Cammack Health's New White Paper: Avoiding Privacy Pitfalls in Medical Management

Cammack Health’s latest white paper, Avoiding Privacy Pitfalls in Medical Management: When the Provider is the Employer, explores how privacy concerns can affect the successful implementation of a medical management program for healthcare employers.

While 67% of health plan sponsors in the healthcare sector purchase medical management services through their insurance carrier, many question the return on investment from insurance-based programs. Healthcare employers have begun to carve out these services from the insurance carrier and medically manage their own self-insured population.

Healthcare employers may be apprehensive about implementing a medical management program for their own plan due to privacy concerns from staff. There is a misperception that it is unlawful under the Health Insurance Portability and Accountability Act (HIPAA) for a health plan to have access to its own members’ protected health information (PHI), or that HIPAA requires written consent from every plan member to access this data.

Cammack Health’s latest white paper dispels misconceptions about what federal privacy laws require and provides practical advice for designing and implementing medical management programs. The principles of a successful medical management program involve a robust communication strategy that builds employees’ confidence and engagement, and sourcing the right elements of the program to reinforce proper privacy controls and employee engagement.

About Cammack Health LLC

With the shift from pay-for-service to pay-for-performance reimbursement, healthcare organizations must fundamentally transform how they deliver care. Success requires real behavioral change—on the part of health system leaders, caregivers, and healthcare consumers. It’s a complex challenge. Where do you start?

Cammack Health has been working with hospitals and health systems to improve their performance and efficiency since long before the term “accountable care” was coined. Our in-depth understanding of the complex dynamics of healthcare delivery, utilization, and reimbursement enables us to provide practical solutions that make a real difference.