ERISA Wppda Case Studies

The Health Insurance Portability and Accountability Act (HIPAA) was established in 1996. This Act was put into place in order to improve the efficiency and effectiveness of the health care system. The HIPAA law includes a Privacy

33-41). Patients should be treated with the same medical procedure regardless of their ability to pay or not. On April 7, 1986, President Ronald Reagan signed COBRA into law, which is a part of the Social Security Act. COBRA maintains several rights to patients such as the extension of health care coverage after leaving one’s job (Moy, 2010, pp. 33-41). This ensures the patient will have health insurance even when they are between occupations. Within the 2,000 page legislation is the Medicare and Medicaid amendment section of COBRA where patient dumping, now known as EMTALA, is located (Moy, 2010, pp. 33-41).

Modification of the requirements for electronic health care helps to improve the effectiveness and efficiency. Health Insurance Portability and Accountability Act of 1996 (HIPAA), requires any provider who accepts payment from health plans to have written agreements to make sure the medical facility complies with their rules (Kongstvedt, 2013). In other words, it helps protect the patients by making coverage available to anyone who wants to be covered as long as the eligibility requirements are met. The ACA extended these guarantee availability requirements back in 2014.

The main page of the website is titled “Health Plans and Benefits.” This page defines a group health plan as “an employee welfare benefit plan established or maintained by an employer or by an employee organization (such as a union), or both, that provides medical care for participants or their dependents directly or through insurance, reimbursement, or otherwise” (“Health Plans and Benefits,” n.d., para. 1). Furthermore, the website highlights ERISA as an important regulation that protects the rights of plan participants and beneficiaries. Users can learn more about ERISA by clicking the link titled “Employee Retirement Income Security Act (ERISA).” In addition to ERISA, the site provides information about Employee Benefits Security Administration (EBSA). EBSA is responsible for regulating ERISA and providing both consumer information on health plans and compliance assistance for

The Employee Retirement Income Security Act (ERISA) is a piece of legislation enacted y the US Congress in 1974, after decades of similar legislation had been proposed and some of which had been enacted, but primarily as a means of addressing gaps in contemporary law and policy regarding employment pensions and retirement accounts (US Department of Labor, 2012). This legislation spells out certain requirements regarding information that retirement plan administrators must provide the participants and beneficiaries so that they can make pertinent decisions or take steps to safeguard their retirement savings, and also places certain guidelines and limitations on the conduct of managers of pension and retirement plans (USDOL, 2012). Government reporting standards and measures to ensure the protection of and proper access to retirement funds are also part of the legislation (USDOL, 2012).

The Health Insurance Portability and Accountability Act of 1996 or better known in the industry as HIPAA. When first introduced, the law was to help employees keep their health insurance while changing job due to one reason or another. Along with that, it sets standards for the exchange of patient information in electronic form. With these new privacy laws, clinics and hospitals could not longer share medical information with any random person. Under the law are that are called Covered Entities, which are required to keep the protected health information private. The law considers covered entities as: health plans, health care clearinghouse, health care providers, and insurance reimbursements information. What is not consider covered entities

The third way is for employers to utilize the reporting/disclosure guide for employee benefit plans. This is a reference tool that employers can utilize for reporting and disclosure provisions under ERISA. The fourth way is for employers to utilize the understanding your fiduciary responsibilities under a group health plan which provides a summary of the rudimentary fiduciary responsibilities pertaining to health plans that fall under the ERISA mandates.

Administrators that practice in a healthcare setting are used to the turbulence and at times rapid change in healthcare. They find themselves in the private, public, or non-profit sectors of health care, managed care arrangements, integrated service networks, or community agencies. To be an effective manager, it is important to understand the legal and ethical principles that are included in this environment and the legal relationship between consumer and the organization. The Health Insurance Portability and Accountability Act of 1996, also known as HIPAA, was created to prevent the unauthorized release of patient information. The Office for Civil Rights enforces the HIPAA Privacy Rule, which protects the privacy of

HIPAA or Health Insurance Portability and Accountability Act of 1996 is a set of laws aimed to protect people from losing their health insurance coverage during change or loss of employment, to control health care fraud and abuse, and to maintain patient`s health information and/or status confidential. The origins of HIPAA go as far back as the 1990 when medical records were suggested to become computerized, management of health care records was questioned and portability of health insurance became an issue. HIPAA was introduced as the Kennedy-Kassebaum Bill, passed by Congress and signed by the former president Bill Clinton in August 1996. Even though the law itself was passed, the specifications were finalized subsequently; 1999 The Privacy Rule was completed, in 2000 the Transaction and Code Sets Final Rule and the Security Rule and the National Provider Identifier were finalized, and in 2006 The Enforcement Rule was concluded. These regulations are grouped into Title I - “Health Care Access, Portability, and Renewability” and Title II - “Preventing Health Care Fraud and Abuse”. HIPAA not only mandates health care institutions to comply, but also to educate their employees about the law. HIPAA applies to covered entities such as health insurance plans, health care clearinghouse such as billing companies, doctor offices, pharmacies and of course us, the medical laboratories. Its regulations require entities to have policies and procedures defining privacy requirements,

The Health Insurance Portability and Accountability Act (HIPAA) was passed on August 21, 1996, with the intent of making health care delivery more efficient and increasing the number of Americans with health insurance coverage. The purpose of this law was to ensure the security and privacy of health information, it ensures the portability of employer-provided health insurance coverage for workers and their families when they change or lose their jobs. HIPAA also improves the efficiency of health care delivery by creating standards for electronic transmission of health care transactions.

The motto of the federal agency, Department of Health and Human Services, elaborates its core responsibilities in a nutshell. The motto reads, “Improving the health, safety and well-being of America.” Fundamentally, the agency is mandated with the provision of essential health services that guarantees all Americans better healthcare that is not only accessible but also meet all the necessary standards (McGuire, 2011). The agency was established on April 11, 1953 under the jurisdiction of the federal government of the United States. Its headquarters is located in the Hubert H. Humphrey Building, located at 200 Independence Avenue, S.W.

The Health Insurance Portability & Accountability Act of 1996 (HIPAA), was put in effect to help maintain the confidentiality of individuals in certain settings. The summary of the HIPPA Security Rule goes through the key elements of who is covered, what information is protected, and what safeguards must be in place to ensure appropriate protection of electronic protected health information.

The WVSA was built in two phases around 1967. WVSA went online for primary treatment plant in 1968. In 1988, the WVSA decided to add the second treatment plant. The modification occurred when the second treatment plant was built. The second treatment plant allowed the removal of organic matter to reach 97%.

The Government of Saskatchewan in October 2013, introduced a new legislation, Foreign Worker Recruitment and Immigration Services Act (FWRISA). This FWRISA was introduced as a step to protect the exploitation of the foreign workers in the province(1). This act safeguard the interests of foreign workers from recruitment and workplace related misconducts.

What is ERISA? ERISA stands for Employee Retirement Income Security Act. ERISA regulates the establishment and implementation of discretionary benefits practices. Since its enactment in 1974, ERISA has been amended to meet the changing retirement and health care needs