HealthPartners, Allina form a 'lab' for health reform

  • Article by: JACKIE CROSBY , Star Tribune
  • Updated: November 2, 2011 - 10:56 PM

HealthPartners and Allina test health care reform efforts.

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jengdahljNov. 3, 1111:58 AM

Medical errors research in latest Health Affairs. Society of Actuaries study indicates more than 2 million patient injuries each year. http://www.healthcaretownhall.com/?p=3809

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comment99Nov. 3, 11 1:15 PM

How can they mine claims data? Isn't that a privacy violation? Come on Strib - do some investigation.

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leftyredNov. 3, 11 4:05 PM

Seriously people, HMOs are the fox guarding the chicken coop. Ask literally ANY doctor if they think insurance companies are good stewards of your health. HMOs are the healthcare equivelent of TicketMaster; one day they showed up to help out with the paperwork and next thing you know, they are incredibly expensive middlemen trying to tell everyone else what to do to save money. Since the topic is medicine, they feel free to tell the doctors what medicines to prescribe and what procedures are best for you.

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annemthomNov. 3, 11 4:08 PM

Insurers and facilities regularly mine claims data, it is not a privacy violation because personal identifiers are removed. News for you, your employer or outside actuaries may view such data too, so long as the identifiers are removed. They are viewing aggregate data. If you want to opt out, you are presented annually with a HIPAA form, then opt out.

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comment99Nov. 4, 11 7:25 AM

Regarding the HIPAA privacy violation - they HAD to identify the data to be able to do what they report in the article: "mine insurance claims data for a group of about 26,700 people with private insurance. Tactics ranged from simple steps, such as giving heart patients a $12 scale to weigh themselves, to wholesale changes that required everyone from receptionists to physicians to change how they work",, HOW DO THEY KNOW WHO THE 26,000+ people are? HOW DO THEY KNOW WHO IS A HEART PATIENT? THIS IS ILLEGAL

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dakotah16Nov. 5, 11 8:42 AM

Don't you think they would have reviewed the HIPAA laws and make sure everything was in line before going ahead and doing this? Why is everybody so mad anyways...they are doing what everybody supposedly wants, attempting to lower costs and keep patients healthy while giving quality care. Some people just want to stir up controversy where there really isn't any.

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flatstanleyNov. 9, 11 1:38 PM

a little late, but most consent of service agreements that patients sign when they check in gives the Hospital permission to share information with the insurance companies. This is how they are able to perform studies based on the type of care patients receive. Patients have the ability to indicate that they do not wish to have their information used for these purposes, provided they actual read what they are signing. So yes it's 100% legal and not a HIPAA violation.

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