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Post removed (Original Post) Post removed Oct 2013 OP
Again, fact or fiction? proverbialwisdom Oct 2013 #1
Related. proverbialwisdom Oct 2013 #2
If they want to continue seeing their doc, dump Medicare Advantage (Private insurer), and Hoyt Oct 2013 #4
Thanks, I hope this information is clear to those affected. proverbialwisdom Oct 2013 #12
They make so much of the privacy issue now I certainly hope virgogal Oct 2013 #3
Fix it (unpleasant surprises), don't nix it. Press Release referred to above. proverbialwisdom Oct 2013 #6
Ms. McCaughey twists, conflates and spins this into a pretzel - pinto Oct 2013 #5
Betsy McCaughey back with exciting new Obamacare theories pinboy3niner Oct 2013 #7
Attacking the messenger is always weak unless the message is also proven wrong. proverbialwisdom Oct 2013 #9
You seem intent on digging up RW spin and demanding that people debunk them here. ProSense Oct 2013 #17
+1 pinto Oct 2013 #10
Thanks, that's not common information. Now what about the privacy concerns raised about e-records? proverbialwisdom Oct 2013 #8
The federal government doesn't have access to Electronic Health Records. (nt) pinto Oct 2013 #11
You are able to debunk this? No loopholes? Link? proverbialwisdom Oct 2013 #13
HIPPA precludes, prevents any sharing of your EHR w/out your consent. Or by authorized warrant. pinto Oct 2013 #15
Here is more debunked RW spin ProSense Oct 2013 #19
Not just Fiction but long debunked: Raine1967 Oct 2013 #14
+1 pinto Oct 2013 #16
Why are you flogging this? Pretzel_Warrior Oct 2013 #18

proverbialwisdom

(4,959 posts)
1. Again, fact or fiction?
Fri Oct 25, 2013, 01:38 PM
Oct 2013
http://nypost.com/2013/10/25/elderly-patients-sick-over-losing-doctors-under-obamacare/

Elderly patients sick over losing doctors under ObamaCare

By Carl Campanile
October 25, 2013 | 4:18am


ObamaCare is making seniors sick.

Elderly New Yorkers are in a panic after getting notices that insurance companies are booting their doctors from the Medicare Advantage program as a result of the shifting medical landscape under ObamaCare.

That leaves patients with unenviable choices: keep the same insurance plan and find another doctor, pay out of pocket or look for another plan where their physician is a member.

New York State Medical Society President Sam Unterricht is demanding a congressional probe after learning that one health carrier alone, UnitedHealthcare, is terminating contracts with up to 2,100 doctors serving 8,000 Medicare Advantage patients in the New York metro region...
 

Hoyt

(54,770 posts)
4. If they want to continue seeing their doc, dump Medicare Advantage (Private insurer), and
Fri Oct 25, 2013, 02:04 PM
Oct 2013

go back to traditional Medicare.

I know Medicare Advantage plans usually include some incentives, not available under traditional Medicare, but it depends on your needs. If you want to keep your doctor, find an Advantage Plan (or hospital/physician Accountable Care Organization) that includes your physician in network, or go to traditional Medicare with a supplemental policy.
 

virgogal

(10,178 posts)
3. They make so much of the privacy issue now I certainly hope
Fri Oct 25, 2013, 01:52 PM
Oct 2013

it is not going to change.

I sure as hell can't pay cash.

proverbialwisdom

(4,959 posts)
6. Fix it (unpleasant surprises), don't nix it. Press Release referred to above.
Fri Oct 25, 2013, 02:26 PM
Oct 2013
http://www.hhs.gov/news/press/2013pres/01/20130117b.html

FOR IMMEDIATE RELEASE

January 17, 2013


New rule protects patient privacy, secures health information

[center]Enhanced standards improve privacy protections and security safeguards for consumer health data[/center]
The U.S. Department of Health and Human Services (HHS) moved forward today to strengthen the privacy and security protections for health information established under the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

The final omnibus rule greatly enhances a patient’s privacy protections, provides individuals new rights to their health information, and strengthens the government’s ability to enforce the law.

“Much has changed in health care since HIPAA was enacted over fifteen years ago,” said HHS Secretary Kathleen Sebelius. “The new rule will help protect patient privacy and safeguard patients’ health information in an ever expanding digital age.”

The changes in the final rulemaking provide the public with increased protection and control of personal health information. The HIPAA Privacy and Security Rules have focused on health care providers, health plans and other entities that process health insurance claims. The changes announced today expand many of the requirements to business associates of these entities that receive protected health information, such as contractors and subcontractors. Some of the largest breaches reported to HHS have involved business associates. Penalties are increased for noncompliance based on the level of negligence with a maximum penalty of $1.5 million per violation. The changes also strengthen the Health Information Technology for Economic and Clinical Health (HITECH) Breach Notification requirements by clarifying when breaches of unsecured hea lth information must be reported to HHS.

Individual rights are expanded in important ways. Patients can ask for a copy of their electronic medical record in an electronic form. When individuals pay by cash they can instruct their provider not to share information about their treatment with their health plan. The final omnibus rule sets new limits on how information is used and disclosed for marketing and fundraising purposes and prohibits the sale of an individuals’ health information without their permission.

“This final omnibus rule marks the most sweeping changes to the HIPAA Privacy and Security Rules since they were first implemented,” said HHS Office for Civil Rights Director Leon Rodriguez. “These changes not only greatly enhance a patient’s privacy rights and protections, but also strengthen the ability of my office to vigorously enforce the HIPAA privacy and security protections, regardless of whether the information is being held by a health plan, a health care provider, or one of their business associates.”

The final rule also reduces burden by streamlining individuals’ ability to authorize the use of their health information for research purposes. The rule makes it easier for parents and others to give permission to share proof of a child’s immunization with a school and gives covered entities and business associates up to one year after the 180-day compliance date to modify contracts to comply with the rule.

The final omnibus rule is based on statutory changes under the HITECH Act, enacted as part of the American Recovery and Reinvestment Act of 2009, and the Genetic Information Nondiscrimination Act of 2008 (GINA) which clarifies that genetic information is protected under the HIPAA Privacy Rule and prohibits most health plans from using or disclosing genetic information for underwriting purposes.

The Rulemaking announced today may be viewed in the Federal Register at https://www.federalregister.gov/public-inspection.

Sign up to OCR’s listserv and stay informed at OCR-PRIVACY-LIST

pinto

(106,886 posts)
5. Ms. McCaughey twists, conflates and spins this into a pretzel -
Fri Oct 25, 2013, 02:19 PM
Oct 2013

1. HIPPA, the Health Portability and Accountability Act, enacted in 1996 requires the establishment of Electronic Health Records. It also establishes permitted uses, confidentiality and data protection standards.

http://en.wikipedia.org/wiki/HIPAA

2. Medicare / Medicaid EHR incentives / penalties -

EHR Incentive Payment Timeline

The American Recovery and Reinvestment Act of 2009 (Recovery Act) authorizes the Centers for Medicare & Medicaid Services (CMS) to award incentive payments to eligible professionals who demonstrate Meaningful Use of a certified electronic health record (EHR).

It pays to get started early! Providers must participate early — in 2011 or 2012 — in order to receive the maximum incentive.

These incentive programs will not always be available, and financial penalties are scheduled to take effect in 2015 for Medicare and Medicaid providers who do not transition to EHRs.

The table below provides an overview of the EHR incentive payment timeline for eligible health care professionals.

http://www.healthit.gov/providers-professionals/ehr-incentive-payment-timeline

Neither are due to the ACA. Nice try Ms. McCaughey.

pinboy3niner

(53,339 posts)
7. Betsy McCaughey back with exciting new Obamacare theories
Fri Oct 25, 2013, 02:33 PM
Oct 2013
Mon Sep 16, 2013

There are perhaps few people who have been as dogged as Betsy McCaughey in trying to ensure Americans continue to receive crappy, overpriced health care. Her attacks on Clinton-era health care proposals were specious enough to (eventually) be repudiated by the magazine that published them; her more recent "death panel" invention caught the ear of the stupid-minded from Sarah Palin on down. She has made a nice little career conspiracy theorizing about any attempt to reform the nation's health care practices, and if there is any consolation to be had in her repeated wrongness it is that she at least has been reduced to peddling her crackpot theories in the sewer-like pages of the New York Post. So let us hear what the new McCaughey-invented Bat Boy will be.

...


http://www.dailykos.com/story/2013/09/16/1239282/-Betsy-McCaughey-back-with-exciting-new-Obamacare-theories

ProSense

(116,464 posts)
17. You seem intent on digging up RW spin and demanding that people debunk them here.
Fri Oct 25, 2013, 03:33 PM
Oct 2013

Instead of digging up RW spin, you could do some research of your own. You would find that these are RW lies.

proverbialwisdom

(4,959 posts)
8. Thanks, that's not common information. Now what about the privacy concerns raised about e-records?
Fri Oct 25, 2013, 02:34 PM
Oct 2013
http://nypost.com/2013/09/15/obamacare-will-question-your-sex-life/

...Where are the women’s rights groups that went to the barricades in the 1980s and 1990s to prevent the federal government from accessing a woman’s health records? Hypocritically, they are silent now.


It's not TEAM BLUE vs TEAM RED.

proverbialwisdom

(4,959 posts)
13. You are able to debunk this? No loopholes? Link?
Fri Oct 25, 2013, 02:57 PM
Oct 2013
http://watchdog.org/106044/obamacare-sex-drugs-questions/

Christina Sandefur, a lawyer for the Goldwater Institute, an Arizona-based conservative think tank challenging the Affordable Care Act in federal court, said the arrangement is a violation of patients’ privacy rights.

“Once you’ve shared your information with a private third party, the Supreme Court has ruled that is fair game for the government,” she told Watchdog.org...

https://ssd.eff.org/your-computer/govt/privacy

You may "knowingly expose" a lot more than you really know or intend. Most information a third party collects — such as your insurance records, credit records, bank records, travel records, library records, phone records and even the records your grocery store keeps when you use your "loyalty" card to get discounts — was given freely to them by you, and is probably not protected by the Fourth Amendment under current law. There may be privacy statutes that protect against the sharing of information about you — some communications records receive special legal protection, for example — but there is likely no constitutional protection, and it is often very easy for the government to get a hold of these third party records without your ever being notified.

pinto

(106,886 posts)
15. HIPPA precludes, prevents any sharing of your EHR w/out your consent. Or by authorized warrant.
Fri Oct 25, 2013, 03:30 PM
Oct 2013

I suggest you look beyond the Goldwater Institute. The link I gave you to HIPPA overview (Wiki) is a good start. There are references there for follow up. The limits on sharing health info as well as security standards for EHR are detailed in the Act.

ProSense

(116,464 posts)
19. Here is more debunked RW spin
Fri Oct 25, 2013, 03:37 PM
Oct 2013

for you to explore:

* Republican lawmakers on the committee said the website tries to hide the real cost of Obamacare to the American people,” which isn’t true.

* Republican lawmakers on the committee said the website cost $634 million, which isn’t true.

* Republican lawmakers on the committee said White House political interference caused the tech problems plaguing the site, which isn’t true.

* Republican lawmakers on the committee said inactive code on the website violates the Health Insurance Portability and Accountability Act (HIPAA), which isn’t true.

* Republican lawmakers on the committee said the individual mandate is being delayed, which isn’t true.

http://www.msnbc.com/rachel-maddow-show/full-sound-and-fury-signifying-nothing

See each link at "which isn't true" in the original.



Raine1967

(11,589 posts)
14. Not just Fiction but long debunked:
Fri Oct 25, 2013, 03:04 PM
Oct 2013
http://mediamatters.org/research/2013/10/01/15-myths-the-media-should-ignore-during-obamaca/196181#anchor13

Evidently Ms. McCaughey knows some pretty crappy doctors, because if you consider it "inappropriate and unnecessary" to talk to your patients about their sex lives, then you really shouldn't be in the business. I agree that it's not necessary to ask these questions at every visit for every complaint. But seriously, a cardiologist is saying he can't imagine a single occasion when he might ask a patient about his sex life? Really? I'm speechless.

But it gets worse. Ms. McCaughey further misrepresents what the law does:

Embarrassing though it may be, you confide things to a doctor you wouldn't tell anyone else. But this is entirely different.

Doctors and hospitals who don't comply with the federal government's electronic-health-records requirements forgo incentive payments now; starting in 2015, they'll face financial penalties from Medicare and Medicaid. The Department of Health and Human Services has already paid out over $12.7 billion for these incentives.

There are federal EHR requirements. But those are part of the HITECH Act (which was part of ARRA), not Obamacare. What Obamacareintroduces is that insurance must now reimburse physicians for preventive services. These include things like STI counseling (which is why more docs may ask about sex). They also include lots of other stuff, especially for women and children. I'm fine with this, because these things work. They have evidence behind them. That's why they're in there. For years, we've paid for tons of things that don't work, while not paying for things that do. This tries to right that balance. { The Incidental Economist, 9/16/13 }




Please stop spreading right wing claptrap --
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