How it works
One hub. Sealed envelopes. The patient at the center.
Smart Health Network is a switchboard that can’t listen in. Every transaction moves in a sealed envelope — encrypted at the source, routed by a hub that can’t read what’s inside, opened only by the party it’s meant for. The real work happens at the edges, in a Smart Gateway each participant runs (or has run on its behalf); the hub in the middle only routes and proves delivery. Nothing is pooled into a central store, and the patient sits at the center — able to see who asked, what was decided, and who accessed their information.
One connection, a growing set of transactions
Most networks are built for a single job. This one isn’t. Each thing the network can do is a transaction type — a defined capability with its own rules: who’s authorized to send it, what format it uses, what it requires. Prior authorization is first, because it’s the most urgent. The same single connection carries more over time — eligibility, claims status, and other administrative work — without a new integration each time. Connect once, reach everyone, for the whole set.
Free where it’s a public good, paid where the work is
Foundational capabilities — a patient’s access to their own information, eligibility, public-health reporting — are free at the network layer. The high-value administrative transactions that carry real cost and real savings — prior authorization, claims — carry a small, uniform utility fee, the same for every participant. Patients never pay. Surplus is reinvested, not extracted.
From sandbox to live
You start in a sandbox on synthetic data — the same Gateway, the same rules, no real patient information — and run the conformance checks until you’re ready. Connectathons (the first is July 13 in Delaware) are where you prove it live. When you’re conformant, the same setup carries straight into production. Going live is a deliberate step with its own agreement and credential — but there’s no rebuild between testing it and doing it.