Healthcare Credit Practices Workgroup

Mission

Outline the impact of HIPAA and other privacy regulations on commercial credit for the healthcare segment and recommend policy or regulatory changes, as necessary

Goals

• HIPAA’s impact on “funding” receivables (factoring, financing, securitizing, etc)
• Defining the new “privacy interest” in receivables as it relates to a “true sale” (i.e., impact on bankruptcy laws, international receivable laws, etc)
• Authoring a resolution for Congress and other interested bodies

Leadership

Leader: John Casillas, Medical Banking Project, Executive Director & Founder

Co-Leaders: Richard Whitmer, CEO, Insight Healthcare Financial, Inc. ; Thomas J. Hopkins, CFO, E-Duction

Accomplishments

• Articles derived from White Paper have been published in: Credit & Collections Risk (Thomson Financial) and Banking Law Journal (Thomson Financial)
• Legal Framework was presented at the 1st National Medical Banking Institute to instigate dialogue with regulators and commercial leaders. Panelists included GE Healthcare Systems, Pricewaterhouse Coopers and legal experts. Results/audio of session have been documented in the Medical Banking Research Portal
• A “pre-emption map” that specifically focused on healthcare credits has been designed, developed and deployed. A White Paper discussing findings was also develop as a companion document that includes a graph that can quickly identify problem areas by state and provides a discussion of HIPAA pre-emption as it relates to healthcare credit practices. Our interactive geographical map can be used to quickly identify relevant statutes for each state.

Dissemination Venues

• MBProject HIPAA Policy Roundtable – March 26, 2003
• Second National Medical Banking Institute – March 26, 2003
• Article: Collections & Credit Risk – November 2002 Issue
• Article: Banking Law Journal– May 2003
• HFMA eLearning Modules
• Ninth National HIPAA Summit