Health Insurance Compliance Summary

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The workstation use and security policy was created in April, 2005 and is subject to annual review and revisions. In order to properly describe the history of the policy, it is first necessary to explain some of the rules governing health insurance companies, the health insurance market, and the basis of integrity on which this particular company stands.
The Health Insurance Portability and Accountability Act of 1996 was passed by Congress as a way to develop standards for “health care data and their exchange and regulations on privacy protections.” Any Protected Health Information (PHI) or demographic data that can be used to identify an individual, is protected under the act. This includes common identifiers such as names, dates of birth, addresses, etc. Portions of HIPAA specifically address protecting patient privacy and confidentially through electronic transactions. Notable points include “rules and regulations regarding access to …show more content…

Non-profit organizations have no shareholders, therefore, most income is dependent on outside financing. This means that the organization owes it to constituents to “…garner and use money wisely; which requires excellent strategy formulation, implementation, and evaluation.” (David & David, 154) Hefty lawsuits and fines are unplanned expenses that waste company resources and reduce the ability to pay medical claims. Employers and government agencies also have several choices regarding health insurance plans. In the health insurance market, where rates and coverage options can be similar, the main competitive advantages are brand excellence, integrity, and ethics. Blue Cross is a brand name that is built upon customer loyalty and satisfaction, strong ethical principles, and integrity. With these things in mind, the company cannot afford to lose customer confidence or highly coveted government

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