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RE: <ADVOCACY> Why I Don't Like XML
From a medical insurance and practitioners perspective HIPAA has really been a
hippo in the liability aspect of doing business. Unfortunately for reasons I
think Rachel adequately specified the true cost in the government legislation
has cost Americans in the short term more in real dollars than in budgetary
dollars in the past. While the average US Citizen has had a cumulative 30%
increase in premiums over the last two years the level of coverage has fallen
over those same years. This has not been accounted for rationally in any shape
or form in the medical profession or the insurance profession. My guess is that
the true cost of HIPAA has been passed along to patients and consumers. This
comes from the government mandating electronic media while not totally mandating
its form.
Anyone who has worked with TPA's, Hospitals, Health Insurance Companies or
physician billing systems knows there are ten thousand ways to communicate a
270/271/835/837. This is a HUGE Problem and a true shortcoming of HIPAA. Can you
imagine filing your returns for taxes and being given estimated formats for
submitting your taxes. HIPAA should have mandated the format for the forms if
they were going to mandate electonic media. this would have had a lot of up
front cost but would have settled costs more rapidly than a vague standard.
just my2scents
John
Earl Wertheimer < wrote:
Rachel
> Au contraire re the economic benefits not being a consideration for the
> HIPAA legislation! The key portion of that HIPAA legislation is
> administrative simplification with the stated legislative purpose:
>
> "Subtitle F-Administrative Simplification
> SEC. 261. PURPOSE.
> It is the purpose of this subtitle to improve the Medicare program under
> title XVIII of the Social Security Act, the medicaid program under title XIX
of
> such Act, and the efficiency and effectiveness of the health care system, by
> encouraging the development of a health information system through the
> establishment of standards and requirements for the electronic transmission of
> certain health information."
>
> In my book, efficiency relates to cost reductions and process improvements.
> Doesn't that translate big time into economic benefits?
No. Not if the government is behind it. ;-)
I find it difficult to believe that a government mandated standard is actually
able to achieve it's stated goals.
Has HIPAA actually improved the Medicare program?
http://www.overlawyered.com/archives/000430.html
Private industry doesn't need laws to change their processes. They do what is
more efficient, automatically.
Earl Wertheimer
http://www.spe-edi.com
.
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