Operational Risks and Financial Impact of the Health Insurance Portability and Accountability Act: Privacy, Security, and Health Information Technology for Economic and Clinical Health Act Implications

2015 ◽  
pp. 489-512
Keyword(s):  
Information Technology ◽  
Health Insurance ◽  
Health Information Technology ◽  
Health Information ◽  
Financial Impact ◽  
Operational Risks ◽  
Health Insurance Portability

scholarly journals Designing Health Information Technology Tools to Prevent Gaps in Public Health Insurance

2017 ◽  
Vol 24 (2) ◽  
pp. 196 ◽  
Author(s):  
Jennifer D Hall ◽  
Rose L Harding ◽  
Jennifer E DeVoe ◽  
Rachel Gold ◽  
Heather Angier ◽  
...  
Keyword(s):  
Public Health ◽  
Information Technology ◽  
Health Insurance ◽  
Health Information Technology ◽  
Health Information ◽  
Community Health Centers ◽  
Public Health Insurance ◽  
Theory Approach ◽  
Structured Interviews ◽  
Shared Information

Background: Changes in health insurance policies have increased coverage opportunities, but enrollees are required to annually reapply for benefits which, if not managed appropriately, can lead to insurance gaps. Electronic health records (EHRs) can automate processes for assisting patients with health insurance enrollment and re-enrollment.Objective: We describe community health centers' (CHC) workflow, documentation, and tracking needs for assisting families with insurance application processes, and the health information technology (IT) tool components that were developed to meet those needs.Method: We conducted a qualitative study using semi-structured interviews and observation of clinic operations and insurance application assistance processes. Data were analyzed using a grounded theory approach. We diagramed workflows and shared information with a team of developers who built the EHR-based tools.Results: Four steps to the insurance assistance workflow were common among CHCs: 1) Identifying patients for public health insurance application assistance; 2) Completing and submitting the public health insurance application when clinic staff met with patients to collect requisite information and helped them apply for benefits; 3) Tracking public health insurance approval to monitor for decisions; and 4) assisting with annual health insurance reapplication. We developed EHR-based tools to support clinical staff with each of these steps.Conclusion: CHCs are uniquely positioned to help patients and families with public health insurance applications. CHCs have invested in staff to assist patients with insurance applications and help prevent coverage gaps. To best assist patients and to foster efficiency, EHR based insurance tools need comprehensive, timely, and accurate health insurance information.

Capitalizing on Health Information Technology to Enable Advantage in U.S. Hospitals

MIS Quarterly ◽  
2019 ◽  
Vol 43 (1) ◽  
pp. 113-140 ◽  
Author(s):  
Elena Karahanna ◽  
◽  
Adela Chen ◽  
Qianqian Ben Liu ◽  
Christina Serrano ◽  
...  
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information
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