HIPAA and compliance for family physicians
The Academy supports patient privacy objectives, provided these regulations do not undermine quality of care and are balanced against the practical realities that family physicians face.
What physicians need to know about HIPAA
The Health Insurance Portability and Accountability Act of 1996 (HIPAA, PL104-191) has had a major impact on U.S. health care and on the family medicine specialty. The AAFP closely monitors any proposed changes to the law so that HIPAA’s impact remains consistent with its intent.
HIPAA was enacted to protect the privacy and availability of health insurance coverage and medical information.
The law's primary goals include:
Protecting health insurance coverage for workers and their families in the event that the insured employee changes or loses a job
Safeguarding the security and confidentiality of patient health information
Establishing standards for the electronic exchange of health care information
Title II of the law, known as the “administrative simplification” provision, requires national standards for electronic health care transactions and national identifiers for providers, health insurance plans and employers. The standards are meant to improve health care efficiency and effectiveness by encouraging the use of electronic data interchange in the nation’s health care system.
The AAFP’s role in HIPAA policy and reform
Insurance portability is vital to primary care patients, and the AAFP is committed to improving the efficient exchange of medical data.
Patient privacy and smart data exchange are crucial to addressing the opioid crisis. The Academy therefore supports policies that allow physicians to access a patient’s substance use and treatment history, ensuring appropriate and safe treatment.