InstitutefortheFutureAugust8,20161ABLOCKCHAINPROFILEFORMEDICAIDAPPLICANTSANDRECIPIENTSInstitutefortheFutureBlockchainFuturesLab1Authors:KathiVian,AlessandroVoto,andKatherineHaynes-SansteadSUMMARYOVERVIEWBlockchaintechnologyhasthepotentialtoaddressmanyoftheprivacy,security,andinteroperabilityproblemsthatplaguehealthITandindeedhealthresearch.Inthispaper,weintroduceaspecificblockchain-basedinnovation:thesmarthealthprofile.Thisprofileusessuchblockchaintoolsastokens,wallets,smartcontracts,andoracleservicesasafoundationforrethinkingthewaythatindividualhealthandfinancialinformationisaccessedandusedacrossawidevarietyofsystemsandapplications.Tointroducethesmartprofile,wefocusonasolutiontothespecificproblemofchurningintheMedicaidprogram—thatis,theconstantexitandreentryofbeneficiariesasaresultofeligibilitychanges.However,asasop