relates to the past, present, or future physical or mental health or condition of an individual, the provision of health care to an individual, or the past, present, or future payment for the provision of health care to an individual.is received or created by various organizations and individuals, specifically including employers and covered entities such as employers’ health plans and.PHI is individually identifiable health information held or transmitted by a Covered Entity or its business associate, in any form or media, whether electronic, paper, or oral. The Privacy Rule governs the way health plans handle “Protected Health Information” (“PHI”). For a handy refresher on what this means, please see the “ FAQs on the Delicate Relationship Between Employers and Their Self-Insured Health Plans”.įor general help in determining who is a Covered Entity, click here to use the decision tool. This concept and its consequences are often misunderstood. The Security Rule addresses various procedural, technical, and administrative safeguards that must be implemented for protection of electronic PHI (“ePHI”).Īlthough an employer may sponsor a health plan, the plan and the employer are regarded as two separate entities for purposes of the Privacy Rule. The Privacy Rule also contains individual privacy rights with respect to use, disclosure, and access to individual PHI in the possession of Covered Entities. Covered Entities include health care providers, health plans, and health care clearinghouses. The Privacy Rule standards address the use and disclosure of individually identifiable health information (called “protected health information” or “PHI”) by organizations subject to the Privacy Rule (“Covered Entities”). This section will primarily address the Privacy Rule as it specifically relates to health plans. The Security Rule is addressed in a separate section of the Dashboard. The Standards for Privacy of Individually Identifiable Health Information (“Privacy Rule”) and Standards for Security of Individually Identifiable Health Information (“Security Rule”), promulgated under HIPAA, establish a set of national standards for the protection of certain health information.
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