Preview

The Pros And Cons Of HIPAA

Good Essays
Open Document
Open Document
1757 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
The Pros And Cons Of HIPAA
HIPAA, or the Health Insurance Portability and Accountability Act, was created in order to help those people who are in between jobs maintain the ability to have good healthcare. The act also helped keep health information secure and private while also handling personal information with impudence. HIPAA was first introduced in the late 90s and during the early 2000s it was finally fully enacted. The act ensured a person did not have to pay an exorbeiant fee to keep their care if they needed to change insurance carriers upon no longer being employed at one company or switching to another.

Before the act came to fruition, people who left their jobs experienced hardships in getting health insurance these hardships included paying ridcolusly
…show more content…
Some unfortunate souls were actually forced to stop treatment for their dieases or current malday before HIPAA was made law. It made the insurance transfrable so you can keep it if you choose upon leaving your current employer. This option was made affordable and people have more choices and as to how they want to maintain their coverage if they don’t want to change it. HIPAA also sees how personal information is shared between health care and insurance. This includes medications taken, health concerns, treatments completed, and other significant …show more content…
Group health plans can choose not to provide benefits relating to any existing conditions up to a total period of 12 months after a person enrolls in the plan or 18 months if they register late . Title I also lets individuals reduce the exclusion period by the total time that they had "viable coverage" before enrolling in the new plan and after any lapses in coverage. "Viable coverage" is interpted quite broadly and includes all types of both group and individual health plans as well as Medicare, and Medicaid. A "lapse" in coverage is any 63 day period without any valid coverage. Title I also obligates insurers to issue policies without any omissions to those indivuduals or familes leaving their current group health plans with valid coverage spanning more than 18 months, as well as renew individual policies for as long as they are offered or give other options for any discontinued plans for as long as the insurance company stays in the market without any omission regardless of any health condition.

However there are some health care plans excluded from those requirements various long-term health plans and as well limited-scope plans such as dental and vision plans that are offered separate from a general health insurance plan. However, if those benefits are included in the standard health plan, then said policies still apply

You May Also Find These Documents Helpful

  • Powerful Essays

    Medicare Overview

    • 1393 Words
    • 6 Pages

    change insurance providers in 3 or 4 years, then those providers have the right to ask qualifying…

    • 1393 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    We have gone over our books and looked at our labor growth over the last 6-7 years. Here is a summary of our situation. All numbers are based on billed services only. Costs of goods sold are NOT included in any of the numbers. Our average growth per year over the last 6-7 years is 48.62%. If we take out our best and worst years for growth then our average is 31.62% each year. We are currently on pace to easily hit $126,703.79 in labor for 2016. Our labor increased by 34.84% from 2015 to 2016. We just added two managed service clients this month. Now we have 20 managed services clients that add up to $120,720.96 per year. As you know this is the most valuable part of our business.…

    • 699 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Hipaa Case Study

    • 387 Words
    • 2 Pages

    This research is being submitted on November 18, 2012 for Lashonda Crockett H340/HSA3422 Section 03 Regulation and Compliance in Health Care.…

    • 387 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    The Health Insurance Portability and Accountability Act (HIPAA), became law in 1996. It requires health care providers, insurance companies and others involved in health care transactions to provide security on any system containing personal health information, store and transmit that information according to standardized rules, and place an automatic audit on files to help keep track of who should have access to them and whether those access rules have been violated. HIPAA complaints and violations that aren't fixed quickly are subject to a fine of between $100 per incident or a maximum of $25,000 per year for violation of a specific rule.…

    • 783 Words
    • 4 Pages
    Good Essays
  • Good Essays

    HIPAA was initially enacted to protect workers in the United States from being denied health insurance coverage when they changed jobs. HIPAA Privacy Rule was made to protect patients’ rights by ensuring the privacy of patients’ health information. Under the HIPAA Privacy Rule, the healthcare organization must: Have in place privacy policies and procedures that are appropriate for it healthcare services; Notify patients of their privacy rights and how their private health information can be used or disclosed; Train all employees so that they understand the privacy policies and procedures; Appoint a privacy official who is responsible for ensuring that the privacy…

    • 369 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Employer-sponsored health plans buy medical insurance from insurance companies to give to their employees as benefits. The human resource department negotiates with insurance companies and selects a group health plan (GHP) to give to their employees as a basic plan. The employees can then purchase riders, or options such as dental or vision insurance, to add to their basic plan. Employers can also use a different network of providers for certain types of medical care for their employees. During open enrollment periods, which is a specified period usually offered once per year, employees can customize their insurance coverage to their families' insurance needs.…

    • 307 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Prior to the ACA there were numerous issues regarding health care in the Unites States. One of those issues was adverse selection. Adverse selection is an issue that has been prevalent to insurance of all kinds, especially health insurance. Adverse selection occurs when sellers have information that buyers don’t or vice versa. In the health insurance field it occurs when people make insurance purchase decisions based off their knowledge of their insurability or the likelihood they will make a claim. This can happen in a variety of ways. For example, the applicant might have information about the risk that is not known to the insurer, or the insurer might have access to the information but be unable to incorporate it fully into the price of coverage, due to factors such as antidiscrimination laws or the limitations of the insurer’s rating system. In order to fight adverse selection, insurance companies try to reduce exposure to large…

    • 1518 Words
    • 5 Pages
    Powerful Essays
  • Satisfactory Essays

    Over the years since the inception of HIPAA, it is hard not to notice the influence it brought on to the patients, the healthcare industry, the health information management and technology, and other entities in securing the confidentiality, security, and privacy of PHI. In addition, the HITECH Act and its HIPAA modification released in January 2013 greatly invigorated the HIPAA of 1996 (Solove, 2013). Definitely, the most important health care changes over the past couple of decades is the growing interest in health information privacy and security (Solove, 2013).…

    • 90 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    HIPAA is the Health Insurance Portability and Accountability Act 1996, which was originally proposed to assure health insurance coverage after leaving a job. Congress felt the need to add a section to the bill in order to save money; therefore, the Administration Simplification section was included in the bill. The health care industry was in agreeance with the ideas of Congress because standard record formats, code sets, and identifiers in standardized electronic transactions were required. The official bill was passed August 21, 1996. There are two main focuses of HIPAA, which are the privacy and security of the patient’s health information and the covered entities. Being that Congress didn’t provide legislation defining the privacy and security…

    • 595 Words
    • 3 Pages
    Good Essays
  • Good Essays

    abma630 week 9

    • 799 Words
    • 3 Pages

    This is important legal issue that is important to me and many colleagues as current or future employees because it will effect our health insurance coverage plans, cost, and decreases chances to disclosure of personal information without any consent. It will allow us to get help coverage, lower chances of losing existing health care coverage, and help us buy individual insurance. The biggest problem is pre-existing condition if find out by companies may discriminate by denying coverage or extra charges may apply. There are chances that HIPPA may carry our chances of losing existing coverage, all higher chances to buying individual coverage. It will also play a big role when applying for new jobs and future employees because organization may not…

    • 799 Words
    • 3 Pages
    Good Essays
  • Good Essays

    The Supreme Court ruled on June 28, 2012 that the Patient Protection and Affordable Care Act of 2010 also known as the ObamaCare Act is to be upheld, even the controversial parts, where people without health insurance will have to pay a fine starting in 2014. The ObamaCare Act was started to “help reduce overall health care costs by making services available to 32 million who currently cannot get health insurance”(useconomy.about.com, part of the New York Times Company Amadeo, 2012). The Act will make it so insurance companies cannot disqualify a person from receiving health insurance because of a pre-existing condition, and will also make sure that insurance companies do not drop someone because they are sick. Large companies with more than 50 employees will have to offer health insurance, but they will receive tax credits. “The Act will lower the budget deficit by $143 billion over the next ten year by raising some taxes and shifting more cost burdens”( Source: CBO CBO Report on Health Care Reform and the Budget; Wall Street Journal, What Health Insurance Ruling Means, June 28, 2012; NPR, Medicaid Expansion, June 27, 2012, useconomy.about.com, part of the New York Times Company Amadeo, 2012). Starting on January 1 2014 everyone in the United States is supposed to have health insurance. The hope is that if everyone has health insurance, the healthy people are going to equal out the unhealthy people and so insurance should not be too high of cost, or too expensive, but people are afraid that is not what is going to happen. If a person does not qualify for Medicaid or does not purchase health insurance by January 1, 2014 they will have to pay $95 (or 1% of their income whichever is higher), in 2015 people without insurance will have to pay a penalty of $325 (or 2% of income) and in 2016 they will pay $695 (or 2.5% of income). About 4 million people will end up paying the penalty instead of purchasing health…

    • 774 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    There are a sum of factors that determines whether or not if a patient is eligible for health care benefits such as premiums not being paid accordingly, employment changes, and sudden changes with the health coverage. There may also come a time when the insured patient's insurance doesn't cover the cost of a planned service. In the matter of this event happening the patient will be informed that their insurance payer will not be covering the cost of the planned services, and that they will personally be responsible. Sometimes the insurance provider will require the health provider to inform the patient of this matter through a written form that must be signed by the patient to verify their understanding that they are responsible for the cost when their insurance isn't required to pay. The patient should always be aware of the services that are eligible to receive through their insurance so that there isn't confusion when it comes to paying for the services received. The health provider will determine what the insurance payer is entitled to pay, and then they will bill…

    • 386 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Hipaa

    • 501 Words
    • 3 Pages

    HIPAA came into place “to improve the efficiency and effectiveness of the health care system, the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, included Administrative Simplification provisions that required HHS to adopt national standards for electronic health care transactions and code sets, unique health identifiers, and security.” (U.S. Department of Health & Human Services) Then after getting all the policy and procedures into place it became effective in February of 2003. The HIPAA policies help to protect all parties in the medical field including the patients and physicians.…

    • 501 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    Affordable Care Act essay

    • 1946 Words
    • 8 Pages

    As of September 23, 2012 or soon after, health insurance issuers and group health plans are required to provide you with an easy to understand summary about a health plan’s benefits and coverage. The new regulation is designed to help you better understand and evaluate your health insurance choices. The new forms include: A short plain language Summary of Benefits and Coverage, or SBC. A uniform of terms commonly used in health insurance coverage, such as deductible and copayment. All insurance companies and group health plans must use the same standard SBC form to help you compare health plans. The SBC form also includes details, called coverage examples which are comparison tools that allow you to see what the plan would generally cover in two common medical situations. You have the right to receive the SBC when shopping for or enrolling in coverage or if you request or if you request a copy from your issuer or group health plan. You may also request a copy of the glossary of terms from your health insurance company or group health plan. This provision applies to all health plans, whether you get coverage through your employer or purchase it yourself beginning September 23, 2012. All health plans must provide an SBC to shoppers and enrollees at important points in the enrollment process, such as upon application and at renewal. The coverage examples give a general sense of how a plan would cover the normal delivery of a baby, and services to help a person control type 2 diabetes. If you don’t…

    • 1946 Words
    • 8 Pages
    Good Essays
  • Better Essays

    Health Care Reform

    • 3505 Words
    • 15 Pages

    The Health Care Reform is making a huge economic impact as it has very important insinuations when it comes to the US economy. Hence it is important to understand what is going on with this topic. In “Health care reform stands: How it impacts your coverage” by Parija Kavilanz, it states that the Supreme Court supported the health care reform meaning that it is obligatory for people to purchase coverage by 2014 and if not they will have to be fined. Hence by 2014, this will affect uninsured persons because they will have to purchase coverage by either doing it personally, by their employer's offered health plans or by a health insurance exchange. If they decide not to purchase coverage then a tax penalty would apply, for example when 2014 arrives, if an individual has not purchased coverage than the penalty fee will be $285 per family or 1% of their revenue (they will have to pay the higher one). By 2016, the penalty fee will increase drastically to $2,085 per family or 2.5% of their revenue, paying the higher one. In the intervening time, the people that are insured will still benefit from the significant things that are offered by the law. This includes things such as full coverage for preventive care and for grownup dependents of up to 26 year of age. However, this is possible because of the personal greater expenditure.…

    • 3505 Words
    • 15 Pages
    Better Essays