3. The Health Insurance Portability and
Accountability Act (HIPPA)
• Established in 1996
• Requires internal and external safeguards for
patients and providers
• Established laws to protect patients private
health information
• Held healthcare providers accountable for
misuse of patient information
• Covers all patient care entities
4. HIPPA Entities
• Title I
– Health Care Access,
Portability and
Renewability
• Title II
– Preventing Health Care
Fraud and Abuse
Administrative
Simplification, medical
Liability Reform
• Title III
– Tax- Related Health
Provisions
• Title IV
– Application and
Enforcement of Group
Health Plan Requirements
• Title V
– Revenue Offsets
5.
6. HIPPA Benefits
• HIPPA was an innovative approach to healthcare
that greatly benefited patients.
• HIPPA required providers to protect their patients
information and held them accountable if
inappropriate information was released without
approval.
• The implementation of the Affordable Care Act
helped to further advance HIPPA.
• HIPPA enabled healthcare consistency, healthcare
availability, healthcare privacy and patient
information laws.
7. HIPPA Moving Forward
• The changes implemented by HIPPA changed
the standards of healthcare and minimum
requirements for information protection.
• Health Information Technology has further
expanded on HIPPA baseline requirements by
innovating organizational systems and
improving provider access to patient
information.
8. Reference
• Kongstvedt, P. R. (2012). Essentials of
managed health care (6th ed.).Sudbury, MA:
Jones and Bartlett Publishers.
• LSSC eLearning. (14 June, 2012). Legal and
Ethical Issues in nursing.[Video file]. Retrieved
from https://youtu.be/zjzfPARpI4Q
Editor's Notes
Annual Training Slides
Patient issues with privacy
Background on HIPPA
Title I
-Sets the standards for health insurance policies
-No preexisting conditions allowed
-No patient health status will be permitted to determine coverage or cost
-Patients will have the right to coverage and to renew coverage
-MCO’s must provide special enrollments to suit unplanned life events
Title II
-Patients information shall be protected
-Electronic transmittal protections shall be in place
-Covered entities shall abide by the standards of the MCO