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Federal guidelines like the HealthInsurance Portability and Accountability Act (HIPAA) outline the responsibility of healthcare providers when it comes to creating, analyzing, and distributing Protected Health Information (PHI). With this data, you can check a patient’s medical history or find out if they have life insurance.
On December 13, 2022, the Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule, titled Advancing Interoperability and Improving Prior Authorization Processes (“Proposed Rule”), to improve patient and provider access to health information and streamline processes related to prior authorizations for medical items and services.
UnitedHealth Group said it was unable to confirm whether data had been stolen until now as Change Healthcare’s systems were difficult to access and it was not safe to pull any data out of those systems directly. Key systems have now been restored but many Change Healthcare IT products and services remain offline.
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Julie Rovner is chief Washington correspondent and host of KHN’s weekly health policy news podcast, “What the Health?” ” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A to Z,” now in its third edition.
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