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The Business of Health Care Report
Changes to the Health Insurance Portability and Accountability Act - August 2002


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Doug Hawthorne, President and CEO of Texas Health Resources I'm Doug Hawthorne, President and CEO of Texas Health Resources, with "The Business of Health Care Report" on News Radio 1080 KRLD. Today's topic is changes to the Health Insurance Portability and Accountability Act of 1996.

The Act, known as HIPAA for short, focuses on improving efficiency in health care delivery and protecting the confidentiality and security of health information. Hospitals, insurers, physicians and their business partners are impacted by these regulations, including employers providing health benefits for their employees.

Earlier this year, the Department of Health and Human Services modified one provision of the Act. The modification dropped a requirement that health care providers obtain written consent from patients before using or disclosing medical information for treatment, the payment of claims or any of a long list of (quote) "health care operations." Examples of health care operations include setting insurance premiums and measuring the competence of doctors. Health and Human Services' Secretary Tommy Thompson said the process of obtaining consent could have "serious unintended consequences" that could delay treatment and wanted to alter this provision.

Under the rules, health care providers would still have to notify patients of their rights and the providers' disclosure policies. Patients would be asked to acknowledge in writing that they had received such notice, but could receive care without the acknowledgment.

The task of bringing organizations into compliance with HIPAA is daunting with costs for staff training and documentation, resources and information systems investment expected to exceed Y2K preparation.

Deadlines for compliance are phased-in over several years. While deadlines remain relatively constant, the federal government continues to change the regulations. The first deadline was October 2002 for complying with the regulations governing electronic claims submission, although a one-year extension is an option. The deadline for complying with privacy regulations is April 14, 2003.

The changes announced by Secretary Thompson have sparked heated debate among various stakeholder groups, and more is certain to take place as HIPAA continues to unfold.

For Texas Health Resources and its family of hospitals - Harris Methodist Hospitals, Presbyterian Healthcare System and Arlington Memorial Hospital - I'm CEO Doug Hawthorne with "The Business of Health Care Report" on NewsRadio 1080 KRLD.

Doug Hawthorne

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