HIPAA, Regarding Government Health Insurance Policies , Formalities

1. HIPAA-Health
Insurance Portability
and Accountability Act
Mr.B.Brahmaiah
Assistant Professor
Department of Pharmaceutical Regulatory Affairs &
Pharmaceutics
Shri Vishnu College of Pharmacy, Bhimavaram

3. Objective
• An Act to improve the Internal portability and continuity of health
insurance coverage in the group and individual markets, to prevent
waste, fraud, and abuse in health insurance and health care delivery,
to promote the use of medical savings accounts, to improve access to
long-term care services and coverage, to simplify the administration
of health insurance, and for other purposes.
• HIPPA initiative was taken to regain the public trust in health care so
Health care institutions and providers have worked to make sharing
of medical information easier to help facilitate care and payment.

4. Areas under HIPAA
1. Insurance portability or the ability to move to another employer
and be certain that your insurance will not be denied
2. Fraud enforcement and accountability
3. Administrative simplification

5. Portability
Portability ensures that as people move from one health plan to
another they will have continuity of coverage and will not be denied
coverage under pre-existing clauses.
Accountability
In accordance with HIPAA, accountability means an increase in the
government’s fraud enforcement authority.

10. Protected Health Information (PHI)
• Protected Health Information (PHI) is a new term that will be used
with increasing frequency in facilities where you work. PHI includes
information by which the identity of a client can be determined with
reasonable accuracy and speed either directly or by reference to
other publicly available information. The patient now has the right to
direct when, why, and to whom PHI may be released. For instance, in
the past, aggregated patient information may have been collected
for research, quality improvement, or other purposes. Even though
the patient’s name would be omitted, the patient may still be
identifiable through specific data including date of procedure, type of
procedure, gender, or any number of other details. The new bill allows
patients much more control over PHI.

11. • PHI includes items in the record, such as:
• Encounter/visit documentation
• Lab results
• Appointment dates/times
• Invoices
• Radiology films and reports
• Histories and physicals, etc.

15. HIPAA and INDIA
• There is no act like HIPAA has been enacted in India due to lack of
intervention of IT and ITES in Indian health care industry.
• There is forum running in India to bring act like HIPAA in India
• The common people are not quite concerned with HIPAA in India but
there are lot of benefits which can be revealed by implementing
HIPAA to the booming Indian IT Industry and Health care services.
• Right now some clients hesitate to contract with Indian service
providers companies so this setback can be removed

16. THANKYOU