Abstract
The integration of blockchain into 6G-enabled Internet of Medical Things (IoMT) networks promises secure and decentralized communication but introduces challenges related to energy efficiency, latency, and authentication overhead. Existing clustering and security schemes fail to balance these aspects effectively in heterogeneous networks. This paper proposes a novel energy-aware cluster head (CH) selection framework using Artificial Democratic Cuckoo Glowworm Remora Optimization (ADCGRO), integrated with a lightweight blockchain layer for secure authentication and data integrity. The system optimizes task allocation across advanced, intermediate, and normal IoMT devices to minimize energy depletion while meeting ultra-reliable low-latency communication (URLLC) requirements. Simulation results demonstrate that the proposed approach enhances network lifetime by 27%, reduces average latency by 35%, and achieves 99% authentication accuracy, surpassing baseline protocols such as LEACH and HEED. These results highlight the effectiveness of combining ADCGRO-based optimization with blockchain to enhance performance and security in 6G wireless networks.