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Are Insurers Weaponizing HIPAA Privacy Rules?
Craig Gottwals in BenefitsPro; registration may be required Link to more items from this source
[Opinion]
Apr. 20, 2023

"The [HIPAA] Privacy Rule was designed to protect individuals' medical records and other personal health information. However, the latest practices by health insurance carriers raise serious concerns about how they circumvent these rules to maximize premiums.... Using third-party databases, risk adjustment models like the DCG, and other analytical tools by insurance carriers to inflate their underwriting decisions exploits a nefarious loophole that violates the spirit of HIPAA.... Contrast this unsavory practice to how those same carriers hide behind HIPAA privacy to shield a client's claim data while asking for the latest 12% increase."  MORE >>

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