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How blockchain technology is transforming healthcare cybersecurity



Blockchain offers many cybersecurity benefits that address some of the endemic needs of the healthcare industry. These include consensus by consortium, individual record security, universal auditing and smart contracts.


One method of consensus that may work particularly well for healthcare entities is consortium. In this model, only a group of pre-defined trusted parties have access. This model could allow restricted access and limited permissions among groups of healthcare entities. 


The digital architecture of blockchain as a decentralized chain of blocks is an innate security benefit. Records are currently often held in one digital repository such that if the repository is compromised, thousands of patient records may be breached. With a blockchain of patient records, hacking of the encryption key to one patient's record can limit harm because the hacker would need to obtain the unique encryption key of each member to access identifiable information. Even if this were accomplished, the hacker would have to repeat the process for every patient. This helps prevent massive, multi-patient breaches.


An additional critical feature of blockchain technology is that every member of a blockchain generally can access and audit the entire ledger. This allows all interested parties to confirm and update the information contained in individual blocks.


Another significant benefit is that laws and regulations can be programmed into the blockchain as smart contracts. Smart contracts are logical rules programmed into the blockchain. They are self-executing contracts where the built-in agreement is enforced on all members. Smart contracts mimic traditional contracts and laws, and can be used to program in obligations and consequences. In this way, the requirements of specific data privacy and security laws, such as the Health Insurance Portability and Accountability Act of 1996 or the European Union General Data Protection Regulation, can be embedded in the blockchain.

Innovators are already experimenting with blockchain use cases in the healthcare context that demonstrate many of the blockchain security benefits. Researchers at the MIT Media Lab have developed a prototype system called MedRec, an open-source prototype that applies blockchain smart contracts to create a decentralized content-management system for healthcare data. The MedRec pilot program illustrated that the system disperses authorization data across participating entities, rather than creating a central target for attacks. 


MedRec is one example among many use cases demonstrating blockchain's ability to strengthen data security vulnerabilities in the healthcare industry.



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