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HIPAA Administrative Simplification Rules for Employers and Their Group Health Plans

Published in Lexis Practice Advisor®
Article | July 9, 2016

The article provides analysis of rules under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) affecting employers and the group health plans they sponsor. While HIPAA and its Administrative Simplification provisions impact a wide range of health care entities, this article focuses on the Privacy Rule and Security Rule, the Breach Notification Rule and the Transactions Rule, with particular insight into:

  • Administrative Simplification Rules for employers and their group health plans;
  • HIPAA Privacy Rule requirements;
  • Privacy Rule notice obligations;
  • safeguards, policies, and procedures needed for Privacy Rule compliance;
  • PHI uses and disclosure requirements;
  • information sharing between an employers and group health plans under the Privacy Rule;
  • PHI rights for individuals;
  • HIPAA Security Rule requirements;
  • rules for retaining Business Associates to provide plan services;
  • HIPAA Breach Notification Rule requirements;
  • HIPAA Transactions Rule requirements; and
  • HIPAA enforcement and penalties.
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