Question

What are the major provisions of the privacy rule in the Health Insurance Portability and Accountability Act of 1996?

Define and describe the components of the Obamacare legislation and how the law treats U.S. citizens of varying ages.

Answer 1

What are the major provisions of the privacy rule in the Health Insurance Portability and Accountability Act of 1996?

There are three major provisions of the privacy rule in the Health Insurance Portability and Accountability Act of 1996.They are as follows

• Portability
• Medicaid Integrity Program/Fraud and Abuse
• Administrative Simplification

Portability provisions in HIPAA rule aims to reduce number of unemployed individuals & self employed not having health insurance,by making them avail the health insurance. It also aims in preventing individuals from losing health care coverage due to a preexisting condition, like changing to a new employer’s health plan.

The Medicaid Integrity Program (MIP) guarantees that the Centers for Medicare & Medicaid Services has a funding source for protected health onformation and expands its authority to hire anti-fraud contractors.It also provides support and assistance in fighting against medicaid provider fraud and abuse.

Administrative Simplification Rules are administered and enforced by the Centers for Medicare & Medicaid Services, and include:

1. Transactions and Code Sets Standards
2. Employer Identifier Standard
3. National Provider Identifier Standard

(hhs.gov/hipaa/for-professionals)

Define and describe the components of the Obamacare legislation and how the law treats U.S. citizens of varying ages.

The Patient Protection and Affordable Care Act is also called obamacare.

The law requires nonprofit hospitals to engage in major community health planning. The law may leave nearly 25 million people without health insurance

(The Patient Protection and Affordable Care Act: Implications for Public Health Policy and Practice, ncbi.nlm.nih.gov)

• Health insurance coverage reforms:The Act improves existing forms of health insurance coverage and formulates a new, affordable health insurance market for individuals and families who do not have employer coverage or another form of “minimum essential coverage” such as Medicare or Medicaid.

• Improving health-care quality, efficiency, and accountability:Affordable Care Act helps in improving the health-care system for long-term changes in health-care quality and health informations transparent.Measure the quality of care and its necessity for reducing hospital admissions and readmissions

• Making primary health care more accessible to medically underserved populations:There is shortage of primary health care professionals leading to increased risk of health. So implementation of the health insurance coverage requirements, the Act invests in a major expansion of community health centers and the National Health Service Corps

• Improving the public's health and training health professionals:The Act provides for the development of a national prevention plan and the establishment of a Prevention and Public Health Trust Fund to finance community investments that will improve public health.Investments are made in school health centers, health care activities

• Long-term care: Provide medicacid options for persons needing long term care and also to their spouses.