1. Describe the term HIPAA. Health Insurance Portability and Accountability Act which is simply known as HIPPA was put into play in 1996 for health care fields and facilities. This act allows patients personal healthcare information to be protected from being used or shared with anyone unless the patient writes a hand consent saying otherwise. Each patient’s healthcare information is kept in medical records, billing records, and health insurance computer systems.…
Ethical dilemmas and professional challenges surround us on a daily basis, how we respond to them is crucial to our professional career. In 2005, the American Counseling Association (ACA) published a document titled the ACA Code of Ethics which was designed to aid counselors in the ethical decision making process and, in response, “expand the capacity of people to grow and develop” (Alexandria, 2014, p. 3). Counselors are obligated to follow these sets of guidelines on a daily basis, in and out of the workplace, and will be reprimanded for violating any given rule. Currently I am interning at East Coast Counseling here in Greenville, NC.…
Strengths State Farm insurance is a well-known insurance company that has been around for nearly a decade. Many insurances companies have a limited life and cannot adapt to the rapidly high demanded market within the financial service industry. For a company to last as long as State Farm and with as much success is the result of many strengths. State Farms services almost seem endless when it comes to what policy holders can insure. People enjoy having options when possible and that’s exactly what State Farm has to offer.…
So how does the Health Insurance Portability and Accountability Act address new technologies and free speech or not address new technologies and free speech? There was a case in which a health company, Adheris, wanted to seek an injunction to block provisions of the Health Insurance Portability and Accountability Act’s Omnibus Rule as the rule related to drug refill reminders. In the complaint, the company argued that drug adherence communications are free speech protected by the First Amendment and that the rule was unconstitutional on communications. Adheris thought that the rule was unfair in the way non-profit and government funded organizations are handled compared to for-profit organizations. “The regulation’s restrictions are plainly impermissible under the Supreme Court’s decision Sorrell v. IMS Health, Inc., 131 S. Ct. 2653 (2011).”…
The Affordable Care Act (ACA) extends on requirements in HIPAA that promote organizational simplification. These new specifications introduce new operating precepts for the HIPAA-named criteria, a standard for electronic funds transfer, and a national health plan identifier. The result is an article the goes into more detail about the continuing efforts in ACA to provide administrative simplification. In fact, in the year 2013 he U.S Department of Health & Human Services (HHS) recently adopted new rules that make modifications to existing privacy, safety and breach notification provisions in what is frequently pointed to as the final "HIPAA Omnibus Rule." These new rules originate from modifications made under the Health Information Technology for Economic and Clinical Health (HITECH)…
The provisions of Affordable Care Act (ACA), include waiver that provide republicans a loop hole to strip down the ACA and make the policy ineffective. It creates an alternative approach to expanding medical coverage by individual mandate or premium tax credits to health care plans. From a republican stand point section 1115 allows the sectary of health and human resources to waive major portions of the ACA. For example, the case of Burwell vs. Hobby Lobby, where the ACA made the mandate that a company of more than 50 employees should cover conceptive measure. Later, the Supreme Court of the United States (SCOTUS) ruled in favor in Hobby Lobby, can be used to remove provisions of the ACA to favor more concretive views of the republican party.…
Health Insurance Probability Act otherwise known as HIPAA was set in place in 1996 to make sure patient medical information is protected and safe. In today's world keeping medical information protected is extremely important especially that technology is ruling the world and people know how to access people personal information by hacking computer systems. Working in the human service or health field HIPAA and PHI should be taken seriously because working with clients we have to make sure that we protect their information no matter what. According to hhs.gov a major goal of the Privacy Rule is to assure that individuals’ health information is properly protected while allowing the flow of health information needed to provide and promote high-quality…
The Patient Protection and Affordable Care (PPACA) includes a vast provisions that take effect between 2010 and 2020 from changes to insurance standards. Some of the most significant reforms include the following. The ACA prohibits insurance carriers denying coverage to individuals regardless of pre-existing conditions and offer the same premium to all applicants of the same age regardless of the geographical location, gender and pre-existing conditions. In short, millions of Americans have benefited by receiving insurance coverage through the ACA. In addition, the ACA promote dependent coverage, which ensures young adults stay under their family insurance.…
Aha Insurance – What All Renters Need To Know About Insurance The Insurance Bureau of Canada has calculated that approximately 50% of Canadians who rent homes – apartments or houses – do not have insurance, but this does not mean that renters should not have insurance. On the contrary, it means that 50% of Canadians who rent houses or apartments are exposing themselves to unnecessary financial risks. What Should All Renters Know About Insurance?…
Affordable Care Act (ACA) The Affordable Care Act is one of the main focuses on healthcare right now. I do not agree with it. In areas such as Meridian, healthcare professionals are actually leaving because people from the population are going to other hospitals and clinics in bigger cities due to this Act.…
I agree with the author’s point of view that health insurance tends to change the purchasing decisions of consumers. Moral hazard occurs when a person’s behavior or state of mind is affected by the presence of insurance coverage, in a way that rises the risks of costs for the insurer because the insured person is no longer liable for the full costs. The insured consumers are likely to be careless and take greater risks, knowing that the claim will be covered by the insurer. I believe that the risk of moral hazard can be reduced by increasing the out-of-pocket costs of the insured through larger co-payments, co-insurance, high-deductibles, and other restrictions. This decreases their incentive to consume expensive and unnecessary healthcare.…
When it comes to insurance companies their main goal is correlate rates for policies as closely as possible with the actual cost of claims. The reason for this is because if the rate will be too high clients will move to other providers causing the company to lose market insurance or they will set the rates too low and cause them to lose money. So one tool that insurance companies use is credit scoring. The reason for this is because studies have shown that how a person manages their financial affairs will be a good prediction on their insurance claims. (Insurance Information Institute)…
The Affordable Care Act was a reform set by Barack Obama. This act was created in order to help individuals take care of themselves by improving the access to health care services. This act was meant to help reduce premium cost for many working families by being able to provide families with billions of dollars in tax relief. Another thing that the act reduces is the number of cash expenses that families used to have to pay from out of pocket expenses. The Affordable Care Act requires hospitals and medical facilities to give patients health care services with full coverage so that people will not have any out of pocket expenses.…
TRICARE in a Nutshell TRICARE is the United States Department of Defense (DOD) Military Healthcare System. TRICARE provides military personnel, both active and retired, along with their dependents, a civilian health benefits. The program also covers survivors and certain former spouses worldwide. Finally, in the same way active duty or retirees become eligible, certain reserve military members and their direct dependents become entitled on the service member 's 60th birthday (DHA 1). This paper will further discuss the company’s history, available insurance products, organization, number of enrollees, and financial breakdowns.…
In 2010, Obama signed the Affordable Care Act into law. The healthcare reform law was supposed to expand and improve access to care and curb spending through regulations and taxes. Its main focus was to extend healthy insurance to some of the estimated 15% of the population in the US who did not have it and improve the quality of health care. By regulating the health care industry, the law was aiming to reduce health care spending in the US. ObamaCare in theory is a great thing, but at the same time it creates financial ethical conflicts for physicians treating their patients under the new law because it creates an incentive for physicians to undertreat their patients.…