monitoring and management (RMM) is the process of supervising and controlling IT systems (such as network devices, desktops, servers, and mobile devices) with locally installed agents and a management service provider. Telemonitoring programs are intended to reduce hospital readmissions and decrease return-to-acuity (RTA) times by keeping providers and patients connected to the timely information needed to ensure safety and quality of care.
Telemonitoring technologies used in the home include web-based applications, videophones, messaging devices, devices that record and transmit vital sign data, and telephone calls, including interactive voice response.
Time is a key factor in medical service. WELL sets the stage for patients and clinicians to stay on the same page with medical devices for patients to use or wear for real-time healthcare management. These devices will help track the patient’s condition.
Secured Video Consultations
Doctors have begun adopting real-time telehealth solutions to give patients the added convenience of virtual doctor visits. Physicians can answer questions, assess conditions, e-prescribe, and even provide detailed discharge instructions to improve care outcomes, boost work-life balance, and reap many other benefits.
Electronic Health or Medical Records Systems (EMR/EHR) Integration
The patient and the physician have 24-hour access to personal health records with direct integration using existing EMR/EHR based on the Fast Healthcare Interoperability Resources standard (HL7/ FHIR). This integration also gives access to labs, prescriptions, video discharge notes, radiology files, open notes, and more.
5. How do Clinic/Doctor and Patients interact within the platform? Can you take us through a specific user case?
Let’s take someone from Romania, let’s call him Alex. Alex stars feeling ill and develops a rash on his arm. Alex lives a bit too far from a major city to make the trip to the hospital unless it’s absolutely necessary, but lucky for him he purchased some WELL tokens during the ICO using BTC that he has been amassing for quite some time. He signs on to the WELL platform and schedules an appointment with a specialist from California.
When his appointment time comes, he is able to video conference with the doctor and through the use of a Romanian interpreter (included in the cost), and the use of some telehealth devices the doctor is able to take his temperature and monitor his heart rate to narrow down what is wrong with him. He concludes that he needs to get on an antibiotic and prescribes him to go to his local pharmacy and get a certain drug (and gives the Romanian name for it). Alex is able to take the pill and starts feeling better.
That’s not the end of the story. Because Alex purchased the visit through the WELL network, he also donated a visit to someone in need through WELL’s “Buy a Visit, Give a Visit” social mission program. Now someone in the world who doesn’t have the means to pay for a visit on the WELL network will receive one free of charge through one of WELL’s nonprofit partners. Alex was able to “do good by doing WELL.”
6. How can traditional insurance company participate in this project?
Insurance companies can participate in the WELL project a few different ways. The first way is by purchasing tokens and letting their customers purchase them for travel outside of the United States (if that is where they are based) to cut costs on the traditional out-of-country coverage plans that are more expensive.
They could also give them out as incentives to customer as part of their marketing plan or as part of a customer appreciation program for doing things like making consecutive on-time payments for a certain amount of time or referring someone to become a customer.
Finally, insurance companies can use WELL tokens that they purchase to access de-identified health data from patients from WELL. This data would be data that had been volunteered by WELL customers and patients in return for discounts and extra tokens.