Family Insurance Case Study

Thursday, October 7, 2021 6:39:10 AM

Family Insurance Case Study



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To prevent that, the federal government stepped in. But why was AIG saved by the government while other companies affected by the credit crunch weren't? Simply put, AIG was considered too big to fail. A huge number of mutual funds, pension funds, and hedge funds invested in AIG or were insured by it, or both. For example, media reports indicated that Goldman Sachs Group, Inc. Money market funds, generally seen as safe investments for the individual investor, were also at risk since many had invested in AIG bonds. If AIG went down, it would send shockwaves through the already shaky money markets as millions lost money in investments that were supposed to be safe.

However, customers of AIG's traditional business weren't at much risk. While the financial products section of the company was close to collapse, the much smaller retail insurance arm was still very much in business. In any case, each state has a regulatory agency that oversees insurance operations, and state governments have a guarantee clause that reimburses policyholders in cases of insolvency. While policyholders were not in harm's way, others were. And those investors, who ranged from individuals who had tucked their money away in a safe money market fund to giant hedge funds and pension funds with billions at stake, desperately needed someone to intervene. While AIG hung on by a thread, negotiations took place among company executives and federal officials.

Once it was determined that the company was too vital to the global economy to be allowed to collapse, a deal was struck to save the company. Later, the terms of the deal were reworked and the debt grew. AIG's bailout did not come without controversy. Some questioned whether it was appropriate for the government to use taxpayer money to purchase a struggling insurance company. The use of public funds to pay out bonuses to AIG's officials in particular caused outrage. However, others noted that the bailout actually benefited taxpayers in the end due to the interest paid on the loans.

Top Stocks. International Markets. To distract myself, I drew a spaghetti diagram in my head tracing the path of each person. I then mentally rearranged the process steps for a more logical work flow. Although the room had a white board, the staff failed to keep it up-to-date. The medical team seemed unaware of the time gap, while I felt every second of the delayed dosage. After arriving home, my family and I created a safe, efficient environment. We OK, my husband and son straightened, sorted, standardized, shined and sustained a downstairs location where I spent most of my three week at home recovery time.

This made our lives much easier, because everything was close at hand and replenished as needed, in a clean, uncluttered environment. In working with my physical therapist, I have focused on consistent strengthening and range-of- motion exercises. As a result, I have seen incremental improvements during the last few weeks, closing the gap between where I was and where I need to be. A chain pharmacy disclosed protected health information to municipal law enforcement officials in a manner that did not conform to the provisions of the Privacy Rule. Among other corrective actions to resolve the specific issues in the case, OCR required this chain to revise its national policy regarding law enforcement's access to patient protected health information to comply with the Privacy Rule requirements, including that disclosures of protected health information to law enforcement only be made in response to written requests from law enforcement officials, unless state law requires otherwise.

The revised policy was implemented in the chains' stores nationwide. A municipal social service agency disclosed protected health information while processing Medicaid applications by sending consolidated data to computer vendors that were not business associates. Among other corrective actions to resolve the specific issues in the case, OCR required that the social service agency develop procedures for properly disclosing protected health information only to its valid business associates and to train its staff on the new processes.

The new procedures were instituted in Medicaid offices and independent health care programs under the jurisdiction of the municipal social service agency. A national health maintenance organization sent explanation of benefits EOB by mail to a complainant's unauthorized family member. OCR's investigation determined that a flaw in the health plan's computer system put the protected health information of approximately 2, families at risk of disclosure in violation of the Rule. Among the corrective actions required to resolve this case, OCR required the insurer to correct the flaw in its computer system, review all transactions for a six month period and correct all corrupted patient information.

A state health sciences center disclosed protected health information to a complainant's employer without authorization. Among other corrective actions to resolve the specific issues in the case, including mitigation of harm to the complainant, OCR required the Center to revise its procedures regarding patient authorization prior to release of protected health information to an employer.

All staff was trained on the revised procedures. A pharmacy employee placed a customer's insurance card in another customer's prescription bag. The pharmacy did not consider the customer's insurance card to be protected health information PHI. OCR clarified that an individual's health insurance card meets the statutory definition of PHI and, as such, needs to be safeguarded. Among other corrective actions to resolve the specific issues in the case, the pharmacy revised its policies regarding PHI and retrained its staff. The revised policies are applicable to all individual stores in the pharmacy chain.

An employee of a major health insurer impermissibly disclosed the protected health information of one of its members without following the insurer's authorization and verification procedures. Among other corrective actions to resolve the specific issues in the case, OCR required the health insurer to train its staff on the applicable policies and procedures and to mitigate the harm to the individual. In addition, the employee who made the disclosure was counseled and given a written warning. A private practice failed to honor an individual's request for a complete copy of her minor son's medical record.

OCR's investigation determined that the private practice had relied on state regulations that permit a covered entity to provide a summary of the record. OCR provided technical assistance to the covered entity, explaining that the Privacy Rule permits a covered entity to provide a summary of patient records rather than the full record only if the requesting individual agrees in advance to such a summary or explanation.

Among other corrective actions to resolve the specific issues in the case, OCR required the covered entity to revise its policy. In addition, the covered entity forwarded the complainant a complete copy of the medical record. At the direction of an insurance company that had requested an independent medical exam of an individual, a private medical practice denied the individual a copy of the medical records.

OCR determined that the private practice denied the individual access to records to which she was entitled by the Privacy Rule. Among other corrective actions to resolve the specific issues in the case, OCR required that the private practice revise its policies and procedures regarding access requests to reflect the individual's right of access regardless of payment source.

A public hospital, in response to a subpoena not accompanied by a court order , impermissibly disclosed the protected health information PHI of one of its patients. Among other corrective actions to remedy this situation, OCR required that the hospital revise its subpoena processing procedures. Under the revised process, if a subpoena is received that does not meet the requirements of the Privacy Rule, the information is not disclosed; instead, the hospital contacts the party seeking the subpoena and the requirements of the Privacy Rule are explained. The hospital also trained relevant staff members on the new procedures. An outpatient surgical facility disclosed a patient's protected health information PHI to a research entity for recruitment purposes without the patient's authorization or an Institutional Review Board IRB or privacy-board-approved waiver of authorization.

The outpatient facility reportedly believed that such disclosures were permitted by the Privacy Rule. OCR provided technical assistance to the covered entity regarding the requirement that covered entities seeking to disclose PHI for research recruitment purposes must obtain either a valid patient authorization or an Institutional Review Board IRB or privacy-board-approved alteration to or waiver of authorization. Among other corrective actions to resolve the specific issues in the case, OCR required the outpatient facility to: revise its written policies and procedures regarding disclosures of PHI for research recruitment purposes to require valid written authorizations; retrain its entire staff on the new policies and procedures; log the disclosure of the patient's PHI for accounting purposes; and send the patient a letter apologizing for the impermissible disclosure.

A hospital employee's supervisor accessed, examined, and disclosed an employee's medical record. OCR's investigation confirmed that the use and disclosure of protected health information by the supervisor was not authorized by the employee and was not otherwise permitted by the Privacy Rule. An employee's medical record is protected by the Privacy Rule, even though employment records held by a covered entity in its role as employer are not. Among other corrective actions to resolve the specific issues in the case, a letter of reprimand was placed in the supervisor's personnel file and the supervisor received additional training about the Privacy Rule.

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