Lawsky he'll be working with the insurance industry in the coming weeks to craft a bill to close some of the loopholes, and require that insurance companies, doctors, and
other health care providers disclose to patients in advance when a provider may fall out of their insurance policy network.
Not exact matches
Except with the express consent of the person making the request, a
health insurer may not
disclose to the policyholder: (1) the address, telephone number, or any
other personally identifying information of the person who made the request or child for whose benefit a request was made; (2) the nature of the
health care services provided; or (3) the name or address of the
provider of the covered services.
The final rule permits a covered
health care provider providing emergency
health care in response to a medical emergency,
other than such emergency on the premises of the covered
health care provider, to
disclose protected
health information to a law enforcement official if such disclosure appears necessary to alert law enforcement to (1) the commission and nature of a crime, (2) the location of such crime or of the victim (s) of such crime, and (3) the identity, description, and location of the perpetrator of such crime.
With regard to the records described at 20 U.S.C. 1232g (a)(4)(b)(iv), we considered requiring
health care providers engaged in HIPAA transactions to comply with the privacy regulation up to the point these records were used or
disclosed for purposes
other than treatment.
(i) A covered
health care provider providing emergency
health care in response to a medical emergency,
other than such emergency on the premises of the covered
health care provider, may
disclose protected
health information to a law enforcement official if such disclosure appears necessary to alert law enforcement to:
The commenter believed that our proposal could seriously disrupt a family's ability to make funeral arrangements as hospitals, hospices, and
other health care providers would not be allowed to
disclose the time of death and
other similar information critical to funeral directors for funeral preparation.
Comment: A few commenters asserted that the requirement to include a statement in which the patient acknowledged that information used or
disclosed to any entity
other than a
health plan or
health care provider may no longer be protected by federal privacy law would be inconsistent with existing protections implemented by IRBs under the Common Rule.
Whereas the NPRM would have allowed
health care providers to
disclose an incapacitated patient's information to the facility's directory «at its discretion and consistent with good medical practice and any prior expressions of preference of which the covered entity [was] aware,» the final rule states that in these situations (and in
other emergency treatment circumstances), covered
health care providers must make the decision on whether to include the patient's information in the facility's directory in accordance with professional judgment as to the patient's best interest.
Others believed that no agreement by the individual was necessary unless sensitive medical information would be
disclosed or unless the
health care provider was aware of the individual's prior objection.