Remember when businesses all kept their own ledgers, which required updates as each new business transaction occurred? How about the added expenses that had to be paid to intermediaries adding margin for services? And what about the inefficiencies as each business in the network (supplier, buyer, seller) all recorded the same transactions in their individual ledgers? While many businesses and industries, including healthcare, still operate this way, an emerging technology has great potential to advance Healthcare IT across the economy and in the government, namely “Blockchain.”