...Health Insurance Cost versus Privacy HRM/546 Human Resource Law Latisha Clark February 9, 2016 Mr. Phillip Quintana In the Midwest part of the state a name Computers by Design (CBD) a small computer system business. The owners of the business have noticed a continuous rise in health care insurance. After doing research, the owners have decided to hire employees that are less likely to make claims, healthy, fit and non-addicted (UPOX, 2016). Abigail along with the other owners have created a two- step program for employees that will include pre-employment screening and a program to assist them a worker to stop smoking and non-prescription drugs (UPOX, 2016). This paper will discuss the legal issues involved with pre-employment screenings. It will also cover the topics of unions, collective bargaining, and Employee Retirement Income Security Act. According to Bennett-Alexander & Hartman, the 14th Amendment states that employees are protected legally from unreasonable searches and seizures (Bennett-Alexander & Hartman, 2007). The owners of CBD need to check the state laws to understand the privacy laws that protect employees and clarify pre-employment screenings before completing a business plan. Computer by Design need to review the Americans with Disabilities Act concerning health information specifics decisions are governed but are restricted by Health Insurance Portability and Accountability Act (HIPAA, 2009). Employers cannot use the under the HIPPA law use...
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...claim there is a process that it must go through. According to Medical Insurance: Workers' Compensation and Disability, when an employee is injured on the job, the injury must be reported to the employer within a certain time period. Most states require notification in writing. Once notified, the employer must notify the State Workers' Compensation Office and the insurance carrier, also within a certain period of time (pg 408 Valerius, Bayes, Newby, Blockwiak). Employers pay for the insurance which supplies medical care coverage and cash compensation to those injured and unable to perform the job task due to a work related injury. With the workers' compensation laws all workers are covered and each individual that is connected has their own liability to guarantee the progression functions effortlessly and also proficiently. Responsibilities of the employers The employer is the first to receive the injury report and it has to be completed by the employer or by the physician in a timely manner which is considered under the state law. The time frame to complete a claim form does vary from state to state but it is normally between twenty-four hours up until about ten days. On the claim forms you have to provide the patients general information about them, information about the employer, and the injury to the employer or illness. Claim forms can be filled electronically or mailed directly to the insurance carriers. Being able to file the claim electronically depends on the...
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...PROPOSAL TOPIC: Information Security Considerations in Health Care IT Systems Information Security Considerations in Health Care IT Systems A combination of health statistics from various sources used to derive information about health status, health care, provision and use of services and health impact Informatics Hospital information system A system that provides information management features that hospitals need for daily business Features Pt tracking, billing and administrative programs; may include clinical features Security for the Healthcare IT systems is very important. Any other system or material attached with the healthcare is also very important. Healthcare includes patient information, doctors information any medical related information and different policies of different insurance companies. To compile all this information IT/IS is very helpful. Information system, which has all the information, relates to healthcare, it needs to have good security. Information security and privacy in healthcare sector is an issue of growing concern. Many Health maintenance organizations (HMO) are adopting digital patient records to make process easy. Government is also moving to accept electronic health records and trying to convince all HMOs for that too. Electronic health records make process easy but at same time without proper security this system will fail and it will create big problem. Privacy is the basic principle between patient- physician relationship...
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...Health Care Terms 1. Demographic Statistical data that relates to the population such as age, sex, race and particular groups. 2. Culture Characteristics and practices of an organization or group that share the same values, goals or attitudes. 3. Epidemiology The distribution of diseases in populations and of factors that influence the occurrence of diseases. 4. Managed Care Health Plans that work with health insurance and providers to help make health care costs lower. 5. Public Health Improves the health and well-being of people in local communities through education, healthy lifestyles and research for diseases and preventions. 6. Health Maintenance Organization (HMO) An Insurance plan that works as a contract for doctors, which has limited coverage for the patient to be taken care of with this plan. If there is an emergency it will cover, but if it’s out of network they generally won’t. In order to be eligible for an HMO you may have to work or live in that area where the HMO is recieved. (Take Care in your own hands, 2011). 7. Medicare This medical plan is for the people age 65 and over. Not all expenses are paid with this type of insurance, this program helps reduce the cost. 8. Medicaid This program helps with low income families and children to have health insurance coverage. 9. Health Insurance Portability and Accountability Act This protects the privacy of patients health information which...
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...Health Law and Regulations Daniel Sanchez Health Law and Ethics/545 August 19, 2013 Mary Cummings Introduction Over the past several decades America has witnessed overwhelming increases in health care cost and a diminishing quality of care. The involvement of government sets the expectations of enforcing laws and regulations on how health care is delivered in the United States of America. Healthcare legislation has been defining regulatory agencies for centuries. The primary existence of these government-regulated agencies is to ensure that laws and regulations are enforced. Access to quality and affordable healthcare is protected through government regulatory agencies. In addition to the escalating cost of healthcare and increasing society’s debt both positive and negative effects has transpired. The pros and cons of improving care and reducing the cost of healthcare has been the goal of regulatory agencies from the beginning. Controlling healthcare cost and delivering quality care is made possible through health care legislation. The following will discuss governmental regulatory agencies and its effects on the healthcare industry. Government Regulatory Agencies and Their Role Federal regulatory agencies are in place to govern issues that impact the people of the United States. These agencies have been in existence for hundreds of years. Situations that impact the American society are inclusive to things that have a direct personal affect on them individually...
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...Environment of Business September 14th, 2014 Copyright 2014 The Affordable Care Act The Affordable Care Act also called “Obamacare” which was signed by President Barack Obama in 2010. The Affordable Care Act is about the new health insurance, which aims to cover everyone in the United States. “Under the Affordable Care Act, the Federal government, State governments, insurers, employers, and individuals are given shared responsibility to reform and improve the availability, quality, and affordability of health insurance coverage in the United States.” (Reyes, 2013) This article concludes five specific provisions of the Affordable Care Act about improving the quality and efficiency of health care. After that, three regulations based on the Affordable Care Act will be discussed. Finally, the Constitutionality of the ACA will be discussed as it refers to two landmark cases. Five Provisions of the ACA There are many provisions in Affordable Care Act, and all the provisions I choose are from title III—improve the quality and efficiency of health care. In my opinion, the most important factors of health care are the quality and efficiency which are indispensable in the Affordable Care Act. My choices are about the data collection from the patient and privacy protection, the performance report, the treatment for cancer hospitals, prescription drug’s benefit and risk, and guarantee benefit for Medicare. Provision 1. SEC. 399II [42 U.S.C. 280-1]. Collection and Analysis of Date...
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...will probably be a hybrid of the six types (Bryson, 2004, pg. 271). The types of strategic management systems consist of the integrated units of management approach, the strategic issues management approach, the contract approach, the collaboration approach, the portfolio management approach, and the goals or benchmark approach. The proposed strategic plan for Northwell Health focuses on providing a seamless provision of health care to all patients. Northwell Health would benefit from using the goals or benchmark approach. It is designed to gain...
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...Health Services October 7, 2012 Week 5 Assignment Professor Oestmann Em-sheree Patterson HIPPA HIPAA The Health Insurance Portability and Accountability Act of 1996 (HIPAA) established new standards for the confidentiality, security, and transmissibility of health care information. There are three types of standards created by HIPAA: privacy, security and administrative simplification (e.g., transaction standards). Taken together, these regulations have a major impact on the day-to-day functioning of the nation's hospitals and affect virtually every department of every entity that provides or pays for health care. Researching the different topics available, I have chosen the HIPPA issue. I have chose this because it plays a major part in the health care industry. Nearly every time you hear healthcare the phrase/word HIPPA follows not long after. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) established new standards for the confidentiality, security, and transmissibility of health care information. HIPPA is in place to retain the privacy within the healthcare policies. HIPPA provides the ability to transfer and continue health insurance coverage for millions of American workers and their families when they change or lose their jobs, reduces health care fraud and abuse, and mandates industry-wide standards for health care information on electronic billing and other processes. Working in the healthcare industry allowed me to see that without the...
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...13.387 Authenticate Pdf 2014 Minnesota Statutes Resources * ------------------------------------------------- Search Minnesota Statutes * ------------------------------------------------- About Minnesota Statutes * ------------------------------------------------- 2014 Statutes New, Amended or Repealed * ------------------------------------------------- 2014 Statutes Topics (Index) ------------------------------------------------- Chapter 13 * ------------------------------------------------- Table of Sections * ------------------------------------------------- Full Chapter Text ------------------------------------------------- Section 13.386 * ------------------------------------------------- Version List ------------------------------------------------- Recent History * ------------------------------------------------- 2006 13.386 New 2006 c 253 s 1 * ------------------------------------------------- 2013 Subd. 3 Amended 2013 c 82 s 3 * ------------------------------------------------- 2012 Subd. 4 New 2012 c 292 art 4 s 1 13.386 TREATMENT OF GENETIC INFORMATION HELD BY GOVERNMENT ENTITIES AND OTHER PERSONS. § Subdivision 1.Definition. (a) "Genetic information" means information about an identifiable individual derived from the presence, absence, alteration, or mutation of a gene, or the presence or absence of a specific DNA or RNA marker, which has been obtained from an analysis of: (1) the individual's...
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...that staff in Administration may not have the same needs as staff members in Housekeeping. Healthcare organizations are regulated by different regulations that affect how patients are handled, paperwork is processes, and how chemicals are handled. Human Resources departments are responsible for how many of these regulations are addresses and followed. Failure to adhere to the many regulations placed upon healthcare organizations can result in costly fines and litigation. Some examples of regulations healthcare organizations are required to follow are Health Insurance Portability and Accountability Act of 1996 (HIPAA) (US Department of Health and Human Services, 2011) . HIPAA regulates how healthcare organizations protect the privacy of patients, access to medical records for patients and other healthcare organizations, and other aspects of insurance (US Department of Health and Human Services, 2011). Occupational Safety and Health Administration (OSHA) was enacted in 1970 (United States Department of Labor, 2011). OSHA regulates the work environment for staff members and is responsible for the management of safety issues relating to employees. These are just two examples of different regulations Human Resources are responsible for regulating and ensuring the organizations are following. In some organizations there are teams who have the sole responsabiity in creating policies within a healthcare organization that will help staff remain in...
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...In the United States (U.S.), Private Health Insurance is the primary source of healthcare system for most people. For elderly citizens and eligible children and families from low-income households, public programs are the main source of health cover. Public programs consist of Medicare, Medicaid, State Children Health Insurance Programs (SCHIP). In 2010, the Patient Protection and Affordable Care Act (ACA) carries out a mandate that every American must have health insurance, or pay a fine [1]. ACA, also known as ObamaCare, aims to reduce healthcare costs, and provide affordable healthcare for everyone. Accordingly, the health insurance coverage increases from 84% to 88.5% [2]. The ACA health insurance marketplaces, namely health insurance...
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...Healthcare Provider Websites Mich Kings Reading Area Community College HCM 311-70 Kenneth Bowman March 22, 2012 The new era of modern technology travelling at lightning speed, in just twenty-five years we’ve evolved from the days when a computer system took up an entire floor of an office building, to the evolution of the “smart” series – the iPad, iPhone, storing information in a “cloud,” etc. These new devices have made accessing technology all the more real, and instantaneous. While this may be a challenge for some, it’s heaven sent blessings for others. We’ve evolved from the pony express delivery system, to the instant messaging system. We’ve gone from landline home phone service, to utilizing wireless phone service. Without a doubt those who are hesitant to get on board, will be left behind. Technology has finally wormed its way into our healthcare system. The age of paper documentation, is rapidly dwindling, this is quite evident in large healthcare systems. Because of the expedient nature of accessing information, many companies, are now utilizing the internet as a means to tout their companies’ product and what they have to offer. Without a doubt healthcare is steadily becoming a full fledge business. As such, healthcare providers are now surging to the forefront, in an attempt to enable consumers become better advocates for themselves. Provider websites are now more user friendly. It’s to a company’s advantage to have a website that its consumer can navigate...
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...Discussion Questions #1 Health insurance has become an ongoing issue in America, in regards to accessibility, quality, and cost for Americans. Since the Affordable Care Act (ACA) was passed in 2010 some of the issues have been alleviated. For example, a decrease in the amount of uninsured Americans. The percentage of uninsured Americans has fallen from 16% to 11%, concluding that the 10 million Americans who had no insurance prior to 2013 are now insured. A primary goal of the ACA was to reduce drastically the number of uninsured. To achieve this goal the act allows children to stay under their parents’ insurance plan until age 26, requires employers of 50 or more employees, as well as uninsured Americans to receive coverage or risk paying a penalty, and most importantly make health insurance more affordable for Americans. Having active roles as the payer, regulator, and healthcare provider I believe that government has always played a significant role in the funding of the uninsured, but with no control of prices and quality of goods, market forces should continue to steer this dimension of healthcare. Each of the three levels of government owns and operates large numbers of healthcare institutions. (Jonas & Kovners, 2011). Providing funds for the uninsured falls under the job responsibility of the local government which they own and operate acute care hospitals and public health clinics. Medical treatment for the uninsured is often more expensive than for the insured, because...
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...HR Functions of Forbes Regional Hospital JoAnn Westerberg HSA320 January 31, 2013 Sherrie H. Lu, PhD HR Functions of Forbes Regional Hospital Since 1978, Forbes Regional Hospital has been the leading care provider in the eastern suburbs of Pittsburgh, offering comprehensive care so patients can receive their treatment in one place rather than being transported to a downtown hospital. Forbes Regional Hospital is a 350 bed facility which annually, has 50,000 emergency room visits, 12,000 surgeries, and 15,000 patient admissions. Forbes Regional Hospital offers the latest medical innovations and procedures so the patients can receive the best care in their own community. Based on the data collected, some of the possible challenges Forbes Regional Hospital can face are harassment, increase in pay, and labor unions. There is a credibility gap between Human Resources, Executive Management, and the other organizational departments. There are people in HR with a variety of background education and skill sets that are not necessarily specialized towards the field they currently hold. Individuals come into HR management with their past experiences as a psychologist or clerical supervisor to name a few. The previous experience they bring to the table normally sets the tone for their current outlook in HR. As a result of the changes to the Americans with Disabilities Act, persons with disabilities can expect to work in safe surroundings without being discriminated...
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...a medication history just to name a few more benefits that are available for those directly involved in the patient's care to view. According to the U. S. Department of Health and Human Services, “an electronic record of health-related information on an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within one health organization” (Agency for Health Care Research, 2013). There are challenges that include the possibility of security breaches and continued advancement of technology in the health care system itself. The solutions for these challenges include accountability for our own actions which include logging off of your computer before leaving your work station, never sharing your passwords, and never allowing a patient’s medical record to be in plain view for people that are not involved in the patient’s care, and keeping an open mind regarding staying current with technology. The standards in place for maintaining security is the Health Insurance Portability and Accountability Act of 1996(HIPPA), and also being accountable for signing confidentiality disclosures which if breached you would face punishment. According to the U.S. Department of Health and Human Services, “A major goal of the HIPPA Privacy Rule is to assure that the individuals’ health...
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