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Most frequently “HIPAA” comes to mind when health information privacy is discussed; however, the concept of patient confidentiality has been around for much longer. This article will briefly explore differences in meaning of privacy, security and confidentiality of health information. Selected examples of sources of law and guidelines will be offered with respect to these concepts. Challenges in balancing interests of individuals, healthcare providers and the public will be noted, as will the role of health information management professionals.
The landmark Supreme Court case Estelle v. Gamble addressed the medical treatment of US prisoners, affirming their Constitutional protection to sufficient health care. Over 40 years later, the practical application of this decision is still in question, as correctional health care often fails to meet the needs of inmates when administered by state facilities. And because alternatives, such as privatized health care, come with its own set of social and economic concerns, the lack of political pressure on this subject represents a gap in contemporary policy.
In Texas, a supplier of durable medical equipment was found guilty of five counts of healthcare fraud due to submission of false claims to Medicare. The court sentenced the supplier to 120 months of incarceration and restitution of $1.6 million. Raritan Bay Medical Center agreed to pay the government $7.5 million to settle allegations that it defrauded the Medicare program, purposely inflating charges for inpatient and outpatient care, artificially obtaining outlier payments from Medicare.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2804462/
This month's exchange of ideas regarding U.S. healthcare reform ranged far and wide. Some of us were interested primarily in the issue of cost escalation and how to contain it. Others addressed issues of quality. For still others, it was a matter of inequality of treatment. If this is a microcosm of current concerns and suggested solutions, does it bode well for the formation of a consensus, political or otherwise, leading to progress? But a number of respondents raised the question of whether the most feasible solution may lie primarily in the free market, with perhaps some help from government.
https://hbswk.hbs.edu/item/what-is-the-governments-role-in-u-s-healthcare
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